Y-V anoplasty for treatment of anal stricture.

Anal stricture, a most distressing anorectal condition is frequently of either a previous perirectal infection or as a result of previous rectal operation, most commonly hemorrhoidectomy or fistulectomy. Anal dilation offers only transient relief from this condition, the stricture recurring extremely quickly after cessation of treatment. We have used a Y-V advancement flap technique in 14 patients with this condition. All patients were classified as either "complete satisfaction" or "significant improvement," after a minimum of six month follow-up study. The technique and several alternate methods are presented and described herein.