**6. Complications**

Acute complications commonly include local features, consisting with dry and moist skin desquamation, vaginitis, cystitis, and proctitis. Management of these complications varies between anti-inflammatory medications and anti-microbial drugs given for prophylaxis.

Brachytherapy side effects are mainly due to neighboring organ toxicity and include vaginitis, cystitis and uterine perforation.

Late complications include vaginal stenosis, recto-vaginal and vesico-vaginal fistula and intestinal perforation.
