Sigmoidoscopy

Sigmoidoscopy

Although sigmoidoscopy is strictly an examination of the rectum, it should always be performed as rectal pathology is frequently associated with an anal lesion (e.g. anal fistula); not infrequently , rectal pathology is found independent of the anal lesion. Summary box 80.2 Examination of the anus /uni25CF /uni25CF

Figure 80.4 Various types of proctoscope. (Redrawn with permission from Mann CV. Surgical treatment of haemorrhoids . London: Springer, 2002.) A rectal examination is essential for any patient with anorectal and/or bowel symptoms – ‘If you don’t put your /f_i nger in, you might put your foot in it’ A proctosigmoidoscopy (rigid or /f_l exible) is essential in any patient with bowel symptoms