"Proctoscopy"

Interrater Agreement of Height Assessment by Rigid Proctoscopy/ Rectoscopy for Rectal Carcinoma. Some guidelines for rectal carcinoma consider 12 cm, measured by rigid endoscopy to be the cutoff tumor height for optional neoadjuvant chemoradiation. Measuring differences of only a few centimeters may therefore predetermine choice of further therapy. However, rigid endoscopy may exhibit similar

The impact of near-infrared angiography and proctoscopy after rectosigmoid resection and anastomosis performed during surgeries for gynecologic malignancies. Reducing anastomotic leak rates after rectosigmoid resection and anastomosis is a priority in patients undergoing gynecologic oncology surgery. Therefore, we investigated the implications of performing near-infrared angiography (NIR) via proctoscopy to assess anastomotic perfusion at the time of rectosigmoid resection and anastomosis. We identified all patients who underwent rectosigmoid resection and anastomosis for a gynecologic malignancy between January 1, 2013 and December 31, 2018. NIR proctoscopy was assessed via the PINPOINT Endoscopic Imaging System (Stryker). A total of 410 patients were identified, among whom NIR was utilized

Comparisons of Rigid Proctoscopy, Flexible Colonoscopy, and Digital Rectal Examination for Determining the Localization of Rectal Cancers. Rigid proctoscopy is considered essential for rectal tumor localization, although the current gold standard for detection of colorectal cancers is colonoscopy. The European Society for Medical Oncology Guidelines indicate that rigid and flexible endoscopies afford essentially identical results, although little evidence is yet available to support this. The purpose of this study was to determine the accuracy of colonoscopy in identifying the location of rectal cancer and to compare the results with those of rigid proctoscopy and digital rectal examination. This was a retrospective analysis of a prospective database. The study was conducted at a single

brachytherapy with palladium-103. Brachytherapy. 2018;17(2):251-8. 34. Uhl M, Herfarth K, Eble MJ, et al. Absorbable hydrogel spacer use in men undergoing prostate cancer radiotherapy: 12 month toxicity and proctoscopy results of a prospective multicenter phase II trial. Radiat Oncol. 2014;9:96. 35. Widmark A, Gunnlaugsson A, Beckman L, et al. Ultra-hypofractionated versus conventionally fractionated

of the entireexternal anogenital area and urethral meatus with goodillumination (1D)We suggest that speculum examination is offered to thosewith warts at the introitus where the upper limit cannot bevisualised, or in those with external warts and other vulvo-vaginal symptoms such as irritation, bleeding or discharge (2D)We suggest that proctoscopy and digital anorectal ex-amination are offered to those with warts to a locally designed treatment procotol–target>90%Proportion of individuals receiving cryotherapy com-pleting four or fewer treatments - target >95%Offer of speculum examination when vulvovaginalsymptoms present or external warts at introitus that cannotbe fully visualised–target 100%Offer of proctoscopy and digital anorectal examinationwhen anorectal symptoms present or external warts at analmargin

dysfunction. Anoscopy or rigid proctoscopy may also be helpful to evaluate internal hemorrhoids, proctitis, or masses. Any causes for constipation identified during the history and physical should be evaluated and alternative causes ruled out. The diagnostic workup for patients with constipation should address other potential causes, such as colorectal cancer or endocrine disorders. Laboratory testing can

and proctoscopy can be useful for identifying pathology, including hemorrhoids, proctitis, or neoplasia that may be contributing to incontinence.Anorectal Physiology Testing (Manometry, Anorectal Sensation, Volume Tolerance, and Compliance) Can Be Considered to Help Define the Elements of Dysfunction and Guide ManagementAn evaluation of pelvic floor function can be considered in patients who

