Twenty-eight patients with anal stricture were randomly allocated into
two equal groups, in a consecutive manner. The first group was treated by
Y-V anoplasty and the second group was corrected by S-plasty. Postoperative
anatomic and functional results were satisfactory in both groups.
Y-V anoplasty proved to be a simpler technique with less hospital stay (9
days), while S-plasty which is a more extensive procedure with 12 days
hospitalization offered no better results than Y-V anoplasty. Whatever
method was used, it is essential to design flaps with good blood supply and
to obtain complete haemostasis. All procedures should be combined with
internal sphincterotomy. We recommend Y-V advancement flap as an
effective technique for the management of mucocutaneous anal stricture. |
