II. Indications
- Rectal Bleeding
- Rectal Pain, Anal Pain or Perianal pain
- Pruritus Ani
- Rectal Prolapse
- Hemorrhoids
- Anal Fissures
- Anal Fistula
- Perianal condyloma
- Mass palpated on Digital Rectal Exam
- Adjunct to lower endoscopy
III. Equipment
- Ive's Slotted Anoscope
- Light Source
- Lubricant
IV. Technique
- Patient positioned in left lateral decubitus position
- Test light source
- Insert introducer completely into Anoscope
- Apply K-Y Jelly lubricant to Anoscope
- Repeat for all 3 to 4 segments (90 to 120 degrees each)
- Gently insert Anoscope until flange reaches anus while patient lightly bears down
- Remove introducer
- Observe mucosa while slowly withdrawing Anoscope
- Rotate Anoscope 90-120 degrees and re-introduce
- Consider insertion at the typical Hemorrhoid sites (see below)
-
Hemorrhoid sites
- Left lateral
- Right posterior
- Right anterior
V. References
- Warrington (2023) Crit Dec Emerg Med 37(11): 15
- Varma in Pfenninger and Fowler (1994) Procedures for Primary Care Physicians, Mosby, Chicago, p. 902-6
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Related Studies
| Definition (UMD) | Endoscopes designed for direct insertion through the anal canal in the lower gastrointestinal tract for visual examination, biopsy, and treatment of lesions of the interior of the anal canal and lower rectum (e.g., fissures, fistulae, hemorrhoids). These devices are rigid endoscopes that may include fiberoptic light sources. |
| Concepts | Medical Device (T074) |
| SnomedCT | 24110008 |
| English | Lower Rectum/Anal Canal Endoscopes, Anal Canal/Lower Rectum Endoscopes, Anoscopes, Anoscope, device, Anoscope, Anoscope, device (physical object) |
| Spanish | anoscopio (objeto físico), anoscopio |
Ontology: Anoscopy (C0193158)
| Concepts | Diagnostic Procedure (T060) , Therapeutic or Preventive Procedure (T061) |
| ICD9 | 49.21 |
| SnomedCT | 42238002, 302355001, 88916003 |
| CPT | 1007732, 1007731 |
| LNC | LP32191-6 |
| English | Endoscopic exam anal canal, Anoscopy, fiberoptic examinations anoscopy, anoscopy (procedure), anoscopy, anoscopies, Endoscopy Procedures on the Anus, Endoscopy of anus, Endoscopic examination of anal canal, Anoscopy (procedure), Anoscopy, NOS |
| Dutch | anoscopie |
| French | Anuscopie |
| German | Anoskopie |
| Italian | Anoscopia |
| Portuguese | Anoscopia |
| Spanish | Anoscopia, anoscopia (procedimiento), anoscopia, endoscopia del ano |
| Japanese | 肛門鏡検査, ｺｳﾓﾝｷｮｳｹﾝｻ |
| Czech | Anoskopie |
| Hungarian | Anoscopia |
