II. Indications

  1. Rectal Bleeding
  2. Rectal Pain, Anal Pain or Perianal pain
  3. Pruritus Ani
  4. Rectal Prolapse
  5. Hemorrhoids
  6. Anal Fissures
  7. Anal fistula
  8. Perianal condyloma
  9. Mass palpated on Digital Rectal Exam
  10. Adjunct to lower endoscopy
    1. Flexible Sigmoidoscopy
    2. Colonoscopy

III. Equipment

  1. Ive's Slotted Anoscope
  2. Light Source
  3. Lubricant

IV. Technique

  1. Patient positioned in left lateral decubitus position
  2. Test light source
  3. Insert introducer into Anoscope
  4. Apply K-Y Jelly lubricant to Anoscope
  5. Repeat for four quadrants (90 degrees each)
    1. Gently insert Anoscope and remove introducer
    2. Observe mucosa while slowly withdrawing Anoscope
    3. Rotate Anoscope 90 degrees and re-introduce

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Ontology: Anoscope (C0179084)

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