Rectal or Anal Speculums

When giving a rectal exam what type of speculum do you perfer to use I have a 2 bladed pratts speculum,,it works nice , butt would was wondering what others use or have had used on them??

I'll first insert a finger or two and determine the patient's ability to accept a speculum. If it looks to be a go, I've used a small graves. I do have a 3 prong rectal Mathieu dilator also in my bag. Some patients have also had their own anoscopes.

I use a long 3 bladed anal spec on my wife. I don't know what it's called but when fully opened the view is awesome!!Use plenty of lube and massage her clit as I click it open.

Usually tend to use the 3prong rectal ones.

I built a small speculum (the details of which I will not share from embarrassment and not wanting to inspire similar poor ideas) which I used. It opened QUITE wide, and while it was painful, it was quite pleasant.

I have a three prong Pratt anal speculum which is more comortable than the two prong one that I had. The patients complained that the two prong one seemed to pinch... no complaints with the new one! I also have a Welsh/Allen lighted anosocpe with disposable tips, and the bellows for inflating the inside of the rectum. Provides an awesome view! I use the 4" anoscope tips with most patients, but have also inserted the 12" sigmoidscope tips when I have a more experienced patient.

I have only had a small proctor scope used on me. Never a anal speculum.

At one point my doctor felt it was necessary to do a more extensive rectal exam and that the DRE was not enough. At that point it was up on all fours and a small speculum was used. Once I found out it was nothing I realized how turned on I was. At our next play session it was up on all fours again.

I use a long 3 bladed anal speclum or a rectosope. Sometimes a smal 2 bladed vaginal speculum

The idea for that 3 prong rectal Mathieu dilator, being inserted and opened up inside me is unbelievable exciting.

Thanks user264 Have had only two exams with speculum exams of my rectum. I really didn't appreciate the first one as I was pretty upset. have had quite a few play exams where I was given quite extensive rectal exams however and have really learned to love that procto position on the table. I also love the prep work before we go for my exams. Plenty of cleanout enemas

Are there any cases that a rectal speculum is used during a gyn or related exam (Female)? Would anyone like to share their experiences?

I remember witnessing a former girl friend go thru a physical.

The sequence began with the taking of vital signs.

After wards the doctor used the stethoscope to listen to the heart, lungs, and other organs.

Then the doctor proceeded with a Brest Exam followed by a pelvic exam.

After the doctor was completed with rectovaginal exam, the doctor told her that she would like to perform a digital rectal exam.

During the digital rectal exam the doctor felt a suspected hemorrohoid so she decided to use an anuscope to exam the last 4 inches of her alimentary canal.

From the scope the doctor did discover a hemorrhoid so she administered an Prep H suppository.

The use of an anal or rectal speculum during a routine examination would be highly unusual. Routine diagnostic exams typically use either an anoscope, proctoscope, or sigmoidoscope, which have a much smaller lumen (diameter) and are less traumatic for the patient. Although things like three bladed Mathieu dilators are fun for fetish exams, they would be rarely used in real practice unless the patient is anesthetized for a surgical procedure.

If someone was to be picky about terminology, the disposable portion of an anoscope or proctoscope is often referred to as a rectal specula.

I have had one exam where a rectal speculum was used. It was after he did my pelvic exam. He had me go into another exam room, clutching my gown and clothes. He adjusted the table into what he called the procto position. I then assumed that same position. He covered me with a blanket sheet and then proceeded to open me up. I returned two days later after I had given myself two enemas and was taken back to that room . Back in that position I was given a proctoscope exam.

Such an exam is shown at http://www.redtube.com/5116

I cannot believe the girl shows no expression at all.

I at least grimace during the insertion. Wouldn't you?

DRE an anoscope exam HAVE TO BE DONE every time the patient (male or female, young or old ...) complains of butt pain, bleeding or other symptom !

Neglect this simple rule is for the Dr a lack which can cause severe outcomes for the patient

It is very rare for a doctor to have to use a speculum when the sigmoidoscope can provide a much deeper coverage than a rectal speculum. Rectal speculums should be used when performing some surgical procedure.

The speculum shown in the redtube link is not well suited for anal use. As can be seen when it is opened wide skin does get in between the jaws and if care is not taken when closing can be trapped and cut during removal. Better to use a three jaw speculum or one with rounded non sharp jaws.

I agree with previous posts

Vaginal speculums are not the good tool to examine anus and rectum. they even cause severe damages.In fact, anoscopes, rectoscope and even coloscopes are (gradually), the good way for examining the colon