An anoscopy is a diagnostic exam that looks inside your anus with a lighted scope, called an anoscope or anal speculum. It’s a simple bedside procedure that a healthcare provider can perform on short notice, with no preparation necessary.
An anoscopy is a medical exam that looks inside your anus with a special scope, called an anoscope. The anoscope examines the lining of your anus and lower rectum to look for signs of injury or disease.
A high-resolution anoscopy adds a magnifying device called a colposcope to the anoscope. The colposcope can detect subtle changes in your tissues that the anoscope alone might not.
A healthcare provider might use a high-resolution anoscopy to look specifically for abnormal cells in your anal lining. If they find any, they might take a sample (biopsy) to analyze in the lab.
A protoscopy uses a different kind of scope, called a protoscope, to look inside both your anus and rectum. Your rectum is the section of your large intestine that’s just above your anus. It’s about six inches long.
A protoscope is a longer scope that’s used to visualize your rectum, while an anoscope is better for visualizing your anus specifically (the last inch or two of your intestine). A proctoscopy also may involve some preparation in advance.
A colonoscopy uses a colonoscope to look inside the entire length of your large intestine, including your anus, rectum and colon. This is a longer procedure that also involves some preparation in advance.
A colonoscopy may show signs of anal conditions but isn’t necessary to diagnose most anal conditions. It may be helpful for diagnosing conditions affecting your entire large intestine, including your anus.
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An anoscopy is a diagnostic procedure, which means it helps healthcare providers diagnose anorectal conditions. Your provider might suggest an anoscopy if you’re experiencing symptoms in your anus.
Your provider might also suggest an anoscopy to screen for certain anal conditions that don’t always cause symptoms — such as cancer and viral infections — if you’re at a higher risk of acquiring these.
No special preparation is necessary, but your healthcare provider might suggest that you:
You may have an anoscopy in a provider’s office or outpatient clinic.
The anoscope is a rigid, hollow instrument, usually about 1 to 2 inches wide and 3 to 5 inches long. The pediatric anoscope used for children is smaller. An anoscope is also called an anal speculum.
Different models have slight variations. Some have a tapered shape, while others have straight sides with a beveled tip. Some are made of translucent plastic, while others are opaque with slotted sides.
The instrument itself shouldn’t hurt. It’s lubricated and designed to pass smoothly through your anus. But you might feel some discomfort from internal pressure, like bloating or cramping.
Yes, most people are because most find it easy to tolerate. If your condition makes your anus extra sensitive to touch, you can discuss your options for anesthesia with your healthcare provider.
When you arrive for your procedure, your healthcare provider will:
During your anoscopy, your healthcare provider will:
If you’re having a high-resolution anoscopy, your healthcare provider will:
A typical anoscopy exam takes only a few minutes to complete. But it could take longer if you’re having a high-resolution anoscopy or if your provider takes samples during the exam.
Most people describe mild discomfort related to internal pressure in their anus and lower rectum. It might feel like you have gas or like you need to have a bowel movement.
Some people may be extra tender in their anus due to their conditions. Topical anesthetic is meant to make this more comfortable, but some people may feel a little pain anyway.
Your healthcare provider will be able to let you know right away what they found. If they took samples to test in the lab, they’ll let you know what they’re testing for, and you'll get these results back later.
In some cases, your provider might be able to treat your condition right away. For example, if you have hemorrhoids, your provider might be able to stop them from bleeding using various techniques.
You may have some mild discomfort or bleeding during or after the exam, depending on your condition and whether your provider took a biopsy. This is normal and should resolve within a few days at most.
An anoscopy is an outpatient procedure, and in most cases, you can go home soon after you’re done. If you had anesthesia, you may have to stay longer and may have to have someone else drive you home.
You might feel a little sore or have a little bleeding after the procedure. This should resolve in a day or so. To soothe your anus, you can try sitting in a warm bath, using ice or applying topical medications.
Let your provider know if you have excessive pain or bleeding after your procedure, or if it lasts longer than two days. Call right away if you have symptoms of acute illness, such as fever or nausea.
A note from Cleveland Clinic
An anoscopy might seem intimidating at first, but it’s quick and easy for most people. If you have anal symptoms, it’s a good bet this exam will lead you to the diagnosis and the treatment you need. Remember, your healthcare provider isn’t embarrassed by your anus — they see them every day. Their concern is the same as yours — to identify what’s causing your symptoms and what will bring you relief.
Last reviewed by a Cleveland Clinic medical professional on 05/17/2023.
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