Anoplasty Surgery: Procedure, Recovery and Benefits

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.