Anoscopy

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

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