When performed properly, Anoscopy has few complications:

• Discomfort post examination
• Tearing of the perianal skin or mucosa
• Abrasion or tearing of hemorrhoidal tissue
• Infection post procedure is possible, but very rarely occurs

Most discomfort and abrasion can be prevented by the adequate use of lubricant. If the patient is experiencing severe discomfort with the procedure, the use of local anesthetic can be considered or the procedure may be postponed.  Infection is a very rare complication, prophylactic antibiotics can be considered in certain high risk populations (see relative contraindications).