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Curr Urol Rep. 2021 May 27;22(7):37. doi: 10.1007/s11934-021-01048-8.

Management of Lower Urinary Tract Symptoms after Prostate Radiation.

Current urology reports

Pansy Uberoi, Charlton A Smith, Alvaro Lucioni

Affiliations

  1. Female Pelvic Medicine and Reconstructive Surgery, Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, 1100 Ninth Avenue, C7-URO, Seattle, WA, 98101, USA.
  2. Department of Radiology, Section of Radiation Oncology, San Antonio Military Medical Center, San Antonio, TX, USA.
  3. Female Pelvic Medicine and Reconstructive Surgery, Section of Urology and Renal Transplantation, Virginia Mason Franciscan Health, 1100 Ninth Avenue, C7-URO, Seattle, WA, 98101, USA. [email protected].

PMID: 34041611 DOI: 10.1007/s11934-021-01048-8

Abstract

PURPOSE OF REVIEW: To present urologists with guidance on how to approach and manage lower urinary tract symptoms (LUTS) in patients who have undergone radiation therapy (RT) for prostate cancer.

RECENT FINDINGS: There are few studies that specifically examine treatment approaches for LUTS in patients who have undergone prostate cancer RT. LUTS after prostate RT are unique when compared to de novo LUTS. Understanding these distinctions is important for urologists' practice as well as patients' quality of life. Discussion of the risks and management of post-RT LUTS should be included in the shared decision-making process when counseling patients on various treatment options for prostate cancer. Further studies evaluating treatments for storage and voiding symptoms after RT are needed to help guide future care.

Keywords: Lower urinary tract symptoms; Overactive bladder; Post-radiation; Prostate cancer; Stress incontinence

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