A comprehensive and respectful approach to sensitive issues
Initial Interview and History
After completing a specialized patient intake form, which includes data protection consent (GDPR), the consultation begins with a detailed discussion with our physicians. Topics covered include:
- Pain during or after defecation
- Swelling or something protruding from the anus during bowel movements
- Presence of blood or fluid from the anus
- Previous anal surgeries or procedures
- Ability to retain gas and stool
- Cleaning habits and time spent on the toilet
- Any history of anal penetration (with or without protection)
- Colonoscopy history, smoking, other medical conditions, allergies, and use of anticoagulants or other medications
The patient’s psychological state, profession, and personal needs are also essential in shaping diagnosis and treatment.
Physical Examination
Following the consultation, the patient lies on their left side in a fetal position. A trained nurse assists with positioning. In some cases, the patient may assist using a gloved hand.
We understand this examination may feel uncomfortable or distressing, so our team prioritizes trust and empathy throughout the process.
Components of the Proctological Exam
- Visual inspection of the anal area
- Digital rectal exam using a gloved, lubricated, and anesthetized finger
- Proctoscopy: Use of a small tubular instrument to examine the anal canal
- High-resolution anoscopy: Performed in HPV cases, using acetic acid gauze for visualization
- Endoanal ultrasound: Essential for identifying and mapping abscesses, fistulas, incontinence, and tumors
- Microbial cultures when needed
- Recommendations and prescriptions for blood tests or MRI imaging
After the Examination
Once the exam is complete, the patient receives a full explanation of the findings, diagnosis, and treatment options. A written medical report may be provided when necessary.
