CONTROVERSIES IN THE THERAPY OF COMMON PR OCTOLOGICAL DISORDERS - RESULTS OF A SURVEY

A survey among coloproctologists was performed to assess current thera peutic concepts for the treatment of hemorrhoidal disease and anal fis sure. A total of 261 clinical and non-clinical proctologists participa ted, representing the entire range of therapies in hospital and practi se. A wealth of widely differing, in some aspects contradictory concep ts were recorded, leaving almost no subject entirely undisputed. There are controversies regarding the different therapeutic alternatives as well as indications for surgery and choice of operative procedure. Fu ture research has to address the existing controversies in order to re ach a higher degree of standardization in the therapy of these common proctological disorders.