, temperature).11–13Proctoscopic examinationfindings may include: mucosalerythema, ulceration, muco-purulent pus, bleeding (includingcontact bleeding).14–16Some patients may be unable totolerate proctoscopy and blind rectal specimens for micro-biological investigations may be necessary.15Recommendations·Clinical examination should include relevant vital signs, anabdominal examination, ano-genital examination , and rectalexamination using proctoscopy where tolerated.(1C)·Blind rectal specimens for microbiological investigation(without visualisation of the rectal mucosa with a proc-toscope) should be taken in cases where proctoscopy isnot tolerated.(1D)InvestigationsStool specimens for microbiological testing are recom-mended in all patients presenting with a suspected STEI.Comprehensive STI testing should be performed

examination findings (96.7%). Methods used for clinical assessment in this study included digital rec-tal examination, proctoscopy, flexible sigmoidoscopy, and examination under anesthesia (EUA). Across the stud-ies, 754 pairs of examinations were compared, and clini-cal assessment and CE were concordant in 731 patients (96.7%). Occult radiologic leaks were seen

distance from the sphincter complex.The potential for achieving negative circumferential (radial) margins.The involvement of locoregional lymph nodes or adjacent organs.Staging EvaluationClinical evaluation and staging procedures may include the following:Digital-rectal examination (DRE): DRE and/or rectovaginal exam and rigid proctoscopy to determine if sphincter-saving surgery is possible.[1,2,5

patients may be unable totolerate proctoscopy and blind rectal specimens for micro-biological investigations may be necessary.15Recommendations·Clinical examination should include relevant vital signs, anabdominal examination, ano-genital examination, and rectalexamination using proctoscopy where tolerated.(1C)·Blind rectal specimens for microbiological investigation(without visualisation of the rectal mucosa with a proc-toscope) should be taken in cases where proctoscopy isnot tolerated.(1D)InvestigationsStool specimens for microbiological testing are recom-mended in all patients presenting with a suspected STEI.Comprehensive STI testing should be performed includingforC. trachomatis, N gonorrhoeae, T. pallidum, HIV andviral hepatitis.13,17–20In cases where hepatitis A is sus-pected, hepatitis A IgM

been given.• Emission occurs in a dribbling manner and milking the urethra helps to retrieve as much semen as possible.• If no ejaculate is obtained, recatheterisation is performed to retrieve postejaculatory urine containing retrograde ejaculated sperm.Some clinics will also do routine proctoscopy before and after EEJ.Figure 3: Seager electroejaculatorSource: Dalzell Medical Systems, USAFertility

spacer use in men undergoing prostate cancer radiotherapy: 12 month toxicity and proctoscopy results of a prospective multicenter phase II trial. Radiat Oncol. 2014;9:96. 35. Widmark A, Gunnlaugsson A, Beckman L, et al. Ultra-hypofractionated versus conventionally fractionated radiotherapy for prostate cancer: 5-year outcomes of the HYPO-RT-PC randomised, non-inferiority, phase 3 trial. Lancet

is the role of endoscopy?- In patients with suspected bleeding anorectal varices, we suggest the use of ano-proctoscopy or flexible sigmoidoscopy as the first-line diagnos-tic tool(weak recommendation based on low-quality evidence, 2C).- In patients with suspected bleeding anorectal varices and high-risk features or evidence of ongoing bleeding, we suggest to perform an urgentcolonoscopy (plus upper against any maneuver that can disrupt the drugpackage, including endoscopic retrieval(weak recommendation based on low-quality evidence, 2C).- In patients with retained anorectal foreign body, we suggest to perform a proctoscopy or flexible sigmoidoscopy after foreign body removal, toevaluate bowel wall status(weak recommendation based on low-quality evidence, 2C).- In patients with retained anorectal

reproduction of this article is prohibited.DISEASES OF THE COLON & RECTUM VOLUME 65: 8 (2022)967fluctuance, cellulitis, or tenderness on palpation or may be relatively unrevealing, particularly in patients with intersphincteric or deeper abscesses,6,10,40,41 and digital rectal examination and anoscopy/proctoscopy are occa-sionally needed to clarify the diagnosis

, Cohen GN, et al. Placement of an absorbable rectal hydrogel spacer in patients undergoing low-dose-rate brachytherapy with palladium-103. Brachytherapy. 2018;17(2):251-8.Uhl M, Herfarth K, Eble MJ, et al. Absorbable hydrogel spacer use in men undergoing prostate cancer radiotherapy: 12 month toxicity and proctoscopy results of a prospective multicenter phase II trial. Radiat Oncol. 2014;9:96.Widmark