© Copyright 2026 American Medical Association. All rights reserved.
Anoscopy is a medical procedure that involves the visual inspection of the anus and lower rectum using a specialized instrument called an anoscope. This procedure is often performed to evaluate various conditions affecting the anal region. During anoscopy, a digital rectal exam may also be conducted to assess the area further. The anoscope is equipped with an obturator, which facilitates its insertion into the anus. The physician advances the anoscope using a gentle twisting motion while the patient bears down, allowing for easier passage. Once the anoscope is in place, the obturator is removed, and an eyepiece is attached to enable visualization of the anal canal and rectal mucosa. The physician carefully inspects the mucosal surface for any abnormalities. If necessary, biopsy forceps can be introduced through the biopsy channel of the endoscope to obtain tissue samples. These samples are crucial for diagnosing various conditions, as they are sent for laboratory analysis to determine the presence of any pathological changes. The procedure can involve obtaining one or multiple biopsies, depending on the findings during the inspection.
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