Anoscopes?

Speculum in Anus ?

I saw an enema video recently, and after filling the client, the nurse used a device that was sort of like a tube with a solid core in it to allow insersion.

After inserting it into the rectum, the solid core part was removed, leaving an open hollow tube which allowed the liquid to exit.

I beleive it was some sort of medical device, but have no idea what it was or would be called.

Anyone know? I'm thinking I may want to get one. Could work if I was running water in and allowing a flow out at the same time. Maybe for a shower enema.

It sounds like an anal scope device used for inspecting inside the rectum. They also use a similar nozzle for colonic irrigation.

Yes, the device used in the qufora system looks just like what I saw. Just without those bags. It was used with a regular enema bag and tube.

I did a little searching and found this site that sells what I saw, and what I want.

http://www.mbh-international.com/en/products/irrigation-system/closed-anal-irrigation-system-bed/52501/

Problem is, it's not in the US. So I'll look some more. Must be another name to use. I tried rectal catheter, but that did not work too well either.

The correct name for this device is anoscope. They come in both metal and plastic varieties. You can find quite a few different models on eBay.

Dave,

Correct. Thank you. Easy and cheap. 😃

Tretop: What you're referring to is either an anoscope or proctoscope; depends on how long the tube is. The internal part that is removed after insertion is called an obdurator and is intented to easily open the rectal muscle ring for insertion. They are mostly plastic these days and are disposable. I've use on the fill from a shower head and expell. You just unscrew the shower head from the tubing and let the stream of water go up against the scope. Gives a real fast fill. Usually, most surgical supply houses require an Rx from a Dr. to sell one to you, but ebay is an easy source for them. They tend to crack after several uses. The steel ones are expensive.

Anybody has experience using anoscopes for male rectal exams? I'd love something transparent so I can see inside the patient, but I'm not sure plastic works for rectal exams. Can it break?

Also, is there a correct way to insert and use the instrument?

Thanks for the help!

Plastic anoscopes are perfectly safe to use. That's what they're made for. Would your doctor use something on you if he thought there was a chance it would break while it was inside you?

Just askin'

LadyDoc

Sorry, I missed the second part of your question.

Yes, there is a correct way to insert and use the anoscope. Make sure that the obdurator is fully inserted through the lumen before insertion. Make sure that the anoscope and the patient are thoroughly lubed. Insert the anoscope gently, and angle it towards the patient's umbilicus. Once the anoscope is fully inserted, you can remove the obdurator and perform your exam. Do not withdraw or rotate the anoscope without putting the obdurator back in place to avoid damage to the tissue and pinching (ouch!).

You might find this link helpful: http://www.medicalvideos.us/videos/426/rectal-exam

A caution: performing a procedure when you're not familiar with it or the equipment involved can be a dicey proposition. There are educational videos everywhere, nursing manual and medical texts are also helpful guides. If you're going to play, educate yourself first.

Have fun, but play safe!

LadyDoc

Karma for ladydocisin for such a complete explanation. I have experience of using anoscopes in female patients only, but the skills required are the same, so do as ladydocisin tell: study and do research on the internet, google the thing and then do it when you feel prepared.

Start with a small Anoscope Hirshman model and in another session go further and deeper with something like a Kelly proctoscope. The exam must not be painful! allways keep the communication with the patient during the procedure.

never play with a plastic vaginal speculum at the rectum that can really break, the plastic anoscopes are completely safe and designed for that purpose

Thanks, very useful.

Curiously in the educational video of the link the anuscope is removed without the obturator inserted, but always totated by the doc only with it inserted.

This probably, I suppose, because is useful and possible to look into only while it's removed.

M2000

A quick note- it's perfectly acceptable to remove the scope without the obdurator. However, this only applies if you are sliding the thing out of there- any rotations, or a desire to advance it into the rectum again means that the obdurator must be reinserted.

