ABSTRACT

Anal stenosis is a rare entity which is characterized by an abnormal narrowing of anal canal due to progressive fibrosis of anal epithelium. It is a complication of anorectal surgery where mostly encountered after hemorrhoidectomy. The effective treatment of anal stenosis is difficult. We aimed to present two cases of anal stenosis developed after hemorrhoidectomy and VY anoplasty for their surgical management. Case 1: 45- years old male patient underwent LigaSure hemorrhoidectomy 1 year ago for Grade 4 internal hemorrhoids. Three months later he developed anal stenosis. Since both dietary treatment and anal dilatation did not give effective results, patient underwent V-Y anoplasty. Case 2: 38-year old female patient underwent LigaSure hemorrhoidectomy 10 months ago for Grade 4 internal hemorrhoids. Anal stenosis which was refractory to dietary measurements and anal dilatation developed 2 months later. A one-sided V-Y anoplasty was performed to the patient. Anal pain, strained defecation and bleeding complaints of both patients disappeared postoperatively. There was neither any complications nor recurrence detected during 8 months follow-up. V-Y anoplasty is an effective method for anal stenosis which is refractory to dietary measurements and repeated anal dilatations.