Anal Stenosis, a Hidden Facts in Bangladesh: Evaluation of Causes and Management by Diamond Flap Anoplasty

Authors

  • Mohammad Ibrahim Khalil Assistant Professor, Department of Surgery, Dhaka Medical College, Dhaka.
  • Md Ashiqur Rahman Indoor Medical Officer, Department of Surgery, Dhaka Medical College & Hospital, Dhaka.
  • Imarat Hossain Indoor Medical Officer, Department of Surgery, Dhaka Medical College Hospital, Dhaka.
  • AZM Mostaque Hossain Professor & Ex. Head of the Department of Surgery, DMCH. Vice Chancellor, Rajshahi Medical University, Dhaka.
  • Md Abul Kalam Azad Assistant Professor, Department of Surgery, Dhaka Medical College, Dhaka.

DOI:

https://doi.org/10.3329/jss.v25i1.85652

Keywords:

Anal stenosis, Maltreatment, corrosive, Diamond Flap Anoplasty.

Abstract

Background: Anal stenosis is a rare but disabling condition characterized by an abnormal narrowing of anal canal to a varying extent due to stricture of skin, anal musculature or mucosa that has been replaced by fibrous connective tissue. The condition usually develops as a consequence of several anorectal procedures but commonly after haemorrhoidectomy, performed over zealously without adequate technical knowledge. In rare circumstances, anal stenosis may occur without previous anorectal surgery. Application of corrosive chemical substances by the quack for treating anorectal conditions is an alarming cause giving rise to anal stenosis.

Objectives: To evaluate the causes of anal stenosis and results of treatment by Dimond Flap Anoplasty.

Methods: This prospective study was performed in Dhaka Medical College Hospital and in a private hospital in Gazipur, Bangladesh between periods from January 2014 to December 2016. Nine patients of anal stenosis were included in this study. Data collection sheets regarding demographic data, cause of the event, and outcome of surgery were then analyzed. Results: Total 09 patients were included in this study, among them 04 patients were female and 05 males with lowest age of 32 to the highest age of 65 years. 04 patients (45%) were due to application of corrosive agent by quack, 02 patients (22.22%) due to RTA having extensive perineal injury, 03 patients (33%) due to postoperative causes. Following anoplasty, no patient had flap necrosis, and 02 patients (22.22%) developed postoperative wound infection. One patient had some form of incontinence, specially if loose stools.

Conclusion: Anal stenosis develops most commonly after anorectal operations. We found maltreatment in the form application of corrosive agent by quacks for the treatment of anorectal diseases, specially in females, is common cause of anal stenosis in our study. The results of diamond flap anoplasty is highly effective in the treatment of anal stenosis irrespective of aetiology.

Journal of Surgical Sciences (2021) Vol. 25 (1) : 5-9

Downloads

Download data is not yet available.
Abstract
0
PDF
0

Downloads

Published

2025-11-26

How to Cite

Khalil, M. I., Rahman, M. A., Hossain, I., Hossain, A. M., & Azad, M. A. K. (2025). Anal Stenosis, a Hidden Facts in Bangladesh: Evaluation of Causes and Management by Diamond Flap Anoplasty . Journal of Surgical Sciences, 25(1), 5–9. https://doi.org/10.3329/jss.v25i1.85652

Issue

Vol. 25 No. 1 (2021)

Section

Original Articles

License

No part of the materials published in this Journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in file Journal will be available from the publisher.