Anoplasty for anal stricture

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Abstract
Twelve patients with anatomic anal stricutre were treated with C-anoplasty in the past 6 yr. Anal stricture was caused by previous hemorrhoidectomy in 10, fistulectomy in 1 and fissurectomy in 1. All patients had had conservative treatment from 4 to 22 years but failed to respond. Eleven patients obtained satisfactory results from C-anoplasty; 1 required 3 anal dilatations postoperatively because of restricture. C-anoplasty is advantageous because it extends the pedicle without compromising vascular supplies; suture-line tension can be controlled by extending the incision and the size of the graft is easily adjustable to anal size.

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