Chapter 2 48 Respondents’ characteristics N (%) How many procedures for CAF (incl botulinum toxin) do you perform per year? 0-10 10-30 30-50 >50 41 (39) 41 (39) 19 (18) 5 (5) Medical history and physical examination How often do you ask a patient with CAF about pelvic floor complaints (gynaecology, urology, sexuology)? *SC? Never/almost never In less than half of the cases In more than half of the cases Almost always/always 30(28) 38 (36) 14 (13) 24 (23) In case you expect CAF by medical history, which physical examination and/or diagnostics do you do? *MC None Inspection Digital rectal examination Proctoscopy Endo-anal ultrasound 1 (1) 103 (97) 54 (51) 24 (23) 6 (6) Do you examine the pelvic floor muscles by a patient with CAF (squeeze, relaxation and push of the levator ani muscle and external anal sphincter)? *SC Never/almost never In less than half of the cases In more than half of the cases Almost always/always 39 (37) 26 (24) 18 (17) 23 (22) Treatment Which treatment do you initiate when treating a patient with CAF? (assuming the general practitioner has not already done this) *MC Lifestyle advice by nutrition advice and toilet behaviour Fibers/laxatives and ointment Pain medication (local and/or systemic) Pelvic floor physical therapy Botulinum toxin 79 (74) 102 (96) 43 (41) 23 (22) 2 (2) Which ointment do you prescribe for CAF? *SC Lidocaine Isosorbide dinitrate Diltiazem Other 1 (1) 9 (8) 96 (90) 0 (0) In case of isosorbide dinitrate or diltiazem, what was your recommendation concerning duration of application? (number) 16 weeks 12 weeks 8 weeks 6 weeks 4 weeks 3 weeks 2 weeks 1 (1) 29 (27) 13 (12) 59 (56) 1 (1) 1 (1) 2 (2) Table 1. Continued
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