2016_BT PROSTATE CANCER COURSE BOOK

1866-1867 / 2001

What about rectal spacing ?
• Systematically planned with 10 cc hyaluronic
acid gel in the French CAPRICUR trial.
• Also proposed by other groups :
B h h S O ( ) • rac yt erapy. 2014 ep- ct;13 5 :442-9..
• Use of a rectal spacer with low-dose-rate brachytherapy for
treatment of prostate cancer in previously irradiated
ti t I iti l i d h t t lt pa en s: n a exper ence an s or - erm resu s.
• Mahal BA1, Ziehr DR1, Hyatt AS1, et al .
• RESULTS:
• the median space between the prostate and rectum was
10.9mm (prior EBRT) vs. 7.7mm (prior brachytherapy),
p=0.048.
• CONCLUSION:
• Hydrogel spacer placements may be feasible in most patients
with prior pelvic radiation.