Episode # 123 • 29 Sept 2023
Perfecting Rectal Spacer Placement for Optimal Care
This week on BackTable Urology, Dr. Juan Javier-Desloges, a urologic oncologist at UC San Diego, interviews Dr. Neil Taunk, a radiation oncologist leading the Brachytherapy and Procedural Radiation program at the University of Pennsylvania, about his experience with using SpaceOAR rectal spacer for prostate cancer radiotherapy.
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First, the doctors explore the nuances of rectal spacing and the best candidates for this procedure. They discuss various large-scale trials from different research institutions about the efficacy of rectal spacing in different types of radiation, like proton beam, external beam, and brachytherapy. He also notes the time crunch that comes with using a spacer and highlights the importance of understanding a patient's anatomy before performing the procedure. Additionally, he shares his insight on how extracapsular extension of the tumor can affect the rectal spacing procedure, as well as the potential benefits of rectal spacing for certain patient populations. Dr. Taunk also considers the differences between the two gels (Barrigel and SpaceOAR) available on the market and delves into specific differences between the two products.
Lastly, they emphasize the importance of pre-operative counseling for the imperfect management of patients because suboptimal gel placements and complications, such as intravascular injection and pulmonary embolism, are possible.
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SpaceOAR and SpaceOAR Vue Hydrogels are intended to temporarily position the anterior rectal wall away from the prostate during radiotherapy for prostate cancer and in creating this space it is the intent of SpaceOAR and SpaceOAR Vue Hydrogels to reduce the radiation dose delivered to the anterior rectum.
SpaceOAR and SpaceOAR Vue Hydrogels contain polyethylene glycol (PEG). SpaceOAR Vue Hydrogel contains iodine.
Prior to using these devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, and potential adverse events.
The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.