Early detection of hemorrhoidal changes in the anal passage helps to quickly and successfully cure this common disease.
According to statistics, every tenth person faces such an unpleasant disease as hemorrhoids, and his wrong or untimely started treatment leads to serious complications. An effective method of diagnosis is anoscopy.
What is anoscopy?
This method of instrumental examination using a special device - an anoscope, has established itself as the most informative.
Photo of the device for anoscopy of the rectum
During the procedure, the inner surface of the rectum is studied at a distance of up to 15 centimeters.
If necessary, you can take samples of tissues for examination, as well as necessary for the diagnosis of smears. With chronic proctological pathology, such examinations should become part of prevention.
Indications for
Most often, patients turn to a proctologist with complaints of permanent or irregular pain in the anus, bleeding or other discharge from this area.
In these cases, anoscopy can be an effective method of determining hemorrhoids in the early stages, preceded by sigmoidoscopy and colonoscopy.
Anoscopy will reveal:
- The appearance of hemorrhoids, their inflammation or enlargement.
- Appearance and localization of anal fissures.
- Foci of bleeding in the anus.
- Purulent and inflammatory processes of the rectum.
- E. coli condylomas and polyps.
- Neoplasms in the rectum.
The method has proved to be as informative and painless as possible. Despite the fact that this is not included in the list of preventive examinations, anoscopy is recommended for patients with chronic problems and concomitant diseases.
Contraindications
It should be noted that this procedure can not always be carried out. Contraindications include inflammatory processes in the acute stage, narrowing of the anal canal, as well as thermal and chemical burns in this area.
In case of inflammation and thrombosis of hemorrhoids, wait for the acute symptoms to subside, and then conduct a test.
Preparation of
In order for the results of the survey to be as informative as possible, preliminary preparation of the patient for examination is required. For this, a cleansing enema is performed, after which it is possible to carry out manipulation.
Special anesthetic is not required, because the dimensions of the tube of the anoscope are small. It is desirable to carry out manipulation on an empty stomach, and on the eve of not using fatty and gas-forming products. The procedure is painless and safe, does not cause complications.
How does the study go?
Before the examination, the doctor must carry out the rectal palpation of the anal passage - this is a prerequisite.
The patient's position in the procedure can be almost anything, but the best result is finding on the back in the gynecological chair or lying on his side with knees bent at the knees. This will make it possible to conduct the manipulation as painlessly and safely as possible and obtain a complete picture of the patient's condition.
The anoscope tube is lubricated with a special remedy, and then injected slowly in a circular motion, without effort.
Price
The cost of such a procedure is determined by the venue and even by the region of residence.
Usually in a polyclinic or stationary offices you can make it completely free. In private clinics, this depends on the financial policies of the institution and the model of the equipment used.
On average, the procedure will cost from 400 to 950 rubles without consulting a specialist and additional cytological studies.
Reviews
Victor:
I have chronic hemorrhoids, so I often encounter the procedure of anoscopy. It is painless and very informative, but additional research may be needed.
Larissa:
I first encountered an anoscopy after going to the doctor for pain in the anus. There was a suspicion of hemorrhoids, but as a result, we had to remove two polyps, which created pain. There were no special unpleasant sensations, the procedure was specific, it was morally very uncomfortable.
Features of sigmoidoscopy and colonoscopy
After anoscopy, additional procedures may be needed. Despite the effectiveness of this method, the study captures only a certain area of the anus and does not assess the condition of the rectum and large intestine.
In this case, information about the general condition of the patient may not be enough. The doctor prescribes special examinations, most often a sigmoidoscopy or a colonoscopy.
Features of these procedures:
- Recto-manoscopy allows you to assess the condition of the rectum more deeply - up to 35 centimeters. This happens with the help of a narrow and flexible tube, on the end of which there is a miniature camera. This is necessary if the hemorrhoidal nodes, cracks or tumors are located too high, as well as if there is a suspicion of colorectal cancer.
- Colonoscopy is prescribed if it is necessary to examine the entire area of the large intestine. Such a survey is more informative and at the moment has no analogues. Other equipment, as well as anesthetics, are used in the process. Patients often note the soreness and discomfort of the procedure, and it will take more time( in some cases - up to an hour).
The main difference between these procedures is the area under investigation and information content. Talk about the merits and demerits, as well as the appropriateness of such methods is not worth it, because the decision must be taken in each individual case.
Video about anoscopy: