I have developed anal stenosis as a result of scaring from my sphincterotomy that was successful for 9 years, but have had a return of a fissure that heals then gets slight tears again, heals and the cycle repeats despite my best efforts to keep things soft and moving. I'll do fine for some time, then get a BM that is a bit drier, or larger or firmer. I take Miralax every day and do all I think I can to keep things from repeating themselves. But its a constant struggle and I think I'm reaching a point where its becomne a real fine line between healing and re-traumatizing the area again. What can one do when it comes to this? My CRS talked about some type of surgical procedure, but did not go into much detail. I thought he was talking about some combination of surgery and dilation, but said that could some times lead to more fissures, which does not make sense to me why one would do something to cure a problem only to make it worse. What do folks here do when they have anal stenosis and nothing seems to relieve their misery anymore. I told my wife I'm about ready to go for a colstomy as I'm sick in tired of all this.
Pokey