Early detection and prevention in Seattle, Washington
Anal Cancer Screening
Who should be screened
- HIV-positive individuals
- Men who have sex with men
- Patients with an abnormal anal Pap test
- Individuals with a history of HPV infection
- Patients with cervical, vulvar, or vaginal dysplasia
- Immunosuppressed patients
- Patients with persistent anal lesions
Screening guidelines are based on risk factors, not symptoms. Anal cancer rates have risen in recent decades, particularly among patients with HPV or immune suppression, and most cases are preventable when caught early.
What it actually feels like
- The area is numbed with topical and local anesthesia before anything begins.
- Nitrous oxide is available if you want additional comfort during the procedure itself.
- Most patients describe pressure rather than pain, with manageable soreness for a day or two afterward.
- No sedation is used, so you will never need a driver.
Built on the ANCHOR Study
The ANCHOR Study demonstrated that treating high-grade anal dysplasia significantly reduces the risk of developing anal cancer. It fundamentally changed how anal cancer prevention is practiced, and it's the standard this program follows.
- Targeted biopsy of any abnormal tissue
- Ablation of precancerous lesions
- Ongoing surveillance for recurrence
Your visit
- Screening performed through high-resolution anoscopy, using magnification to evaluate the anal canal
- Biopsy of any concerning areas, if needed
- A clear explanation of your results before you leave
Most screening exams take 20 to 30 minutes and are performed in the office.
What it costs
Anal cancer screening is a medically necessary preventive service and often covered by insurance, depending upon your plan. Our billing team reviews your benefits and gives you pricing before your visit.
A dedicated team, led by Dr. Kratz
Common questions
Connected to your care
Screening, HPV treatment, and wart removal are part of one ongoing program. Many patients need more than one piece of it.
Early detection is the difference.
Call or text for a private consultation and a clear plan.