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The author (an elderly Englishman) and his wife reluctantly accept their young Viennese friend's invitation to join him on a week's holiday in Sicily. There, they decline his offer to chauffeur them round the island, preferring to spend the time quietly, in a way more befitting their age. During their sojourn in Sicily the author reminisces, recalling many events of his, his friend's and other people's lives, some of them amusing, others sad and even strange, if not inexplicable.

Material for this book was gathered in the early 1980's in Manchester, where a higher incidence than usual of complications in the gastro-intestinal and urinary tract was observed. Part I describes the principles and methods of radiotherapy for pelvic tumours, pathological features and radiological analysis of bowel and urinary tract changes. Parts II and III are devoted to clinical assessment and management, where the need for a multi-diciplinary approach is emphasized.