Anal Stricture / Stenosis

Anal stricture (also called anal stenosis) is a medical problem that is not common; it may be congenital (a baby is born with a medical problem), but usually if it does happen it is after anorectal surgery, which is surgery in the area of the rectum and anus. This may cause stricture (when a passage in the body becomes too narrow) of the anal canal, which leads to hard or painful bowel movements. When anal stenosis does occur it is usually after a hemorrhoidectomy, which is the surgical removal of hemorrhoids; this is the cause in 90% of cases of anal stenosis.
Mild stenosis can be treated with stool softeners or fiber (which come from plant foods) supplements (in pill or powder form). When the narrowing of the anal canal is not too much, an operation called a sphincterotomy can be done to correct the problem. This is an operation done on the internal anal sphincter muscle, a round muscle inside the anal canal. In cases where the anal canal becomes very narrow, an operation called an anoplasty is done. This is reconstructive surgery (also known as plastic surgery) of the anus.

Anal stricture or STENOSIS… can be defined as narrowing of anal canal & poor contraction dilation of anal muscles which cause discomfort & pain during defecation and patient complaints of feeling of non-emptiness of bowel because the narrowing of anal canal obstructs the fecal material to come out.
Some of the main cause of anal stenosis are unhealthy healing of post surgical wounds occurred after surgery of ANORECTAL diseases like piles fistula & FISSURE etc, unhygienic patient,any old & ignored ano-rectal disease which were not given proper treatment etc.

Treatment… kslt takes about 15 20 minutes in opd & patient has to come once or twice in a week as per patient's own physical strength for 5 to 10 minutes. It takes about 10to15 sittings for complete ambulatory treatment.
patient can go home after 30 minutes of 1st day (main treatment of kshar sutra ligation) procedure & can start his normal routine works from the next day.
The MCDPA therapy has to follow up to next 30 to 45 days.