Currently no guidelines available.
Step by step
Examination of anus
Examine the anus by inspection for signs of: perianal dermatitis; anal fissures; fistulas and external hemorrhoids.
Assessment of prolapse of the polyp
If the patient is conscious during the procedure, they may be asked to strain (Valsalva maneuver) to determine the extent of the prolapse and if spontaneous reduction occurs. During anesthesia (spinal or general), the sphincter muscles relax and the prolapse of the polyp may be more prominent. Concomitant hemorrhoidal prolapse may also be more prominent in the anesthetized patient. The degree of hemorrhoidal prolapse should be evaluated when the patient is conscious and without anesthesia.
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