I've been apart of these forums for about 2 years dealing with my fissure and I'm glad to be out on the other side!
I had a chronic fissure with no spasms, so I was lucky in that regard. However with each BM it would be 10/10 pain.
First I tried Rectogesic (with no stool softeners) and only had brief moments of relief.
Then I had Botox along side stool softners and rectogesic and again I only had about 3 months of inconsistent relief. (I wrote a dairy on this journey).
Finally I decided to give then LIS a go, and after 3 months post op I had finally healed to the point where I wasn't having any leakage, didn't need softeners and everything felt normal down there with no pain or discomfort with BMs! (There is also a dairy on this too).
I am now 6 months post LIS and consider myself fully healed and I feel as though I have never had the fissure!! I am so greatful for my surgeon and going ahead with the LIS, I can now go to the toilet without any fear!
There is hope for you too!