The theory is that when it is being removed, ie slide backwards, you are not going to be able to do damage to the mucosal wall, as it it is already in contact with the smooth metal/plastic of the instrument, so as long as there is sufficient lube there is no issue. Advancing it or rotating it, however, means mucusal wall which was not previously in contact with the instrument now is, and so to prevent snagging/poking etc, the rounded tip of the obdurator is necessary.

Hope this helps!

Play On!

LadyDoc

I bought an anoscope, inexpensive plastic one, and it arrived yesterday. I have to say, it feels fantastic. Especially the removal and reinsertion of the obdurator.

Agreed win, they do feel wonderful. 😄

My doctor uses at every physical a plastic anoscope. It is very humilating, but it is plastic the one he uses.

I have used the plastic ones, but the metal ones have a very solid feeling to the patient and the doc.

Rob - where u live? hit me up on email.

I have a metal one. The weight of it helps it to slide in nicely, I think -- a very professionally satisfying thing to see. 😃

I have seen a 12 inch anoscope used, now that sounds nice.

Imeltongoose, sure that wasn't a proctoscope? They are longer than an anoscope.

After having fun with the anoscope, try using metal vaginal speculae in the rectum. They come in different sizes, but I found the anus dilates easily. A metal speculum is adjustable at the handle end; one can vary the size of the opening. The closed blades offer minimal cross section for easy entrance but the taper of the device will dilate the anus as it goes in. When ready one can extend the handle end opening for maximum dilation of the anus. My large one opens my anus to 4 1/2 inches, painlessly. When it's in, squeeze the handle to open the blades, for a good look inside. The screws will hold the blades open too.

I'd love to have an anoscope inserted into my rectum (or for that matter, try a vaginal speculum).

Just never use a disopable plastic speculum one at the rectum ( vaginal one) it may broken inside

I have found that using my 3 pronged Anoscope and speculums on certain young male patients who are not used to "exams" can lead to a bit of pinching and discomfort.

I find that a condom slipped over the instrument and secured/held in place as not to slip off, is ideal to prevent this and enables a wider and deeper entry with no real visual restriction.

Not my idea, saw it on either Crazy Doctor or Doctor Horny photo's some time ago and it works a treat on a "virgin" bumhole.

As to plastic disposable speculums:-

Please do be careful if using a Plastic Speculum as I had an Asian patient recently who was able to clench his anus so tight that I was barely able to withdraw the speculum and he succeeded in cracking one of the duckbills.

This guy was experienced anally as well and not a novice.

Fortunately it only cracked but I dread to think what could have happened had it split or splintered.

Plastic speculums are now a no-no for this play doctor.

I have found that using my 3 pronged Anoscope and speculums on certain young male patients who are not used to "exams" can lead to a bit of pinching and discomfort.\nI find that a condom slipped over the instrument and secured/held in place as not to slip off, is ideal to prevent this and enables a wider and deeper entry with no real visual restriction.

How does placing a condom over a speculum or anoscope NOT prevent seeing through the instrument?

User264,

Condoms, especially when stretched, are fairly transparent.

If you roll a condom on your Penis, can you not see your penis clearly???

Even without a torch shone up the patients rectum, it is very easy to see the walls of the Anus and rectum if using this instrument through the gaps between and cut out portions of the three blades.

You are restricted using most steel speculums regardless of using a condom over or not because there is far less area left uncovered by the blades. Unless you are Superman and can see through stainless steel that is!.

There's a distinct difference between the Anoscope & that of a Colonic Speculum...The former not being designed for liquid injection...though you can ....just need a suitable container though as the water flows freely....simply because the ole bum muscle is bypassed from the process...Theres some interesting well designed colonic specs available relatively inexpensively & you do not need a physicians prescription....Supplied pre-packaged @ around $2.63ea for the one that has a retention blister incorporated into it's design...A Nylon product of 25.44mm Dia x approx 5&3/4 inches long....3&3/4 inches rectal retention.

Why not just try a tunnel plug.

EBay offers some interesting looking related items..

http://www.ebay.ie/sch/sis.html?_nkw=Lower%20Bowel%20Probe%20Anal%20Probe%20also%20use%20Elise%20and%20iTouch%20Sure&_itemId=261491970236