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Table 1 Symptom scores by modified radiation proctopathy system assessments scale (RPSAS)

From: Restorative resection of radiation rectovaginal fistula can better relieve anorectal symptoms than colostomy only

Severity

 1. No problem

 2. Mild problem—can be ignored when you do not think about it

 3. Moderate problem—cannot be ignored; no effect on daily activities

 4. Severe problem—influences your concentration on daily activities

 5. Very severe problem—markedly influences your daily activities and/or requires rest

Frequency

 1. Monthly

 2. Weekly

 3. Several times per week

 4. Daily

 5. Throughout the day

Symptoms

 Rectal pain

 Rectal bleeding

 Tenesmus

 Perineal mucous dischargea

  1. The RPSAS score for the patient without a specific symptom was 1 point
  2. aPerineal mucous discharge included discharge from vagina and/or rectum