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A standard proctological examination is not always sufficient to assess the condition of the rectum and part of the sigmoid colon. If it is necessary to find the source of bleeding, clarify the cause of prolonged changes in bowel movements, or examine the mucous membrane, the doctor may prescribe a rectosigmoidoscopy.
At the Oxford Medical medical center, the examination is performed by experienced proctologists using modern diagnostic equipment. A delicate approach and a clear explanation of each stage help the patient feel calmer. To determine the cause of the symptoms, make an appointment for a consultation with a proctologist by phone or through the online appointment form on the website.
Rectoromanoscopy is an endoscopic examination of the rectum and the lower part of the sigmoid colon. For the examination, the doctor uses a rectoromanoscope — a thin tube-shaped instrument with illumination that makes it possible to clearly see the inner surface of the intestine. It is carefully inserted through the anal canal to sequentially assess the mucous membrane to a depth of approximately 20–30 cm.
The image of the examined area is transmitted to a monitor, so the doctor can assess the condition of the mucous membrane in detail and detect pathological changes. If necessary, a biopsy is performed during the examination — a small tissue sample is taken for histological analysis.
Rectoromanoscopy makes it possible to detect changes in the rectum and the lower part of the sigmoid colon that may cause bleeding, pain, discharge, or bowel movement disorders. During the examination, the doctor assesses their location, severity, and extent.
The examination may show:
The final diagnosis is established taking into account the results of the examination and other tests, since the detected changes may occur in various diseases.
Rectoromanoscopy is prescribed to establish the cause of symptoms from the rectum
or to clarify changes detected during the initial proctological examination. The examination
may also be part of the preparation for certain therapeutic procedures.
Rectoromanoscopy — when it is prescribed:
blood in the stool, mucous or purulent discharge from the anus, recurrent intestinal bleeding;
prolonged pain, frequent false urges to defecate, a feeling of incomplete bowel emptying, persistent constipation or diarrhea;
suspicion of inflammatory changes in the rectum, the presence of a fistulous opening or purulent discharge;
Doctors at «Oxford Medical» explain: the examination method is selected depending on the section of the intestine that needs to be assessed. Rectoscopy covers the rectum, rectoromanoscopy — the rectum and the lower part of the sigmoid colon, while sigmoidoscopy with a flexible endoscope makes it possible to examine a greater length of the sigmoid colon.
There are few absolute contraindications to rectoromanoscopy, but in some cases the procedure is postponed until the condition stabilizes. This is necessary if insertion of the instrument may increase pain or bleeding or raise the risk of tissue damage.
The examination is temporarily not performed in the following conditions:
In the presence of an acute anal fissure, thrombosis of hemorrhoidal nodes, acute paraproctitis, or severe sphincter spasm, the doctor may first prescribe treatment and perform rectoromanoscopy after the acute manifestations have decreased. The decision in each case is made individually, taking into account the patient’s condition and the purpose of the examination.
Before the procedure, the intestine must be cleansed. This is necessary so that the doctor can fully examine the mucous membrane and detect even small pathological changes.
Preparation for rectoromanoscopy usually includes:
Doctors at «Oxford Medical» recommend strictly following the prescribed cleansing regimen. Proper preparation makes it possible to obtain a clear image of the mucous membrane and assess its condition in detail.
The examination is usually performed on an outpatient basis during an appointment with a proctologist. The patient assumes a position on the side with bent legs or a knee-elbow position — depending on the clinical situation and the doctor’s recommendations.
Rectoromanoscopy — the procedure algorithm involves several consecutive stages:
Rectoromanoscopy usually lasts 10–15 minutes. In most cases, the examination is performed without anesthesia because the procedure is not accompanied by severe pain. Short-term discomfort associated with insertion of the instrument or expansion of the intestine with air is possible.
After the examination, a feeling of bloating or mild abdominal discomfort may persist for a short time due to the air introduced to expand the intestinal walls. These sensations usually resolve on their own within a few hours.
After the procedure, it is recommended to:
If the rectoromanoscopy was diagnostic only, special restrictions are usually not required. In case of severe abdominal pain, heavy bleeding, dizziness, or an increase in temperature, you should consult a doctor.
You can find out the price of rectoromanoscopy, as well as the cost of a consultation with a proctologist, here. At the «Oxford Medical» medical center, the examination is performed by experienced proctologists using modern endoscopic equipment, which makes it possible to assess the condition of the mucous membrane in detail.
To make an appointment for a consultation or examination, call the contact center or use the online appointment form on the website.
The information is for informational purposes and does not replace a doctor’s consultation.
Sources:
National Institute of Diabetes and Digestive and Kidney Diseases
An intestinal examination — rectoromanoscopy — makes it possible to examine the rectum and the lower part of the sigmoid colon. During a colonoscopy, the doctor examines the entire large intestine. The proctologist determines which examination is required depending on the symptoms, the preliminary diagnosis, and the purpose of the examination.
Rectoscopy usually lasts 10–15 minutes. If a biopsy or other additional manipulations are performed during the examination, its duration may increase slightly.
Yes, if there are indications, rectoromanoscopy can be performed during pregnancy. The doctor determines the appropriateness and timing of the procedure individually, taking into account the woman’s condition and the course of the pregnancy.
Rectoromanoscopy is performed according to indications. The frequency of examinations is determined by the proctologist depending on the symptoms, the established diagnosis, the results of previous examinations, and the need to monitor the effectiveness of treatment.
The latest equipment – studies are conducted on the high-precision Olympus Exera II video system, which provides a clear image and high information content.
Accurate diagnosis with NBI – Narrow-band imaging (NBI) allows you to detect precancerous changes and early stages of tumors that may remain undetected during standard examination
Possibility of performing endoscopy while asleep – for maximum patient comfort, the procedure can be performed under sedation, which avoids discomfort and stress
Safety and experience of doctors – endoscopic examinations are performed by experienced endoscopists who adhere to international standards of diagnosis and treatment
Possibility of taking a biopsy and removing polyps – during the procedure, the doctor can perform additional manipulations, which reduces the need for repeated examinations
Comfortable conditions and attentive approach – modern medical offices, caring staff and an individual approach to each patient
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