If all else has failed and in my opinion 3 months and its still there then dobthe Lis. I did it after 9 months of massive water fiber sitz baths stool softners and nothing worked. I finally had the surgery done Oct 28 2016. First few days were worse then before surgery. Had 3 internal hemorrhoids banded same day as Lis. They gave me Morphine and occycodone which made the pain go away till that wore off and then the hell was on. By day 7 much better but not totally there. Goback to CRS on Nov 14. Time will tell. This is by far the worse condition I have ever had. My 2 cents do the Lis at least you have a chance if its not working now its not going to and may get wotse. CRS said longer I put it off worse it would get. There you have it
At least thats been my experience with this extremely annoying irritating painful garbage.