What is Proctology? What do Proctologists do? Proctology is the branch of medicine that deals with the diagnosis and treatment of disorders of the rectum and anus („Proctos” means rectum, anus in Greek).
How to prepare for a Proctologic examination? There’s no need for enema or laxatives, they can even be harmful in certain cases. You should open your bowels on the day of the appointment and wash yourself before the examination.
Rectoscopy (proctoscopy) is the endoscopic examination of the lower part of the large bowel from the anus up to 6-8 inches. Its role is to exclude malignant processes and also to diagnose benign polyps, inflammation, ulcers, strictures up there. Biopsies and removal of polyps are also possible through the scope. When we go even further up with the endoscop (up to 9-10 inches), it is called sigmoideoscopy.
What are piles (haemorrhoids), how do they develop? Hemorrhoids (US English) or haemorrhoids (UK) are normally occuring vascular structures in the anal canal which help with stool control.
This is a painless ambulatory procedure to treat the internal haemorrhoids. Using a special suction ligator the Proctologist places a tight rubber band of about 3mm in diameter onto the stem of the hemorrhoid.
The most common rectal problem is haemorrhoid disease. This is followed by fissure, inflammation and tumour of the rectum. These later ones can occure associated with, or present absolutely separate from haemorroids. Tumours of the rectum can be benign or malignant. The most feared disease of the rectum is cancer.
An anal fissure is a small linear tear or ulcer in the lining just inside the opening of of the anus. It is mostly caused by mechanic effects such as passing a hard stool but it may also result from repeated diarrhea, or inflammation induced by haemorrhoids. Major symptom of an anal fissure is pain. The pain is sometimes tingling, stinging, mildly hot in nature, other times it is a rough, biting, cutting, spastic, burning feeling, described as excruciating by many.
Anal itching makes life difficult for many people. It can arise in bouts, usually after bowel movements or can be continous. The intensity of it can be variable. In the worst scenario it grows to unbearable levels accompanied by a compelling urge to scratch.
Tumors developing in the rectum do not have any specific symptoms. Any anal symptoms or complaints might have malignant roots.