**2.5 Miscellaneous**

Radiation-induced perianal dermatitis is an undesired side effect of cancer treatments. Multiple grading systems have been used to grade skin damage from radiation [13]. Regardless of the stage of dermatitis, from dry desquamation to breakdown and ulceration of the skin, many patients experience anal pruritus. Excessive moisture of the perianal skin from urinary incontinence or vaginal discharge is also associated with skin irritation and consequent pruritus ani. One of our hospitals is a highvolume center for the management of rectal and anal cancer. We often treat patients with sequelae of pelvic radiation, with fecal incontinence, perianal irritation, and consequent pruritus among the most common.
