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Sexual Dysfunction
TESTICLES
Increasing the distance from the field:
decreases scattered dose to the testicles.
Mean 3.56 Gy (0,7-8,4Gy)
: permanent
infertility; hypogonadism
VAGINA
Avoiding of the
inferior 3rd
: decreases dryness
and pain during intercourse
NOT in the
GUIDELINES!!!
Hermann et al Radiother Oncol 2005