Rectoscopy – Rigid Rectosigmoidoscopy
With the help of a 20-30 cm long metal tool, the last part of the large intestine, the rectum and the sigmoid colon, can be examined.
What is Rectoscopy (Rectosigmoidoscopy – Proctoscopy)?
Examination of the covering layer (mucosa) covering the inside of the rectum with a special tool is called proctoscopy (rectoscopy or rectosigmoidoscopy). The rectum is 12-15 cm long and is the name given to the section that connects the large intestine to the anus (makata). It forms the mouth of the intestine that opens out of the body. Stool residues and gas are thrown out of the body.
When should rectoscopy (rectosigmoidoscopy – proctoscopy) be done?
In the diagnosis of anus (breech) and rectum diseases, in addition to physical examination, rectoscopy can be used. The doctor may use this examination to investigate the cause of these complaints in patients with blood in stool, pain around the anus, discharge, fistula, difficulty in defecation. In addition, this method is frequently used in the treatment and post-treatment follow-up of polyps located in the anus (rectum) and rectum.
How to Prepare Rectoscopy (Rectosigmoidoscopy – Proctoscopy)?
Enema (medication from the anus used to drain the rectum) should be used to empty the rectum in the evening before the examination or immediately before the examination. In addition, no further preparation is required.
Rectoscopy (Rectosigmoidoscopy – Proctoscopy) How is it done?
This examination can be done daily in outpatient conditions. It can be performed in rectoscopy (rectosigmoidoscopy) at the place where the physical examination of the patients is performed. It is a simple review. This examination can be done in many examination positions. The most preferable form is the examination while lying on the patient’s left side position on the examination table. After the clothing below the waist is lowered down, the doctor carefully inserts the index finger he wears in the anus (breech) and checks the area for pain, tenderness and obstruction first. The metal rectoscope (rectosigmoidoscope), on which lubricant gel is applied, then moves from the anus (the anus) towards the rectum, the last part of the large intestine that opens outwards. Air is introduced into the rectum for easy device progression. Meanwhile, the patient may need fullness and defecation. During the examination, polyps can be removed and / or tissue samples (biopsy) can be taken with the help of special tools. When the review is finished, the device is removed.
In most patients, no sedation or anesthesia is required during this examination. Cramps or pressure may be felt as the rectoscope (rectosigmoidoscope) progresses through the rectum. The pain is hardly heard. During inspection, gas leak or gas removal is normal. Therefore, it should not be ashamed. If the cramps persist after the examination, it is useful to walk a little. Gas extraction reduces complaints. The review normally takes 5-10 minutes.
Is Rectoscopy (Rectosigmoidoscopy – Proctoscopy) a Reliable Review?
It is a simple, easy and hassle free review. Rarely, unwanted side effects may occur.