# Repair of anal stenosis using a prolapse and hemorrhoids (PPH) stapler procedure: A case report with excellent results > Warsinggih URL kanonis: https://discover.unhas.ac.id/publications/pub_scopus_85097408921 Jurnal / Konferensi: International Journal of Surgery Open Tahun terbit: 2020 DOI: https://doi.org/10.1016/j.ijso.2020.10.013 ISSN: 24058572 Kuartil SJR: Q3 Citations: 2 ## Authors - Warsinggih ## Abstract ABSTRACT Introduction: Anal stenosis post stapled hemorrhoidectomy is a rare but serious complication of anorectal surgery. Stenosis is uncomfortable, where there is a narrowing of the anal canal. A loose fibrous tissue replaces healthy tissue due to stapler manipulations, causing pain at the time of defecation. Presentation of case: Here, we report the case of a 67-year-old male patient complaining of difficulties and pain when defecating. There was a history of stapler hemorrhoidectomy for 4th-grade hemorrhoids. On investigation, we found 3rd-degree anal stenosis. We performed repair of anal stenosis using a PPH Stapler No. 33. Defecation had improved by the fifth-day post-repair. Conclusion: The PPH Stapler technique has the potential to be a promising procedure to treat anal stenosis. Highlights: ## Keywords - Medicine - Anal stenosis - Hemorrhoids - Surgery - Stenosis - Defecation - Complication - Anal canal - Obstructed defecation - Rectum - Radiology --- Sumber: Discover Unhas — RIMS Universitas Hasanuddin. Saat mengutip, gunakan DOI bila tersedia atau URL kanonis di atas.