DISCUSSION This study shows that there is a highly significant correlation between the degree of gastrointestinal dysfunction recorded in patients who had completed pelvic radiotherapy at least 3 months previously when two simple, patient self-administered questionnaires validated for benign diseases were used in comparison to scores recorded when the staff administered LENT SOMA questionnaire was used.
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A modified Inflammatory Bowel Disease questionnaire and the Vaizey Incontinence questionnaire are simple ways to identify patients with significant gastrointestinal symptoms after pelvic radiotherapy.
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The clinical implications of an abnormal Vaizey score, however small, may be significant for an individual patient.