Pelvic Radiation Disease Management by Hyperbaric Oxygen Therapy: Prospective Study of 44 Patients

Table 2

SOMA-LENT Scale [9–22].

	Grade 1	Grade 2	Grade 3	Grade 4	Score
Subjective
Tenesmus	Occasional urgency	Frequent urgency	Constant urgency	Nonresponder
Mucus lost	Occasional	Frequent	Constant	Nonresponder
Incontinence	Occasional	Frequent	Constant	Nonresponder
Defecation frequency	2–4 times/day	4–8 times/day	>8 times/day	Incontrol diarrhea
Pain	Occasional and minimal	Frequent and tolerable	Constant and intense	Nonresponder and atrocious
Objective
Bleeding	Hide	Occasional >2/week	Constant/daily	Brutal bleeding
Ulceration	Superficial ≤1 cm²	Superficial >1 cm²	Deep ulcer	Perforation. Fistula
Stenosis	>2/3 normal diameter without dilation	1/3 à 2/3 normal diameter with dilation	<1/3 normal diameter	Complete stenosis
Management
Tenesmus and; defecation frequency	Occasional ≤2 antidiarrhea medication/week	Usually >2 antidiarrhea medication/week	Several >2 antidiarrhea medication/day	Surgery/colostomy
Pain	Occasional, nonopiate treatment	Usually nonopiate treatment	Usually with opiate treatment	Surgery
Bleeding	Laxatives, for treatment	Occasional blood transfusion	Frequent blood transfusion	Surgery/colostomy
Ulceration	Dietary management, laxatives	Occasional corticosteroids	Steroids rectal injection, HBOT	Surgery/colostomy
Stenosis	Dietary management	Occasional dilation	Usually dilation	Surgery
Incontinence	Occasional use of protective pads	Frequent use of protective pads	Constant use of protective pads	Surgery/colostomy