I am almost close to 4 months dealing with my fissure. Last time I checked with CRS, he said it is a superficial fissure with a sentinel pile. I am not seeing any blood lately (touch wood).....but I am unable to get rid of this horrible burning sensation that lasts for 3 to 6 hours depending on BM. I struggle to sit at my desk job or in meetings from morning till noon. I have been trying all kinds of conservative healing methods with diet, nitro and Miralax.....but the burning sensation isn't calming down. My CRS mentioned to try Botox if burning doesn't go away.
I read/heard that Botox has low success rate compared to LIS. Part of me says go with Botox.....but part of me says request for LIS to fix this burning sensation for good. I am concerned with incontinence with Botox and especially LIS but I cannot keep living with this fire in the butt-hole. Can anyone who has done both (botox and LIS) please advice?