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Prostate Cancer (Expert Forum)
Bladder Necrosis Following Radiation
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
Bladder Necrosis Following Radiation
by robocoop, Nov 15, 2008 11:34AM
I have been diagnosed with a hole in the bladder neck as a result of radiation therapy. The doctors advise that I will need a Suprapubic Tube or Ileal Conduit Urinary Diversion. They say the necrosis in the area doesn't leave any other alternatives. I currently have a Foley in place and find it difficult to believe that there is not another way to conquer this problem without requiring a catheter? I've heard tha Hyperbaric Oxygen Therapy may help but do you know of other alternatives?
Doctor's Answer
by Ash Tewari, MD, M.Ch., Dec 13, 2008 05:54PM
, Dec 13, 2008 05:54PM
Thank you for your question.
Unfortunately, radiation therapy may result in situations such as yours. Without a full evaluation it is difficult for me to offer you with alternatives specifically catered to your current situation but the treatment options you mention are certainly options. if the necrosis is extensive, repair of your bladder may not be an option and you may require some sort of diversion. i suggest you discuss these and other therapies with your urologist. if you are unsatisfied with the options they have presented, you may want to seek a second opinion.
Best,
AT
Unfortunately, radiation therapy may result in situations such as yours. Without a full evaluation it is difficult for me to offer you with alternatives specifically catered to your current situation but the treatment options you mention are certainly options. if the necrosis is extensive, repair of your bladder may not be an option and you may require some sort of diversion. i suggest you discuss these and other therapies with your urologist. if you are unsatisfied with the options they have presented, you may want to seek a second opinion.
Best,
AT
