[Verified Answer]: PHYSICIAN: Larry P

PHYSICIAN: Larry P. Friendly, M.D. ANESTHESIOLOGIST: Janice E. Larson, M.D. PREOPERATIVE DIAGNOSES: 1. Radiation proctitis. 2. Rule out anal stenosis. POSTOPERATIVE DIAGNOSIS: Radiation proctitis. PROCEDURES PERFORMED: Exam under anesthesia with rigid proctoscopy. ANESTHESIA: General anesthesia. CLINICAL SUMMARY: This patient has a longstanding history of radiation proctitis and has had significant difficulties with his defecation patterns. Because of this, he was referred to rule out an anal stenosis. He was extremely tender and would not allow examination in the clinic. DESCRIPTION OF OPERATION: The patient was placed in a supine position and underwent anesthesia. He was then placed in a low lithotomy position and prepped and draped in the usual fashion. Digital examination revealed a slightly woody and abnormal anal exam but without significant stenosis. Rigid proctoscopy confirmed that there was no additional pathology within the rectum with the exception of the hypervascularity associated with radiation injury. Following this, the patient was returned to the supine position and returned to the recovery room in good condition.