What are your typical dose and fractionaton for post-prostatectomy radiotherapy for a patient with involved pelvic lymph nodes?

45 to 47.6 Gy in 25 fractions to the elective nodes with 57.5 to 60 Gy SIB to the GTV node with a 5 mm PTV margin, keeping V55 small bowel to <1 cc.

Prostate fossa dose range of 60 to 62.5 Gy.

I'm just going to tell you what I do. :)

I do sequential planning at 2 Gy per fraction - 46 Gy to the whole pelvis, and then a sequential conedown to treat the prostate bed to 20 Gy, 66 Gy cumulative. If nodes are pN+ but none are visible on CT imaging, that's my dose. If there are nodes on a post-o...