anal stenosis

The colorectal surgeon I am now seeing, this is post total proctocolectomy with end ileo and a different surgeon because mine retired in 2013, told me I have anal stenosis now..ugh. Could this be the result of him doing biopsies (twice) inside the anus and around the rectal cuff. I also have a pretty nasty case of ulcerative proctitis around that cuff and God knows what is going on inside that cuff. He is procrastinating about removing the anus. He told me that would be a last resort. So far, the suppositories and proctofoam have NOT worked and seem to be doing more harm than good. I am starting to believe all this digging around in there probably caused the stenosis! UGH...anyone out there with the same problem? Any suggestions? I did see a different surgeon last November for another opinion and he agrees with the guy I am seeing now. I am 69 yrs old and otherwise in good health. Thanks. I am at my wits end right now. OOPS..forgot to add, I am in a LOT of discomfort and he placed me on Cipro, this is my fourth day on it, because Monday I woke up and the pain was radiating from inside the anus, up into my back, out to my hips and around to my groin area. I still have the discomfort in the anus, but the radiating pain has ceased. As for the rectovaginal fistula that he cannot seem to find, I had a test done on Tuesday where they injected a catheter inside my vagina, inflated it and inserted a dye. Still cannot find that fistula!!!

Mebythesea, I cannot understand why he can't go through the back either. He said he COULD go in through the back, but doesn't know what he would be up against and, probably, would have to go through the same incision as my original operation. UGH. I just don't want ANYONE tampering with my stoma. It has always worked like a charm. Like you, I also have only about two inches open there. On my original surgeon's operative report, he stated he removed the rectum, but, according to this guy, there is a bit of rectum left and that was my problem to begin with!!!! To add insult to injury, the surgeon phoned me yesterday and told me I had purulent discharge in the vagina and he wants me to have a thorough gyn workup. Maybe even a DNC. He cannot believe all these problems are stemming from the inflammation inside the anus.