Sigmoidoscopy Wrocław

At the Melita Medical Center, we perform both diagnostic and preventive sigmoidoscopy. You do not need a referral from your family doctor for the test - just make an appointment with our specialist to discuss the indications for the test, and then set the date of the test at the reception.

Sigmoidoscopy - key information

A sigmoidoscopy is an endoscopic examination of the final section of the large intestine. It allows using a flexible finger-thick device equipped with an optical fiber to assess the inside of the large intestine. The sigmoidoscope includes several small tunnels. One of these tunnels is used to suck in the mucoid fluid encountered during the exploration. The second tunnel is used during sigmoidoscopy to collect material for biopsy.

A sigmoidoscope allows you to examine the final section of the large intestine - the descending colon, the sigmoid colon, and the rectum. The doctor who performs the examination has a control device in his hand that allows them to control the tip of the sigmoidoscope inserted in the intestine. During the examination, if bowel changes are found, specimens are taken for histopathological examination. The patient receives the test result after about 6 weeks and further treatment depends on the result.

In the case of many diseases, sigmoidoscopy is the best way to make an accurate diagnosis.

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What is sigmoidoscopy?

In most patients, the examination does not require intravenous anesthesia, because due to the minor depth of insertion of the endoscope, it rarely causes pain and discomfort. However, upon the patient’s request, the examination can be carried out with short-term intravenous anesthesia.

For the examination, the patient is laid on their left side, covered with a blanket, and asked to pull his pants down to the knees, then he turns on his side and pulls his knees up to his stomach.

To minimize the discomfort associated with the examination, the doctor lubricates the anal area with lignocaine gel before the examination. The sigmoidoscope is slowly inserted through the rectum into the intestine. The image of the inside of the intestine is analyzed during the examination and recorded. If changes in the mucosa are found, the doctor may take a sample for histopathological examination.

A sigmoidoscopic examination lasts about 10-15 minutes.

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How to get prepared for a sigmoidoscopy?

The condition for a successful and safe sigmoidoscopy is a good cleansing of the intestine from fecal masses.

An easily digestible diet should be followed for 2 days before the start of preparation for the examination, without nuts and seeds, and with a limited amount of vegetables and fruits (optimally skinless).

You can prepare for the test with an oral bowel cleanser (Fortrans, Moviprep, Citrafleet, Clensia) or, in the case of contraindications to the use of oral preparations, with two enemas - one on the day before the test, the other 2 hours before the test.

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Price list

Gastroenterological consultation with sigmoidoscopy under local anesthesia

PLN 500

Biopsy (1 sample)

PLN 100

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Anaesthesiology questionnaire

An anesthesia questionnaire is a document necessary when determining the method of anesthesia and the qualification for its implementation. Correct and comprehensive completion of the questionnaire allows for a reliable assessment of the safety of the planned method of anesthesia and significantly reduces the chance of complications associated with it. If you have any doubts during the completion of the document, individual points can be discussed during the anesthesia interview.

Sigmoidoscopy consent

Sigmoidoscopy is an examination, during which the doctor looks at the left side of the large intestine using an endoscope inserted through the anus. It enables a visual assessment of the final section of the intestine, and the image can be recorded. If any suspicious changes are found, a biopsy may be taken.

Preparation for colonoscopy/sigmoidoscopy

Proper preparation for a colonoscopy is a 3-day process comprising several stages. The first stage is to follow the rules of an easily digestible, low-residue diet for 3 days preceding the examination. On the day before the examination and (in some cases) in the morning on the day of the examination, you should take an appropriate amount of the intestinal cleansing agent, additionally drinking the right amount of water. Without proper preparation, the test will have no diagnostic value. Optimal preparation for a sigmoidoscopy is usually identical to a colonoscopy unless your doctor tells you otherwise.

Consent to short-term intravenous anesthesia

Short-term intravenous anesthesia is a method of anesthesia used mainly during examinations and outpatient (one-day) procedures. It consists in putting the patient into a short-term sleep and eliminating the pain sensation with the help of drugs administered intravenously. After this type of anesthesia, the patient quickly regains consciousness and may leave the medical facility under the care of an adult within a few hours. A motor vehicle must not be driven for 24 hours after anesthesia.