Radiation Proctitis: Current Strategies in Management

Table 1

Grade	Symptoms or signs	Overall management
0	No symptoms	None
1	Occasional urgency and occasional pain; superficial ulceration <1 cm^2, occult bleeding, and mild stricture	Outpatient management; no lifestyle adjustments
2	Intermittent urgency and intermittent pain; superficial ulceration >1 cm^2, occasional bleeding, and moderate stricture	Outpatient management; some lifestyle adjustments
3	Persistent urgency and persistent pain; deep ulceration, persistent bleeding, severe stricture	Possible short hospital admission or minor surgical intervention; major lifestyle adjustments
4	Refractory urgency and uncontrollable pain; gross hemorrhage, perforation, fistula, complete obstruction	Long-term hospital admission or major surgical intervention
5	Sepsis, multiorgan failure, and death	Fatal complications