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Discription
Anal stricturoplasty is a surgical procedure to widen a narrowed anal canal, often caused by scar tissue (stricture) from conditions like Crohn’s disease or previous surgery. It aims to restore normal bowel function and alleviate symptoms such as pain, constipation, or difficulty passing stool.
What is an anal stricture?
An anal stricture is a narrowing of the anal canal, the passageway from the rectum to the outside of the body. This narrowing can result from various factors, including:
- Inflammatory bowel disease (IBD), particularly Crohn’s disease: Repeated inflammation and scar tissue formation can lead to strictures in the anal region.
- Previous surgeries or injuries: Surgical procedures or trauma to the anal area can also cause scarring and strictures.
- Congenital abnormalities: In some cases, anal strictures may be present from birth.
What is anal stricturoplasty?
Anal stricturoplasty is a surgical technique to widen the narrowed anal canal. It involves making incisions in the scar tissue and reshaping the anal canal to create a wider passage.
Why is anal stricturoplasty performed?
The procedure is typically performed to:
- Narrowing of the anal canal can cause pain, constipation, straining during bowel movements, and difficulty passing stool.
- By widening the canal, stricturoplasty aims to restore normal bowel function and reduce the need for medications or other interventions.
- In some cases, stricturoplasty can be an alternative to more invasive procedures like resection (removal) of the affected bowel segment, especially when bowel length preservation is important.
Types of anal stricturoplasty procedures:
Various techniques can be used, including:
- This approach involves making incisions and reshaping the anal canal from within the anus.
- These techniques involve using flaps of tissue to reconstruct the anal canal and address both strictures and ectropion (abnormal eversion of the anal mucosa).
What to expect:
- Your surgeon may recommend bowel preparation before the procedure to clear the bowels.
- Anal stricturoplasty is typically performed under anesthesia.
- Full recovery can take several weeks, and you may experience some pain, bleeding, or discharge from the surgical site.
- Regular follow-up appointments with your surgeon are important to monitor healing and assess bowel function.
Potential complications:
As with any surgery, anal stricturoplasty carries some risks, including:
- Infection: The surgical site can become infected.
- Bleeding: Some bleeding is normal after surgery.
- Pain: Pain is a common post-operative symptom.
- Recurrence of stricture: In some cases, the stricture may return.
- Incontinence: Temporary or, in rare cases, permanent incontinence (loss of bowel control) can occur.
Important note: This information is for general knowledge only and should not be considered medical advice. It is crucial to consult with a qualified healthcare professional for any concerns about anal strictures or potential surgical procedures.
