A proctoscopy is an endoscopic examination of the anus, rectum, and sigmoid colon performed using a proctoscope. During the procedure, a lubricated proctoscope is inserted into the anus to allow the doctor to visually examine the internal tissues. Air may be used to expand the colon and improve visibility. Biopsies can also be taken using small tools passed through the proctoscope. Proctoscopies are generally well-tolerated and take around 10 minutes to complete. They are used to investigate issues like rectal bleeding, abnormal bowel movements, suspected cancers or other growths, ulcers, and more.

1. PROCTOSCOPY ??......

2. INTRODUCTION… DEFINITION…
• ENDOSCOPIC EXAMINATION OF THE ANUS, RECTUM AND
SIGMOID COLON USING A INSTRUMENT CALLED PROCTOSCOPE.
• SAFE AND WELL TOLERATED.
• PERFORMED BY PHYSICIAN.
• ALSO CALLED ANOSCOPY OR SIGMOIDOSCOPY.

3. WHAT IS A PROCTOSCOPE?...

4. PROCEDURE
…
• A proctoscopy can be done at a hospital or outpatient clinic.
• Lie on your side with your knees bent.
• Firstly doctor will insert a gloved, lubricated finger into your rectum. This is
called a digital exam. It’s done to check for any blockages or sore areas.
• Then the doctor will insert the proctoscope into your anus. Air will be
pushed into your colon to help your doctor view the area.
• The doctor might remove a sample of tissue during the procedure. This is
called a biopsy. It’s done using very small tools passed up through the
proctoscope.
• You may feel some cramping and fullness during this test, along with an
urge to empty your bowels. But the procedure shouldn’t be painful.
• The whole test takes about 10 minutes. Afterward, the doctor will remove
the proctoscope.

5. INDICATIONS…
• RECTAL BLEEDING – HEMORRHOIDS, ANAL FISSURE, INFLAMMATORY
BOWEL DISEASE, CANCER
• ABNORMAL BOWEL MOVEMENTS- DIARRHEA, CONSTIPATION,
OBSTRUCTION
• SUSPECTED RECTAL OR ANAL CARCINOMA
• ULCERS, ABSCESSES, TUMOR, POLYPS, DISCHARGES
• ISCHEMIC COLITIS
• PERIANAL FISTULA
• CHRONS DISEASE
• BIOPSY

6. THERAPEUTIC
USES…
• HEMORRHOID TREATMENT
• POLYP AND TUMOR REMOVAL
• FOREIGN BODY REMOVAL
• STRICTURE DILATION
• STENT REPLACEMENT

7. CONTRAINDICATION
S…
• PAIN
• SEVERE BLEED
• INFLAMMATION
• RECENT SURGERY
• FECAL IMPACTION
• PERFORATION OF COLON
• ANAL STENOSIS

8. NURSES RESPONSIBILITY…
PRE PROCEDURE:
• CLIENT EDUCATION
• OBTAIN INFORMED CONSENT
• BOWEL PREPARATION
• MEDICATIONS
• PHYSICAL ASSESSMENT
• DIETARY MODIFICATION

9. INTRA PROCEDURE:
• POSITIONING
• MONITOR VITALS
• MAINTAIN STERILE FIELD
POST PROCEDURE:
• REST
• HYDRATION
• PAIN MANAGEMENT
• MONITOR FOR COMPLICATION
• DIETARY MODIFICATION