High Resolution Anoscopy

High Resolution Anoscopy (HRA): Preventing Anal Cancer with Expert Care

Why High Resolution Anoscopy (HRA) Matters

Anal cancer is one of the most preventable cancers—yet it continues to rise, particularly among patients with HPV exposure.

High Resolution Anoscopy (HRA) is the gold standard for identifying and treating precancerous lesions before they progress to cancer.

At Precision Proctology, I provide advanced HRA services with a specialized team trained in the latest evidence-based techniques.

What Is HRA?

High Resolution Anoscopy is a specialized procedure that allows precise visualization of abnormal cells in the anal canal using magnification and targeted staining.

It enables:

• Detection of anal intraepithelial neoplasia (AIN)
• Targeted biopsies of abnormal tissue
• Immediate treatment of precancerous lesions

This is not a routine exam—it requires advanced training and experience to perform accurately.

The ANCHOR Study: A Breakthrough in Anal Cancer Prevention

The ANCHOR Study (Anal Cancer/HSIL Outcomes Research Study) fundamentally changed how we approach anal dysplasia.

Key findings:

• Treatment of high-grade lesions (HSIL) reduced anal cancer risk by ~57%
• Early detection and treatment are critical
• Active management is superior to observation

This landmark study confirms that screening and treating precancerous lesions saves lives.

Who Should Consider HRA?

HRA is particularly important for patients at higher risk, including:

• Individuals with HPV
• Men who have sex with men (MSM)
• Patients living with HIV
• History of anal warts or dysplasia
• Immunocompromised patients
• Women with prior cervical or vulvar dysplasia

If you fall into any of these categories, proactive screening is essential.

Our Expert HRA Team

Access to experienced HRA providers is limited—and expertise matters.

Led by Rodney Kratz, MD

• Board-certified colon and rectal surgeon
• 20+ years of anorectal disease expertise
• Advanced procedural and surgical management

An ANCHOR Study–certified high-resolution anoscopy provider

• Nationally recognized HRA provider
• Participant in the ANCHOR trial
• Extensive experience diagnosing and treating anal dysplasia

Together, we provide one of the most experienced HRA programs in the region.

What to Expect During Your Visit

• Comprehensive consultation and risk assessment
• Gentle, high-resolution examination
• Targeted biopsies if indicated
• Immediate treatment planning

Most patients tolerate the procedure well, and it is performed in-office in a discreet, private setting.

Why Choose Precision Proctology for HRA?

• ANCHOR-informed care model
• Specialized HRA providers—not generalists
• Rapid access (often same-week appointments)
• Private, discreet, patient-centered care
• Surgical expertise if advanced treatment is needed

This is not just screening—it’s precision prevention.

Take Control of Your Risk

Anal cancer is preventable—but only if precancerous changes are identified and treated early.

If you are at risk for HPV-related disease or have been told you need further evaluation, this is the next step.

Schedule or Refer a Patient

Direct physician access. No delays.

• Same-week appointments available
• Expedited referrals for high-risk patients
• Discreet, expert-level care

Call or text 425-515-0276 for appointments or referrals.