The present invention provides apparatus and methods for facilitating entry through a bodily opening comprising a spreader having a plurality of arms, each of the arms being formed of a resilient material and shaped so that the distal ends tend to be spaced apart from each other when the spreader is in an open position. At least one of the arms has an engaging member having a sharpness adapted to grasp tissue. When the spreader is radially deployed to the open position, the engaging member grasps tissue adjacent the bodily opening and urges the tissue away from the opening to facilitate visualization of the opening and/or access into the opening. A catheter or other device may subsequently be inserted between one or more arms of the spreader and through the bodily opening while the spreader holds the tissue in a spread position.