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Pelvic OARs constraints: genitals
- From recent large prospective studies & reviews, sexual problems are a major
issue after rectal ca curative treatments; RT+CHT associated to an increased
risk (Lange 2009, Bregendhal 2015, Kunnemann 2015, Gilbert 2015)
- Under-estimated problem in the past (?)
- Any effort should be activated to efficiently spare genitals outside PTV:
beams geometry, blocking options in rotational techniques, testicle shielding
when appropriate….
Gilbert 2015