Anal stricture is one of the late complications of haemorrhoidectomy,
and occurs particularly when the perianal skin has been widely excised
. Many patients respond to an initial trial of daily regular dilatatio
n with anal dilators. In some, this conservative treatment is not effe
ctive and surgical correction is warranted. This paper reports success
ful anoplasty using a double Y-V plasty in two such patients.