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2026, Vol: 10, Issue: 8
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Review Article
Online Published: 21 Aug 2026
 


Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection

Faisal Alharthi, Alhussien Alzein, Mohammed Alzahrani, Naif Alharthi, Alaa Magdy, Mohamed Youssef.


Abstract
Acquired anal stenosis is a disabling complication of benign anorectal surgery, most frequently excisional hemorrhoidectomy, and reconstructive anoplasty is the mainstay of surgical care when conservative measures fail. Multiple flap designs have been described, but comparative data are limited. A narrative review of adult patients with acquired predominantly post-hemorrhoidectomy anal stenosis treated with anoplasty was conducted. Included evidence comprises single-center case series, two comparative cohorts (diamond versus V–Y flap; Y–V with versus without partial lateral internal sphincterotomy), a large consecutive sliding-graft series, and a narrative review that included a prospective randomized comparison of house, rhomboid, and Y–V anoplasty. Outcomes extracted were technique, healing or clinical success, recurrence, complications, continence, and patient-reported outcomes. Short-term healing or clinical improvement was commonly reported in the 90% range. Overall healing reached 97.8% in a 45-patient diamond-versus-V–Y cohort and 91–93% in a 25-patient Y–V cohort. Sliding skin graft anoplasty achieved "good" one-year results in 87% of 77 consecutive patients. Recurrence ranged from rare symptomatic restenosis manageable with dilation or a contralateral flap to a 7.7% reoperation rate in one mixed-technique cohort. Complications were predominantly minor wound issues; continence risk was concentrated in arms that combined anoplasty with sphincterotomy. Multiple tension-free anoplasty strategies produce comparable short-term success in selected patients. Technique should be tailored to the stenosis level, extent, and tissue availability, and continence should be monitored when sphincterotomy is added.

Key words: Anal stenosis, anoplasty, post-hemorrhoidectomy complications, advancement flap, diamond flap, house flap, narrative review


 
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How to Cite this Article
Pubmed Style

Alharthi F, Alzein A, Alzahrani M, Alharthi N, Magdy A, Youssef M. Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. IJMDC. Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238

Web Style

Alharthi F, Alzein A, Alzahrani M, Alharthi N, Magdy A, Youssef M. Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. https://www.ijmdc.com/?mno=321137 [Access: August 21, 2026]. doi:10.24911/IJMDC.51-1778933238

AMA (American Medical Association) Style

Alharthi F, Alzein A, Alzahrani M, Alharthi N, Magdy A, Youssef M. Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. IJMDC. Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238


Vancouver/ICMJE Style

Alharthi F, Alzein A, Alzahrani M, Alharthi N, Magdy A, Youssef M. Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. IJMDC, [cited August 21, 2026]; Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238


Harvard Style

Alharthi, F., Alzein, . A., Alzahrani, . M., Alharthi, . N., Magdy, . A. & Youssef, . M. (2026) Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. IJMDC, Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238


Turabian Style

Alharthi, Faisal, Alhussien Alzein, Mohammed Alzahrani, Naif Alharthi, Alaa Magdy, and Mohamed Youssef. 2026. Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. International Journal of Medicine in Developing Countries, Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238


Chicago Style

Alharthi, Faisal, Alhussien Alzein, Mohammed Alzahrani, Naif Alharthi, Alaa Magdy, and Mohamed Youssef. "Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection." International Journal of Medicine in Developing Countries Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238


MLA (The Modern Language Association) Style

Alharthi, Faisal, Alhussien Alzein, Mohammed Alzahrani, Naif Alharthi, Alaa Magdy, and Mohamed Youssef. "Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection." International Journal of Medicine in Developing Countries Online First: 21 Aug, 2026. Web. 21 Aug 2026 doi:10.24911/IJMDC.51-1778933238


APA (American Psychological Association) Style

Alharthi, F., Alzein, . A., Alzahrani, . M., Alharthi, . N., Magdy, . A. & Youssef, . M. (2026) Anoplasty for acquired anal stenosis in adults: techniques, outcomes, and evidence-based selection. International Journal of Medicine in Developing Countries, Online First: 21 Aug, 2026. doi:10.24911/IJMDC.51-1778933238




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    About International Journal of Medicine in Developing Countries

    International Journal of Medicine in Developing Countries is a peer-reviewed, open-access international medical journal. Journal Title Internat ... Read more.



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