If you perform cystoscopic bladder botox injections please complete this 1 minute survey

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1. I am a consultant gynaecologist or urogynaecologist working in (tick a box)

Australian Capital Territory

Northern Territory

New South Wales

Queensland

South Australia

Tasmania

Victoria

Western Australia

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2. I work in (check one box)

a public hospital only

a private setting only

both in private and public systems

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3. Roughly how many cases of cystoscopic botox injections (MBS Item 18379) for overactive bladder do you (or your trainee) do per year (including inpatients and outpatients)?

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4. Please indicate if you agree or disagree with the following statement : "Cystoscopic botox injections under local anaesthetic in an outpatient or office setting, and using sterile technique, should be available to women without the need for hospital admission (H).

Agree

Disagree

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5. For women with overactive bladder, the availability of cystoscopic bladder botox injections under local anaesthetic in hospital outpatients or office settings without admission to hospital (H) would.....(please tick at least one box)

improve women's access to this treatment

reduce the need for general anaesthesia and repeat procedures under anaesthetic

reduce the cost to government associated with operating theatres for this procedure

all of the above

none of the above