Free graft anoplasty

Aim Reconstruction of a stenotic anal canal and repair of a stenotic perineal colostomy using a free graft foreskin. Method The use of free graft foreskin anoplasty was described by Freeman for the treatment of mucosal prolapse in pediatric patients. The original surgical technique was modified and employed in two adult patients for the reconstruction of the anal region. Results The graft, in both cases, took well with a satisfactory functional and morphological recovery of the anal canal. Conclusion Free graft foreskin anoplasty, has proved to be an effective solution to stenosis in the anal canal following major local surgery. © 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.