Anoplasty for Post Hemorroidectomy Anal Stenosis : Diamond Versus V-Y Flap Techniques

Inclusion Criteria: * Patients with post-surgical severe anal stenosis based on Milsom and Mazier classification after the failure of non-operative measures were included. Exclusion Criteria: * (1) Patients with functional stenosis as acute anal fissure. (2) Patients with a recent history of anal stenosis who had no medical treatment trial. (3) Patients with mild or moderate anal stenosis who expected to respond to medical treatment. (4) Patients with inflammatory bowel disease, tuberculosis, or perianal fistula. (5) Patients with previous radiotherapy or previous anal malignancy. (6) Patients with previous anoplasty.