Late silent complications after treatment of uterine cancer

Forty-one symptom-free women treated by operative and irradiation therapy for gynecological cancer 24-108 months previously were examined by small bowel barium meal, large bowel barium enema, intravenous urography and renography in order to determine whether there were any silent complications present after the therapy. It was possible to demonstrate intestinal or urologic damage by roentgenological examinations in 12 patients. Small bowel changes were found in five and large bowel changes in six patients, while eight had changes in urography and 18 in renography. Two intestinal and four urological changes were moderate or severe. These findings indicate that a careful follow-up programme regarding complications and recurrences is necessary.