Regional Gastrointestinal Consultants



Anoscopy is an examination to the anus and rectum. During the procedure, a gastroenterologist will use a device called an anoscope to view the inside of a patient’s anus and rectum. The device, also known as an anal speculum, short with the diameter of a large stool (3 to 4 inches long)—unlike endoscopes used during sigmoidoscopy and colonoscopy, which are flexible and have length to be guided through the colon. Common conditions diagnosed and treated with anoscopy include hemorrhoids and anal cancer.

During an anoscopy procedure, your doctor may detect hemorrhoids, anal fissures, abscesses (pus that collects and forms a cavity in a patient’s body tissue), fistulas (abnormal tissue connections between the rectum, anus and surrounding skin), inflammation and tumors that may or may not be cancerous. Biopsies can be performed on the spot by inserting a surgical tool through the anoscope; this process usually does not result in much pain either. If you have questions or concerns about anoscopy, sigmoidoscopy or other endoscopy procedures of the anus, rectum and lower colon—please call a medical provider today to discuss your options.

What Happens During an Anoscopy?

Anoscopy is a minimally invasive procedure, since most of the anus is located on the outside of the body. The test can be done without, however, some patients may elect mild sedation after conversing with their Gastroenterologist about the need for this procedure. The doctor needs to access the patient’s anus, which can be done while the patient is lying on their side on the exam table. The anoscope fed through a speculum which is lubricated and placed into the anus so that the anoscope may be administered.

Once the anoscope is in secure, a light can then we projected through the hollow of the tubular scope while a doctor examines the area of concern. Overall, the test only takes a few minutes, and then the anal speculum will be slowly removed. In Some select cases, the procedure may make patients feel like they want to have a bowel movement, but it does not cause much pain or discomfort.

WHAT TO EXPECT when having an anoscopy

First, when you arrive at our office you will be welcomed by our thoughtful staff and a dedicated team of experts that deliver personalize care. To add to your comfort level, we strive to keep the same physicians and nursing staff with the patient throughout all your appointments at the center. In this way, the staff gets to understand the patient’s concerns and conditions, and you get to know the persons taking care of you on a personal level.

Also, we strive to make your visit as hassle free as possible. We accurately schedule visits in advance, provide convenient onsite parking, and keep your waiting period to an absolute minimum. This is achieved by the fact that no emergency procedures are placed in front of your scheduled time (such as in most hospitals). Also, we do not double book patient appointments, when you are scheduled to be treated that time is assigned only to you.

When undergoing an anoscopy, the following will apply to your procedural visit:

  • Before any procedure our staff will meet with you to address any last-minute questions you may have.
  • Do not eat or drink anything after midnight of the eve of your procedure date, and about 9PM you would administer an enema to ensure that the anal rectal juncture is clear.
    • Also, if you have questions during the preparation please do not hesitate to contact us for answers.
  • Prior to the procedure you will get changed into one our fresh medical gowns using our private restrooms, or a private patient changing area.
  • Once you have changed into the medical gown you will relax and laydown on a padded procedure gurney and you will be transported a short distance to our modern operating room.
  • In the operating room, you will meet with your gastroenterologist before your endoscopy to discuss the procedure, if you would like, and thereafter be administered sedation so that the procedure may commence.
    • When being sedated you will receive the highest quality anesthesia, administered by highly experienced professionals who will standby you monitoring your sedation throughout the entire procedure.
  • The procedure itself will take about 15 minutes.
  • After the procedure, you will be brought back into the post anesthesia recovery area where you will relax until the sedation has worn off.
    • After speaking with most patients about their procedure, patients universally comment (paraphrasing of course); “I remember getting changed, laying on the gurney, meeting with my doctor and waking up waiting for the procedure to start”. Once they find out the procedure was completed already, there is usually a couple chuckles they have with our staff.
  • With all that being said, once you are alert from your anesthesia, fully dressed and comfortable, you will meet with your physician to discuss the procedure results, before heading home.
    • A special note, because you will be sedated for the procedure, you will need to have someone to drive you home even after the sedation has initially worn off, though you may feel fine, your reflexes may be slower than usual until the anesthesia is completely out of your system which can take between 1 to 3 hours after the procedure.
  • Also, most patients can return to a normal eating habits immediately after an endoscopic procedure.

The most important thing to remember is not to worry! Our gastroenterologist are highly experienced physicians and we have completed thousands of anoscopies, also we supply our gastroenterologist with only the best equipment to increase safety, as well as diagnostic and treatment effectiveness. Last, but certainly not least, please ask any questions you may have of your healthcare team, who will be there for you during and after your procedure, and all of whom are dedicated to ensure you receive the best care possible.


We recommend that people experiencing gastrointestinal symptoms do not attempt self-treatment. With many medications being available over the counter, and numerous do-it-yourself online unqualified remedy recommendation, it is natural to consider treating yourself but we highly recommend against this.

If you are experiencing gastrointestinal symptoms you may have a more significant issue than you would expect from the sometimes muted or infrequent symptom you may be experiencing. It is important to keep in mind that is you are having gastrointestinal symptoms or concerns it is best see a doctor to have those symptoms diagnosed and any conditions treated. Also, it is worth noting, that if health conditions do exist, the earlier they are diagnosed and treated, the greater the probability will be to successfully eliminate or manage a present condition, in fact successful outcomes will increase significantly with early detection.

If you have gastrointestinal concerns or are experiencing any gastrointestinal symptoms, please contact us promptly to schedule a consultation with a physician.


The information on this website is to provide general information. In no way, does any of the information provided reflect definitive medical advice and self-diagnoses should not be made based on information obtained online. It is important to consult a best in class physician regarding ANY and ALL symptoms or signs as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today at (215) 321-4700 to schedule a consultation.