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Doctor insights on: Does A Urologist Perform Colonoscopies

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Dr. Charles Cattano
2,044 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Why are colonoscopy performed years apart? Shouldn't they be more often? Doesn't cancer grow fast?

Why are colonoscopy performed years apart? Shouldn't they be more often? Doesn't cancer grow fast?

Good question: Most colon cancer differs from other cancers in that it tends to progress in a very predictable pattern beginning as polyps that can sometimes form cancer. This process takes many years. For example, it can take 5 or more years for a polyp to reach 1 cm and then another 5 or more yrs for the 1 cm polyp to become cancer. This is why the standard recommendation is to have a colonoscopy every 10 yrs. ...Read more

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How is a colonoscopy performed?

How is a colonoscopy performed?

Camera on a snake: A video camera on the end of a flexible stalk, not unlike a snake, is inserted through the rectum while you are asleep. You don't feel a thing, you won't remember it, and the only bed part is the prep. ...Read more

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Why does it take 2-4 hours to perform the colonoscopy?

Why does it take 2-4 hours to perform the colonoscopy?

It doesn't : It doesn't unless you have a specific problem. ...Read more

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Do GI doctors perform anoscopes and rectoscopes during a colonoscopy? Can it be requested or are anoscope/rectoscope exclusive to proctologists?

Included: A colonoscope is inserted into the anus, ascends through the rectum, and goes on to check the rest of the bowel. Thus colonoscopy includes examination of the anus and rectum. However, if there is a suspicion of anal pre-cancer (e.g. In HIV positive men) a specialized magnifying instrument is used to assess the anus. ...Read more

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How does one perform colonoscopy in pt with duhamel procedure from hirschsprungs. Genetic mutation for fap present.?

How does one perform colonoscopy in pt with duhamel procedure from hirschsprungs. Genetic mutation for fap present.?

Not too much problem: In duhamel procedure, for aganglionic colon ( hirschsprung's disease) distal aganglionic colon is anatomosed to proximal ganglionic ( good ) colon side by side anastomosis excessive distal colon will be crushed, shold not be a problem to do endoscopy. ...Read more

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What does the GI doctor see when performing a Colonoscopy? Can he not see the appendix too sense it looks like it is attached to everything?

What does the GI doctor see when performing a Colonoscopy? Can he not see the appendix too sense it looks like it is attached to everything?

Colonoscopy.: What the gastroenterologist sees during colonoscopy is the inside of the colon. It is possible to see the area of attachment of the appendix to the colon, but it is not possible to see the appendix itself. Good luck. ...Read more

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Will a barium test show all of the stool in the small and large intestines? Is it typical to have one performed weeks before the first colonoscopy?

Will a barium test show all of the stool in the small and large intestines? Is it typical to have one performed weeks before the first colonoscopy?

No and no: Barium is a contrast agent which helps the visualization of the bowel during X-ray studies. When given as an enema, it helps for large bowel(colon) examination.Orally, it can help for small bowel evaluation. Neither route is useful for imaging BOTH large and small bowel.If the patient has taken proper bowel preparation measures, there is in fact no stool in the bowel to degrade the visualization. ...Read more

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Duodenitis never seems to "heal"? Is this normal? I had a colonoscopy and upper GI performed twice and was told i had GERD (acid reflux disease ) and a duodenitis. They checked for barrett's disease and all was fine. That was back early 2010 and again

I : I suggest you talk with the physician who performed your endoscopy. The pain may be your duodenitis but may also be something else. There are many things (looking down) to the right. It's more of a chronic inflammation. Taking the Omeprazole daily rather than every other day might be helpful. I'd be clear with your doctor that you are having "discomfort" and explain that you wonder if an alternative medication may be beneficial, or perhaps further workup. It's very important to share any/all concerns with your doctor. Best of luck! ...Read more

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Is necessary to perform digital rectal exam or colonoscopy when I feel pressure in anus and I have continuously anal pain and blood on stool surface?

Is necessary to perform digital rectal exam or colonoscopy when I feel pressure in anus and I have continuously anal pain and blood on stool surface?

Digital rectal exam: For the symptoms related to problems with anal canal, one might have internal hemmorhoids, a fissure or even an early malignant growth. When examined only by colonoscopy, the scope passes this area without identifying any problem that may exist. A digital exam and possibly proctoscopy with a very short scope limited to the area of interest is the approach to be employed. ...Read more

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So is it not safe to drink alcohol even if it is a beer or 2 the same day you have an upper endoscopy and colonoscopy performed? I had sedation today?

