Hypofractionated VMAT and treatment with colostomy

Posted by robertehughes @robertehughes, 2 days ago

Anyone have experience with either

1. VMAT hypofractionated radiation therapy to prostate bed post-RP?

2. Radiation therapy with a colostomy?

Curious about your experiences.

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Hi Robert, Sorry but I can only respond to #1.
VMAT is very similar to most forms of EBRT - it focuses energy on the tumor while sparing surrounding tissues.
Hypofractionated means you will have fewer treatment sessions - usually around 25 compared to older regimen of 39 or more sessions. However, higher amounts of radiation are delivered per session so you wind up having the same amount in total.
As far as question #2 is concerned, I am fairly certain other members on the forum have some experience. I can only guess that special attention and care will be made in your simulation to avoid -ostomy tissue where possible. Best,
Phil

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