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Updated: Jun 27, 2026
04:53
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Anorectal junction stenosis: diagnosis and management
K A Rashid1, A Wakhlu, R K Tandon
1Department of Pediatric Surgery, King George Medical University, Lucknow, India.
Summary
Anorectal junction stenosis, a rare condition, is effectively managed with single-stage posterior Y-V plasty surgery. This technique offers a curative solution for most pediatric patients, especially when significant rectal dilation is absent.
Area of Science:
- Pediatric Surgery
- Anorectal Malformations
- Surgical Techniques
Background:
- Anorectal junction stenosis is a rare congenital anomaly.
- It typically presents in children with constipation.
- Diagnosis is often confirmed via digital rectal examination.
Purpose of the Study:
- To describe the management of anorectal junction stenosis in 9 patients.
- To present diagnostic features of the condition.
- To evaluate a single-stage surgical technique for reproducible results.
Main Methods:
- Nine pediatric patients with anorectal junction stenosis were analyzed over 12 years.
- Diagnosis was confirmed by digital rectal examination and contrast studies.
- Surgical management included posterior Y-V plasty, posterior sagittal approach with colostomy, and abdominoperineal pull-through.
Main Results:
- Posterior Y-V plasty was curative in six patients without significant rectal dilation, with no complications.
- Two patients managed with the posterior sagittal route required a colostomy; one needed revision for an anastomotic leak.
- Follow-up ranged from 6 months to 12 years, with all patients alive and well and no recurrence of stenosis.
Conclusions:
- Anorectal junction stenosis is a rare anomaly, easily diagnosed by digital rectal examination.
- Single-stage posterior Y-V plasty is an effective treatment for the majority of patients without significant rectosigmoid dilation.
- The described surgical approach yields reproducible and successful outcomes.
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