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Procedure duration
Usually not required
Return to normal activities
Findings explained same day
During the procedure, biopsies can be taken and small polyps removed. It is particularly valuable for investigating symptoms arising from the left side of the colon, the most common site for colorectal cancer and polyps.
Investigation of fresh rectal bleeding to identify the source, whether haemorrhoids, fissure, polyp, inflammation or tumour.
Persistent change in bowel frequency or consistency arising from the left colon or rectum.
Surveillance of the rectum and sigmoid colon following previous polyp detection or resection.
Assessment of rectal or sigmoid inflammation in suspected inflammatory bowel disease or infective colitis.
Investigation following an abnormal finding on CT or MRI suggesting a left-sided colonic abnormality.
Assessment of the bowel following rectal or sigmoid surgery, including examination of an anastomosis.
A phosphate enema is administered approximately one hour before the procedure to clear the lower bowel. Full bowel preparation (as required for colonoscopy) is not usually necessary.
Flexible sigmoidoscopy is generally performed without sedation and is well tolerated. Entonox (gas and air) is available if required for comfort.
Lying on your left side, the sigmoidoscope is gently advanced into the sigmoid colon. Air or carbon dioxide is introduced to open the bowel. The procedure takes approximately 15 minutes.
Biopsies are taken from any areas of abnormality. Small polyps can be removed at the time. If a larger polyp or tumour is identified, a full colonoscopy will be arranged.
Recovery after flexible sigmoidoscopy is rapid. Mild bloating or wind is common and settles within a few hours. The vast majority of patients feel entirely well immediately after the procedure.
Mr Kumar will explain what was found during the procedure before you leave.
Histology results are usually available within one to two weeks with a clear follow-up plan.
No sedation means you can drive yourself home and return to work the same day in most cases.
The choice between the two procedures depends on your symptoms and clinical situation. As a guide:
Best for lower bowel symptoms, rectal bleeding, proctitis assessment, and post-operative follow-up. Fast, no sedation, same-day return to activities.
Required when the entire colon needs examination, positive bowel cancer screening, unexplained anaemia, right-sided symptoms, or complete polyp surveillance.
At consultation, Mr Kumar will recommend the most appropriate investigation based on your symptoms, history and any previous results.
Fast, convenient lower bowel assessment in Birmingham. Book a consultation with Mr Kumar today.
Procedure duration
Sedation
Drive home
Biopsy results
Specialist opinion when it matters
Appointments typically within 3–5 working days.