Anoscopy: Difference between revisions
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==Equipment Needed== | ==Equipment Needed== | ||
*Gloves | |||
*Anoscope (Reusable or disposable) | |||
**Adults: 7-cm (typically 19-mm diameter) anoscope; slotted or non-slotted | |||
**Pediatrics: 8-mm to 14-mm diameter | |||
*Light source (often built into disposable anoscopes) | |||
*Lubricating jelly (and topical anesthetic jelly if patient has severe anal pain) | |||
*Cotton swabs | |||
*If needed: | |||
**Fecal occult blood test | |||
**Culture tube and swab | |||
**Biopsy forceps | |||
==Procedure== | ==Procedure== | ||
Revision as of 17:05, 18 August 2021
Overview
- The use of an anoscope to visually inspect the anus, anal canal, and internal sphincter
- Helpful in identifying causes of rectal bleeding
- Up to 50% of rectal bleeding is falsely attributed to hemorrhoids when internal examination is not used[1]
Indications
- Evaluation of bright red bleeding
- Evaluation anorectal symptoms (anal pain, discharge, protrusions, or pruritus)
- Evaluation/treatment of rectal foreign bodies
Contraindications
Absolute Contraindications
- Imperforate anus
- Bowel Perforation
- Significant active bleeding
Relative Contraindications
- Severe anal pain
- Recent anal surgery
Equipment Needed
- Gloves
- Anoscope (Reusable or disposable)
- Adults: 7-cm (typically 19-mm diameter) anoscope; slotted or non-slotted
- Pediatrics: 8-mm to 14-mm diameter
- Light source (often built into disposable anoscopes)
- Lubricating jelly (and topical anesthetic jelly if patient has severe anal pain)
- Cotton swabs
- If needed:
- Fecal occult blood test
- Culture tube and swab
- Biopsy forceps
Procedure
Complications
See Also
External Links
References
- ↑ Gudur A, Shanmuganandamurthy D, Szep Z, Poggio JL. An Update on the Current Role of High Resolution Anoscopy in Patients With Anal Dysplasia. Anticancer Res. 2019 Jan;39(1):17-23.