Various types of anal stenosis have been reported, but there are no previous reports of a complete anal stricture. We present a patient with a complete anal stricture after diverting colostomy for Fournier's gangrene.
Anal stricture is a tight narrowing of the anal canal that may interfere with defecation [2, 4].
Table 1: Complications during ASARP Complications Number of Patients Haemorrhage 0 Vaginal wall tear 2 Rectal wall injury 0 Wound infection 3 Wound dehiscence 1 Table 2: Followup after ASARP Followup Anal stenosis 1 Anal stricture
0 Mucosal prolapse 0 Constipation 3 Incontinence 0
The surgical techniques often used for perianal fistula have variable results and no surgical treatment is totally effective in both eliminating disease and avoiding complications like anal incontinence, anal stricture
and recurrence of fistulas (Matthiesen and Marretta, 1993).
(11) A digital examination of the rectum can determine whether a fecal impaction, anal stricture
, or rectal mass is present and can evaluate its integrity.
AS Anton Chekhov, that happy-go-lucky geezer (who briefly worked as a hack on a national daily) once said, "Journalism is like probing a chronic anal stricture
Late complication as anal stricture developed in one (4%) patient, tenesmus in 2(8%) patients and recuurence of haemorrhoids in one (4%) patient.
Late complications after MIPH in our study showed anal stricture in four percent patients, tenesmus in eight percent patients and recurrence of haemorrhoids in four percent patients.
LATE POST-OPERATIVE COMPLICATIONS: Anal stricture noted in two patients in stapled group compared to 4 patients in conventional group.
In the stapled group two patients had anal stricture at the end of the study.
Patients with chronic fissure, acute thrombosis, fixed fibrous external hemorrhoids, abscess, benign rectal disease, colorectal carcinoma, anal strictures
, and severe primary diseases were not included in the study .
As regards chances of anal strictures
, anal stress in such cases.