So is it not safe to drink alcohol even if it is a beer or 2 the same day you have an upper endoscopy and colonoscopy performed? I had sedation today?

Alcohol Abuse: Your Health is Precious!
It is not clear if you gave history of Alcohol use to Gastro-entomologist and discussed need for endoscopy and colonoscopy.
Using Alcohol with Medications used for sedation can cause more side effects.
If you have Alcohol induced Gastritis, Pancreatitis or Hepatitis, please do not use Alcohol.
See Psychiatrist for Therapy for alcohol need, judgement and AA meetings. ...Read more

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Can a colonoscopy be performed if you are on antibiotics or have a cough? (being intubated for procedure).No fever & chest xray was clear.

Can a colonoscopy  be performed if you are on antibiotics or have a cough? (being intubated for procedure).No fever & chest xray was clear.

Yes: If you have no fever, a normal chest x-ray and no wheezing, chances are you'll be fine.However, if you aren't feeling well, you may want to put it off.
Why do you need to be intubated? Most colonoscopies are done with some form of twilight anesthesia. It is unusual to require an intubation. Knowing why may lead me to a different conclusion than the one above. ...Read more

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I'm in hospital doc don't seen to be listening gab if could get advice I has a colonoscopy which lead to a perform bowel, belly now swollen temp spike?

I'm in hospital doc don't seen to be listening gab if could get advice I has a colonoscopy which lead to a perform bowel, belly now swollen temp spike?

Drainage needed: For the most part colonoscopy is a well tolerated procedure with little if any complication. Occassionally if a small lesion is biopsied, the biopsy forceps takes too deep a bite and a small pinhead performation can occur. Leakage of fecal material causes abscess. Antibiotics needed and abdominal scan to define any collection also required. This would suggest whether drainage required. ...Read more

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63 year-old woman still has continuous mild stomach pain affecting her daily life, despite 3 yrs of medical treatment for gastritis found after.....?

63 year-old woman still has continuous mild stomach pain affecting her daily life, despite 3 yrs of medical treatment for gastritis found after.....?

Interesting: From your treatment so far it looks like that you have had a good workup. Two things may have been overlooked like your diet, your emotional situation. Your obesity might indicate irritating and poor choice of foods. Snoring might indicate restless sleep that may indicate an ear, nose & throat problem or a psychiatric problem. Please consult with your family physician. & see him/her for a referral to a psychologist. ...Read more

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Need unsedated colonoscopy?

Most patients: Find mild sedation helpful during a colonoscsopy however many can tolerate the procedure without sedation. Talk with your endoscopist to see if you are a candidate. ...Read more

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Why are colonoscopies so important?

Why are colonoscopies so important?

Prevent colon cancer: Colonoscopies are complete colon exams which can detect and remove colon polyps. Colon polyps are common growths which can develop into cancer. Colon cancer will affect 1/19 people, 150, 000 people in the U.S. And kills 50, 000 people annually. ...Read more

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What is it like to have a colonoscopy?

Not as bad :): It is probably not as bad as you may have heard. You are given sedation and for the most part of the study you are asleep. They introduce a camara through your rectum and look throughout your colon. It is over in 20 mins. Good luck! ...Read more

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What should I expect from a colonoscopy?

COLONOSCOPY: You can expect to have some form of bowel prep the day before. The day of, you will be given an IV and medications to sedate you. The colonoscopy should take roughly 15-25 minutes to complete depending on findings. You will then wake up and recover (30 minutes or so), and then be discharged home. A relatively safe procedure with few and rare complications. ...Read more

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Is there any risk involve in having a colonoscopy?

Is there any risk involve in having a colonoscopy?

Very safe: Modern colonoscopy is extremely safe. Complications are rare. Probably the most common complication is perforation, and it reportedly occurs in about one of every 1200 colonoscopies. There are rare risks of bleeding and of a reaction to the sedation. Overall, they are extremely safe, and if you have a reason for needing one, don't shy away. ...Read more

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I am due for my first colonoscopy. what should I expect?

Colonoscopy: The worst part is the prep.

In the lab expect them to give you short term anesthesia and you will wake up and not remember anything. Ask them what they found. ...Read more

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Can you get a UTI from colonoscopy?

Should not: The scope is inserted into your rectum in a colonoscopy and should not in any way cause a uti. If you were catheterized for any reason during the procedure, than that could be risk factor for getting a uti. ...Read more

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Can they find candida on colonoscopy?

Can they find candida on colonoscopy?

Yes and no: Candida is rare in the colon. If there, the test could find it. It is usually a vaginal problem, and occasionally an esophogeal issue. ...Read more