InvestigationsPotential resultsClinical management plan: abnormal results
Neurological examination (including perianal sensation)Abnormal examination (eg, suspected spinal cord compression, cauda equine syndrome, neurogenic bladder)This is an emergency
Discuss immediately with an oncology or neurology team.
Routine blood screen and ESR, vitamin B12, red cell folateAbnormal resultsFollow treatment of abnormal blood results (pages 2–3).
Consider MRI pelvisTumour recurrence or other cause for neurological dysfunctionDiscuss immediately with supervising clinician.
Related to radiotherapy or surgery

  1. Pelvic floor and toileting exercises (page 18).

  2. Bulking agent ± antidiarrhoeal.

  3. Consider referral for biofeedback (page 18).

  • ESR, erythrocyte sedimentation rate.