Muayad J Lefta* & Qais K Baqir@
*MBChB, FICMS, CABS, General Surgeon, Department of Surgery, Al-Sadr Teaching Hospital, Basrah, Iraq, @MBChB, FICMS, CABS, General Surgeon, Department of Surgery, Al-Sadr Teaching Hospital, Basrah, Iraq. Lecturer, Dept. of Surgery, Basrah College of Medicine.
Anal stenosis is an uncommon condition usually resulted from hemorrhoid surgery. It is one of the common disabling anal conditions and a lot of surgical techniques have been described to treat this condition.
Sixteen cases of severe anal stenosis were included in a prospective study from July 2002 to January 2012 in Al-Sadr Teaching and private Hospitals; there were 14 males and 2 females. All patients received preoperative antibiotics and single enema for bowel preparation. Internal anal sphincterotomy done for all patients, four patients required bilateral flap anoplasty and twelve required only unilateral diamond flap anoplasty.
This study included a total of 16 patients, 14 males and 2 females. Mean age was 35.3 years. Main etiology was hemorrhoidectomy (15 cases), most patients suffer from obstructed defecation, painful evacuation and episodes of minor rectal bleeding. Most patients express improvement in postoperative pain and good functional satisfaction (using visual analogue scale VAS). Complications were minor and treated successfully.
Anal stenosis although uncommon, is a feared disabling anal condition mostly resulted from hemorrhoid surgery, a lot of surgical techniques have been described to treat severe anal stenosis, no one regarded as superior but all share the property of achieving patient’s satisfaction.
In conclusion, diamond flap anoplasty is easy procedure with low complication rate and gives good results for treatment of severe anal stenosis.