Target Volume Determination 2015

Sexual Dysfunction

NOT in the GUIDELINES!!!

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

Hermann et al Radiother Oncol 2005