Going further up and taking a look

Hello All;

I bring up an interesting group of medical devices used to look up into the rectum. On the lower end of the price spectrum you can find them on the internet at a reasonable price and are usually advertised as "anoscopes" These are not terribly long and do not have any kind of illumination or inflating capabilities, they are just a stainless steel tube with an obturator.

On the higher end of the price spectrum such as a Welch Allyn you can spend sever hundred dollars for a set of 2 or 3 scopes. They have an illumination system and the capablility to inject air. The Sigmoidoscope is the longest measuring about 12 inches and can be quite uncomfortable. Sometimes a used set will come on the market. You might want to check the internet auction sites.

They make for a great after enema activity.

Dr. Gordon

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Has anyone had a scope inserted by someone other than a Doctor? How was it? How did it feel? How much can someone take of it? It looks pretty scary.

The anoscope is short and should not present a problem. The rigid sigmoidoscope should not be used without some training. There is a risk of perforation. That's why they replaced these with a flexible version. The originals were 25 cm and ultimately got to 70 cm.

I have only had scopes by a dr and they hurt like heck...or course than was cause i had big hemroids....but that is why i was having it done...then i had surgery and all is good

Having a proctoscope inserted into the rectum can be erotic for some and uncomfortable/painful for others. The rigid stainless steel proctoscope is known as the "SILVER STALLION" in hospital lingo. After inserting it about 3 inches into the patient, the orbutor is removed and a cap w/ a light source, viewing port and air inlet connection is locked on. Only then, with the Doc looking into the viewing window is the scope very slowly advanced further into the patient. Additionally, air is pumped into the patient to enlarge the lumen. Yes, the entire 12 inches of the instrument can end up in the patient. As it is withdrawn, the Doc will examine the rectal structure and tissues. Progress however, has replaced rigid scopes (metal & plastic) with flexible instruments known as sigmoidoscopes and colonoscopes.

I've been very interested in trying to obtain a used flexible scope (but even the used ones can be several hundred bucks). Anyone have ideas on how to clean them properly, prior to use, so that the patient is not placed in harm's way?

There are clear plastic proctoscopes (EOS brand) that have a little tunnel under the main barrel for connecting a light source.

A good light source for these is the flexible light tube that fits over the front of a small torch (flashlight). Tradesmen use these light tube attachments for looking inside wall cavities. The end of the light tube is a perfect fit in the EOS brand proctoscopes, and the whole barrel illuminates and gives you a very good view inside.

But one word of warning when using the EOS brand proctoscopes. Never insert the obturator (the inside cone) into the anus on its own. The obturator has slots down the side and any hemmies or tags in the rectum can get caught in them and then it can be very difficult to get it back out again.

The EOS brand proctoscopes come in small, medium and large sizes. Many sex shops in Australia only sell the large size. They are meant to be disposable but if you wash them carefully with soap and water and then soak them in a bleach solution they can be reused over and over on the same person.

Brachio

Always wanted to play with the scope. Looks fun.

I concur, would love to try it,

I was fortunate enough with an e-bay auction to obtain a Welsh/Allen proctoscope kit with a cozen of the short anoscope tubes and a dozen of the longer sigmoidscope tubes. The system has a handle with a power supply and a light source; the tube is attached to the handle and the obdurator is inserted. Once the scope is inserted in the patient, the obdurator is pulled out (smooth, rounded tip on a long plastic stem) and a little glass door is closed over the end of the handle. There is an air bulb that feeds into the handle, so the inside of the patient's rectum can be inflated and visualized thru the glass door. The sigmoidscope works the same, it is just longer. I have used both on my (female) patients, and have been able to insert the sigmoidscope the full 12 inches with no problem. You can actually see the twists and turns of the sigmoid and can navigate the scope thru it. Not for the inexperienced, but quite stimulating to the patient. Having it has certainly added another fun element to my specialty erotic exams. Anyone in the greater Washington DC area that would like to try should drop me a line. Dr. Ed

I find that I can get a better view with a Pratt speculum. Especially if my patient well cleaned and relaxed.

During my last session I had my pt. bear down as I withdrew...the view was incredible...nice, clean and pink

I want to get many instlements(like a speculum, colposcopy, hysterosocopy and so on...), but in Japan, most peaple cant get easely. So I thought, and I usually use "medical studio" with my partner now. There are many medical instlements

Be careful that you dont cause any damage to the patient if using any of these tools. 😁

I have used the short anuscopes many times. I find the cook rectal speculum a good insturment. It can open the anus as much as the patient is comfortable with. It works best if the patient has good muscle tone and not alot of soft tissue in the anus. Soft tissue tends to flow between the blades and close the opening somewhat. The lower sigmoid can easily be seen using one. I've even inserted colon tubes with one in place and removed it after the tube is in. A colin speculum works great too. The blades spread laterally which works well in an anus. Other speculums spread vertically which allows the anal muscles to close between the blades.

I've used disposable anuscopes many times. They allow a limited view of the lower rectum using a small light. I prefer a cook rectal retractor. It is a three fingered insturment with plier like handles. When closed it can be inserted very easily. It is then opened as far the patients comfort will allow. The inside if the rectum and the lower sigmoid can be easily seen with the patient on her knees and elbows. On patients with a more relaxed anus I've used a colin speculum which opens laterally and offers the same view. Other speculums don't work as well since the anal muscles tend to close between the blades limiting view.