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BACKGROUND:

Regarding anoplasty for anal stenosis, it is not clear to what extent the final anal caliber should be targeted.

OBJECTIVE:

The aim of this study was to investigate the results of diamond-flap anoplasty performed in a calibrated manner for the treatment of severe anal stenosis due to a previous hemorrhoidectomy.

DESIGN AND SETTING:

Prospectively prepared standard forms were evaluated retrospectively.

PATIENTS AND INTERVENTIONS:

Anoplasty with unilateral or bilateral diamond flaps was performed for moderate or severe anal stenosis, targeting a final anal caliber of 25 to 26 mm. The demographic characteristics, causes of anal stenosis, number of previous surgeries, anal stenosis staging (Milsom and Mazier), anal calibers (millimeter), the Cleveland Clinic Incontinence Score, and the modified obstructed defecation syndrome Longo score were recorded on pre-prepared standard forms, as …