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ANOSCOPY

REASON FOR VISIT:

• Internal hemorrhoids
• Disruption rectal mucosa
• Anorectal mass
• Foreign body in the anal canal
• Samples for cytology
• Anal polyps
• Tumors
• Inflammation
• Fissures
• Infection

RISK ASSESSMENT

• An imperforate anus
• Recent anal or rectal surgery
• Bleeding disorders
• Acute cardiovascular problems
• Acute abdominal problems
• Constricted /narrowed anal canal.
• Allergy to medication/anesthesia

PREPARATION OF THE PATIENT:

• Blood tests
• Urine analysis
• ECG
• Chest X-ray
• USG
• Laxative/ enema was given

ANESTHESIA:

Local anesthesia

POSITION OF THE PATIENT:


• Lateral decubitus position with the contralateral leg flexed at the
knee and the hip.
• The knee-shoulder position
• Prone position

THE PROCEDURE
• Digital rectal examination was performed for bleeding or an obvious
mass.
• The anoscope was lubricated with lubricating jelly/ lidocaine jelly.
• The anoscope was introduced gently and advancesd it slowly with a
slight side-to-side twisting motion while the patient bears down.
• With maintaining pressure over the obturator with the thumb
anoscope was completely inserted
• The obturator was removed
• As the anoscope was slowly withdrawn, the anal mucosa was
visualized over the entire circumference of the canal
• Debris /blood/ tissue was swabbed for analysis
• With applying the counter pressure anoscope was withdrawn

FINDINGS:

Normal results

• An anal canal appeared healthy in size, color, and shape.


• There is no evidence of bleeding, polyps, hemorrhoids or other
abnormalities.

Abnormal results

• Hemorrhoids/polyps/ abscesses/ inflammation/ fissures/ colorectal


polyps are present

AFTER PROCEDURE:

• The blood/tissue/debris is sent for pathological and histological


study

DURATION

______ min/hrs

POSTOPERATIVE CARE
• Take sitz bath
• Take pain medication as prescribed
• Take antibiotics as prescribed

COMPLICATIONS

• Bleeding
• Infection
• pain