Diagnostics

Proctological diagnostics

A correct diagnosis is the foundation of correct treatment. Dr. Hasanova performs some of the proctological examinations herself, and others are performed by her colleagues when needed. The doctor decides which examination is needed based on the patient's symptoms, age and risk factors.

  • The doctor's practice — examinations and treatments Dr. Hasanova performs herself
  • General information — educational text about diseases and methods

Examinations Dr. Hasanova performs herself

The doctor's practice

  1. Proctological examination What is it?Visual inspection of the anus and a digital rectal examination When it's neededThe first step for any proctological complaint
  2. Anoscopy and rectoscopy What is it?Examination of the anal canal and rectum with a lighted optical instrument When it's neededBleeding, or suspected hemorrhoids, anal fissure, polyp or fistula
  3. Video proctoscopy What is it?The same examination performed with a video camera, with the image shown on a monitor When it's neededIn the same cases, for a clearer image and for follow-up
  4. Fistulography What is it?X-ray examination after injecting a contrast agent into the fistula tract When it's neededIn selected cases of fistula

Visible area

  • Video proctoscopy — anal canal and roughly the last 10–15 cm of the rectum
  • Colonoscopy — entire colon and rectum
These two examinations do not replace each other; they complement each other.

Examinations performed by colleagues when indicated

General information

  1. Colonoscopy All parts of the colon: polyps, inflammation, tumors. Polyps can be removed and a biopsy taken during the same procedure (performed by an endoscopist)
  2. MRI The course of an anal fistula and its relationship to the sphincter, deep abscesses, the pelvic floor
  3. Computed tomography (CT) Abscess, tumor, diverticulitis and how far they have spread
  4. Defecography Movement of the rectum and pelvic floor during a bowel movement: rectocele, prolapse
  5. Anal manometry Squeeze strength of the anal sphincter: fecal incontinence, constipation
  6. Anorectal EMG Muscle and nerve function
  7. Irrigoscopy X-ray examination of the colon with a contrast agent (in certain cases)
  8. Capsule endoscopy Mainly the small intestine: for hidden bleeding when no cause has been found
  9. Laboratory tests Fecal immunochemical test (FIT) for hidden blood in the stool, calprotectin, complete blood count, CRP and other inflammation markers, bacteriological examination of the stool, and in certain cases tumor markers

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