Radiation Treatment 25 years ago

Hello! A referral, from ID actually, was received for a patient with soft tissue radiation necrosis (radiation cystitis). Hx: prostate cancer, s/p radical prostatectomy. Current symptoms include pelvic pain, frequency, incomplete emptying, weak stream, straining, nocturia, incontinence.

I don't have a recent scope on hand currently. I do have a note from uro, but no mention of radiation cystitis. Recommendation was medication adjustment and research a sling or artificial urinary sphincter for symptom management.

How big of an issue is it if radiation details from so long ago are not obtainable? Do you recommend a scope from uro or at least uro speaking in support of HBOT for radiation cystitis?

Thank you!

Nov 5, 2024 by Sarah Karson, RN, BSN

1 replies

Kim Simonson
RN-BC, ACHRN, CWS, FACCWS

Hi Sarah,

Thank you for your question. Other colleagues may have additional thoughts, but this indication is for delayed radiation injury and CMS/insurances do require documentation of dates of radiation as an eligibility criteria. Obtaining the records and adding them to this patient's records will be necessary to satisfy medical necessity requirements. In the event of an audit, these records will be needed.

The scope is helpful as is mention of delayed radiation injury.

Hope this helps.

Nov 5, 2024

* Information provided without clinical evaluation and is not intended as a replacement for in-person consultation with a medical professional. The information provided through Curbside Consult is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Basic Navigation

Feature Navigation

Solutions

Individuals:

Institutions:

Special Features:

Newsletter Signup