I had Botox done two months ago after suffering from an AF for over a year. I had it done in the CRS's office unsedated. I also had a superficial fistula laid open and a skin tag cauterized at the same time I had the Botox done. The numbing needles hurt for a few seconds, but then I didn't feel anything. In all, I was there for about 45 minutes. I walked in had my procedures done and walked out 45 minutes later. I was extremely nervous about it, but it wasn't bad at all.
I had my follow-up at 4 weeks and the CRS said my fissure was healed, but the skin needed to get tougher. He said to keep on doing what I have been all along. That includes taking psyllium fiber every morning, Miralax once a day, stool softeners (docusate sodium), and using nifedipine ointment as well. He did mention that I did not need to use the nifedipine anymore, but said I could if I wanted to, he said if anything, it would be a good lubricant. I continued with that for a couple more weeks. I am now about 8 weeks post Botox and feel great. I have absolutely no pain, no burning, no itching, and bm's are painless. After suffering for so long with my AF, it is kind of weird not having any sensations down there to remind me of it :D
I want to mention that about 3 weeks ago I had two days where my bm's were harder than normal (normal being pretty soft). I kind of freaked out about it and thought for sure I might end up back at square one. I did not have any bleeding after my bm's, but I did have a VERY mild achey feeling. It wasn't enough to take any pain meds. I started soaking again after that and the day after the last harder bm I felt fine again. I have not been able to exactly pinpoint what it was that made my bm's a little too firm, but I am pretty sure it was a new vitamin I started taking. I have since stopped taking it and have had no problems.
Although I am physically healed from my AF and feeling great, I am still not emotionally healed from it. It showed when I had the harder bm and started crying out of fear I would re tear. I am sure it will take many months or maybe even years to get over all the emotional and mental anguish the AF caused for me.
I have one more follow-up appointment with my CRS in another month. If nothing changes before then, I will update after that appointment.
My advice to anyone considering Botox is to make sure you find a CRS who does is frequently and who has had success with it. My CRS does a lot of Botox and did four injections all the way around my internal sphincter muscle. I think the amount of Botox used as well as the location of the injections plays a big role in how well it works.
Good luck to everyone.