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Foecal incontinence

•

Occurrence of urgency correlated to incontinence and

frequency

•

No significant different toxicities with conv vs IRMT

•

All mean doses higher in the group with urgency

•

Mean dose

<

30 Gy to the internal anal surface,

<

10 Gy to the external anal surface

<50 Gy to the puborectalis muscle

<40 Gy to levator ani muscle

•

Endorectal balloon: fewer complaints in this group (28pts)

Smeenk

et al

, 2012

Constraints to

pelvic muscle

floor

to reduce

incontinence

related

complaints