Hi All,
I am a new member, 39 years old Male.

My story started July 2021 with bit of Anal Pain, which thought of only Haemorrhoid, and since waiting for first dose Covid vaccine i just let it be. After Vacccine which 2 weeks from it is started i still feel the pain so went to GP and CRS and suspected Fistula but MRI done show nothing hence nothing being done.

2 weeks after i start to feel a bit pain during urinated and went to urologist which suspected prostatitis but all test also show nothing.
My second colorectal i visited on Sept 2021 diagnosed me with Fissure after doing anoscopy, and prescibed me with rectogesic. And after 2 weeks he stated i am recovered.

Fast forward to Oct 2021 i started to unable to sit, if 30 mins sitting then i will feel pain in my buttock, back thigh, and lower back pain.

I tried to find the issues, went around from doctor to doctor. And lastly, on Jan 2022 last CRS i saw which happened to be Head of colorectal Dept in most welknown hospital in my country stated that i have a really superficial fistula at 12 o’clock and small surgery to lay open to be done.
With the hope to recover from all the sitting pain i have i went with the surgery on 21st Feb 2022 after colonoscopy done and confirmed no other underlying issue.

In fact i do not recall any discharge or absess before, but i just believe what the CRS proposed with the surgery.

Now i am 7 weeks+ after the surgery. But seem like my wound is not yet fully heal and even now the pain in the surgery area of 12’o clock is radiating to groin, back thigh, buttock and can feel that the muscle spasm too often. I have 1 day feeling bit better then other 3-4 days bad days. Muscle spasm, radiating pain, and surely hard to sit is there. My CRS say wound is healing well, i even Went to Other CRS to ensure but also get answer that wound is healing but how come the feeling is like this.

I hope if all good guy here and there will be angel here could share with me, is it normal with my condition? Anyone done 12 o’clock fistula surgery before to share with me on the experience.

Thanks very much in advance

How are you doing? I had the same surgery in April of 2022 and I'm still healing from it in Aug of 2022. This surgery seems like it can be tough to recover from. One thing that set me back was my restrictive vegan diet. I basically wasn't getting enough protein to heal my wound in a timely manner. Once I added meat and increased protein intake, things got a lot better. I healed a ton in a month or so, but I'm not 100% yet. Slowly getting there.

These things can suck, my fistula was basically a result of neglecting a chronic fissure and probably a lack of protein. If you have a fissure, don't mess around with it!! The natural cures everyone touts will only prolong your suffering, find a good CRS asap!!!! Get the surgery as well, it is not that bad.

Hi guys,
Hope you're getting better. I have this sitting pain that makes me sick. No other symptoms and tests have been negative. Do you experience pain with prolonged sitting too?

@Fred55 What kind of surgery did you have?

Nothing! I had fissure-like symptoms back in January, but since March I haven't seen any blood or pain during BM but just pain when sitting for long time. Colonoscopy and MRI didn't catch anything. My Colonoscopy doctor told me seems like I had a fissure that healed. Quite frustrating not being able to locate the problem.

What type of pain are you having? Be specific too. I'm not a doctor, but I think I might know what is going on with you.

bit of story:
Around 15 years ago I had fissure-like symptoms. I say fissure-like because I never had one, but was diagnosed anusitis. I was experiencing blood in stool and burning sensation. I was told I should avoid certain foods (spicy, acidic, etc.) and I did so and healed after a few months. In hindsight, diet probably wasn't that much important as I went back to my normal diet after that for 15 years and didn't have any problem! I always had minor IBS though. Anyways, it all started this January. I got classic fissure symptoms (broken glass feeling, bleeding with BM) after constipation twice, once in January and then in March. For both times, I healed it with ointments after a week or so. Now here's my main issue which is totally new to me and is driving me crazy:
Ever since March, I mostly dont see any blood, don't see any anomalies in the area in or out, no pain during BM except minor soreness after hard BMs, but just sphincter tightness and PAIN WHEN SITTING! It's pain free at the beginning, but starts to pain when sitting prolongs beyond half an hour. I also have developed tailbone pain and cannot tell whether or not the whole pain I'm experiencing is originated at my tailbone. It certainly pains sharply when I press on my tailbone or when I push. When I'm sitting, the pain gradually increases but it's fair to say the pain is always low grade. When I stand up from sitting I feel a sharp pain in my tailbone that radiates to my buttocks and then goes away. Oddly I'm more comfortable sitting on hard surfaces as I lean a bit forward, but when I sit upright or backward it's worst. The pain is muscle pain is not localized.
One colonoscopy in February and two MRIs since cannot find any problem (the colonoscopy doctor just said it seemed you had a fissure that fully healed). I also saw hemorrhoids/lumps a couple times but I'm almost sure they where either sentinel piles or more likely just reaction to ointments as they disappeared when I stopped using ointments

You have the classic symptoms of pelvic floor dysfunction. The fissure probably created this problem in the first place. I had a similar problem and it comes and goes when I don't do my stretches that were given to me by my pelvic floor specialist.

A good pelvic floor specialist is hard to come by, but if you can find one, they can help you out. If not, there are a few of them that can do telehealth calls with you and instruct you that way.

When you get an anal fissure, you subconsciously tighten your pelvic muscles in order to protect that spot, which can make the problem worse. If you have more questions, I could hop Discord and chat with you. Again, I'm not a doctor or a medical professional, but I went through hell the last few years and I got a lot of good tips for tackling this problem.

Thank you very much for your info. Wouldn't you mind if I ask what your symptoms were/are? A chat also would be nice

I had pain in around my anus, scrotum, perinium, trouble with holding urine, painful urinations, pain that radiated into my back and lower groin areas. I was a mess. When the fissure was at its most painful point, my pain in those areas was the worst.