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Proctoscopy and sigmoidoscopy (rigid)
Category: Endoscopy & Camera Tests · All endoscopy & camera tests
What it is
Proctoscopy is a short examination of the anal canal and lower rectum using a small, rigid, lighted tube. It is a quick clinic test, distinct from the longer flexible sigmoidoscopy.
Why it is done
It is commonly used to assess haemorrhoids (piles), anal pain, bleeding and other symptoms around the back passage, and treatments such as banding of piles can be done through it.
How to prepare
No special preparation is usually needed, though a small enema is sometimes requested. Tell the clinician if you have severe anal pain, as the examination may need to be deferred or done with anaesthetic.
What happens during the procedure
You lie on your side with knees drawn up. The lubricated instrument is inserted gently a short distance and the lining is inspected as it is withdrawn. It takes only a few minutes and is uncomfortable rather than painful for most people.
Afterwards — recovery & results
You can return to normal activities straight away. If banding treatment was performed you may have an ache for a day or two and should follow the specific aftercare given.
Risks & considerations
Risks are small: minor bleeding, discomfort, and rarely a tear if the area is very inflamed. The examination is stopped if it is too painful.
Watch: Proctoscopy and sigmoidoscopy (rigid) videos
Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.
Related guides on MedicalVideos.com
Frequently asked questions
What is the difference between proctoscopy and colonoscopy?
Proctoscopy looks only at the last few centimetres — the anal canal and lower rectum. Colonoscopy examines the whole large bowel and needs full bowel preparation.
Can piles be treated at the same visit?
Yes, banding of internal piles is commonly done through the proctoscope at the same appointment, with specific aftercare advice given.
Related procedures — Endoscopy & Camera Tests
Browse the P section of the A–Z list or return to the Procedures & Tests hub.