Anoplasty Surgery: Procedure, Recovery and Benefits

Dr. Ilango Sethu

Surgical Gastroenterology · Iswarya Hospital

Anoplasty is a reconstructive surgical procedure used to treat anal stenosis and severe haemorrhoid scarring. Here's what to expect from the procedure and recovery.

Anoplasty is a surgical procedure to repair or reconstruct the anal opening (anus). It is most commonly performed for anal stenosis — a narrowing of the anus that causes painful, difficult defaecation.

Conditions Treated by Anoplasty

Anal stenosis — narrowing due to previous haemorrhoid surgery, trauma, or scarring

Anal ectropion — outward displacement of rectal mucosa

Congenital anal anomalies — sometimes corrected in combination with other procedures

Severe scarring after radiation or inflammatory disease

Types of Anoplasty

1. Island flap anoplasty — most common; skin flap from the buttock is advanced to widen the anal opening

2. Y-V anoplasty — a Y-shaped incision is converted to a V-shape to widen the canal

3. House or diamond flap — for more extensive stenosis

The Procedure

Performed under general or spinal anaesthesia

Takes 1–2 hours

Hospital stay: 1–2 days

Sutures are usually dissolvable

Benefits of Anoplasty

✅ Relieves pain and straining during bowel movements

✅ Restores normal anal calibre

✅ Improves quality of life significantly

✅ High success rate (>85%) in experienced hands

Recovery Timeline

| Period | What to Expect |

|--------|----------------|

| Day 1–3 | Mild-moderate pain, managed with medication |

| Week 1–2 | Wound care, sitz baths twice daily |

| Week 3–4 | Gradual improvement, return to light activities |

| Week 6–8 | Full healing; can resume normal activity |

Dietary Guidance During Recovery

High-fibre diet is essential to avoid constipation

Stool softeners as prescribed

2–3 litres of water daily

Avoid spicy foods for the first 2 weeks

Iswarya Hospital's colorectal team provides expert evaluation and surgical care for all anorectal conditions.

Tags:

#anoplasty#anal stenosis#colorectal surgery#anorectal#surgical recovery

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