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Rectoscopy

General Information About the Test

Rectoscopy, or Rigid Rectosigmoidoscopy, is the procedure of directly examining the rectum—the final part of the large intestine—and the inside of the anal region using a short, rigid tube equipped with a light at its tip. Unlike a colonoscopy, it targets only the last 20-25 centimeters starting from the anus, rather than the entire large intestine. It is performed by General Surgery and Gastroenterology specialists in the evaluation of suspected hemorrhoids, anal fissures, rectal bleeding, unexplained constipation, and rectal cancer.

Test Process and Preparation

Rectoscopy examination and patient preparation stages.
Why is a Rectoscopy performed instead of a Colonoscopy?

If the patient's complaint is only fresh red bleeding during defecation, anal pain, swelling, or itching, the problem is most likely in the final section (hemorrhoids or a fissure). Rectoscopy is a practical method that provides an instant diagnosis in 5 minutes in an outpatient setting, without requiring the long and exhausting cleansing of the entire bowel.

Is bowel cleansing and a diet required?

Unlike a colonoscopy, there is no need for days of fasting or drinking intensive laxatives. Emptying the final section with a simple enema (a cleansing liquid medication) administered through the anus a few hours before the procedure is sufficient for a rectoscopy.

Will I be put to sleep with anesthesia during the procedure?

Because the rectoscopy procedure is very brief and does not go as deep as a colonoscopy, it generally does not require sedation (putting to sleep). With local anesthetic and lubricating gels applied to the area, the procedure is mostly completed painlessly, creating only a mild sensation of fullness or the urge to use the toilet.

The information on this page is for informational purposes only. The results of medical tests must be evaluated by specialist physicians.


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