Evaluation of house flap anoplasty in cicatricial anal stenosis

Anal stenosis is a rare but incapacitating and challenging condition, occurring mainly after hemorrhoidectomy.
Both non-surgical and surgical treatments have been described for the treatment of anal stenosis. Moreover, several surgical techniques have been devised for treatment of this condition but none proved ideal for all patients.
Patients and methods: We advocated the "house advancement flap" anoplasty in Ain Shams University, Departement of Surgery in nine patients and evaluated the postoperative outcome as regards symptom relief, and late complications.
Results: Post hemorroidectomy anal stenosis was the most common cause (n=6 out of 9 patients =67%). Postoperative complications included donor-site separation (1), urinary retention (1) and sepsis (3). At a median follow-up of 6 months, 7 out of 9 patients were completely satisfied and 2 improved. Of these, one patient had multiple flaps done (2) to improve outcome.
To conclude:  House flap anoplasty is simple and can be used to correct many anoderm deficiencies with a high rate of success and patient satisfaction.