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Proctoscopy – What you Need to Know

A gastroenterologist uses a procedure known as a proctoscopy, also known as rigid sigmoidoscopy to examine the anus and rectum. A “rigid sigmoidoscope” or “proctoscope” is necessary for this procedure. This equipment is often made of metal or plastic and has a large, hollow barrel which is put into the anus (inner layer of the intestine) for direct access to the mucosa; A light source is also attached to the proctoscope’s tip.

What is the purpose of Proctoscopy?

Your doctor may need to examine for rectum or anus disorders, abnormal barium enema results, or seek reasons for rectal bleeding before proceeding. Proctoscopy can also track polyps (a benign growth on the gut lining) and rectal cancer, which can also help screen for a return of the disease.

You may have a proctoscopy for the following reasons:

  • diagnose a rectum or anus condition, such as cancer
  • find out why the rectum is bleeding
  • determine if a patient has haemorrhoids
  • do a biopsy
  • Remove any abnormal growths, such as polyps, from the body
  • follow up with patients who have undergone surgery or other treatment for recurrent rectal cancer

Preparation Steps for Proctoscopy

Tell your doctor about any drugs you currently take at least a week before your surgery. Include every:

  • Prescription medication
  • medication sold over the counter
  • supplementation with natural ingredients and vitamins

Your surgeon or doctor will provide Proctoscopy preparation instructions. A clean rectum is needed during Proctoscopy and you may be instructed to cease eating 24 hours before treatments and get on a liquid-only diet. Some doctors may prescribe laxatives and others may ask you to use an enema before your appointment. If you are using blood thinners, you may need to cease taking some or all of them a few days before your test. Make sure you follow your doctor’s advice.

If you’re going to get tested, it’s a good idea to eliminate any waste from your rectum.

Taking a laxative or an enema the day before a treatment to cleanse your bowels is standard protocol. This procedure employs salt water to clean out the waste in your colon. You’ll receive specific instructions on how to do this from your doctor.

Proctoscopy preparation instructions will be given to you by your doctor or surgeon. Proctoscopy requires a clear rectum to allow for good inspection and visibility.

You may be instructed to cease eating for up to 24 hours prior to your treatment and instead consume just liquids. To relieve constipation, your doctor may prescribe laxatives. Some practitioners may require you to perform an enema before your session to clear your rectum.

Proctoscopy Procedure

An outpatient clinic or a hospital can perform a proctoscopy. Anaesthesia is not required unless you choose a more relaxing experience. Your knees should be bent when you lay on your side.

Your doctor will place their lubricated, gloved finger inside your anus as a starting point. In medical terms, this is named a digital evaluation. It is done to see if there are any obstructions or uncomfortable spots. 

The proctoscope will then be inserted into your anus by the doctor. During a proctoscopy, your doctor will be able to see more clearly inside your colon due to the air compressed in your colon.

During the operation, the doctor may remove a sample of tissue. A biopsy is a medical term for this procedure. Proctoscopes and small equipment are used for this procedure.

During this test, you may experience cramps, fullness, and a need to urinate. This technique shouldn’t cause any discomfort at all! It takes about 10 minutes to complete the test. When the proctoscope is no longer in use, the doctor will remove it. Then your doctor may permit you to leave the hospital.


Proctoscopy is somehow uncomfortable but sometimes requires a diagnostic tool for identifying issues with the anus and ileum. Inquire with your doctor about the drawbacks and benefits of this technique. If you need this test, you should get it. A few minutes of modest discomfort can pay off in the long run, especially when diagnosing and treating certain illnesses.

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