Hey everyone. As the title says I'm a gay guy, 24 years old and I've had a chronic fissure for 4 years now. This post is mostly aimed at other gay men who've had the sphincterotomy surgery and returned to a normal sex life after healing to share their experiences but comments are of course welcome from everyone! :)
I used to love bottoming in sex but haven't been able to since the fissure developed, for the obvious physical and psychological reasons. It's really affected my sex life, knocked my confidence a lot and made me quite anxious worrying that I'll never have a normal sex life again. My symptoms are classic but generally not severe – some pain during/after BMs, painful spasms sometimes, a generally very tight feeling anus etc. I've tried all the typical creams over the years (rectogesic, anusol, steroid creams and suppositories, vaseline, sudocrem etc). When all of these either failed or partially/fully healed the fissure which then recurred, I had 2 rounds of botox injections 3 months apart (latest was in Feb of this year) . According to my colorectal surgeon when I visited him last week, the fissure is mostly healed but still slightly open at the very end of the fissure. While this is cause for optimism, I'm thinking at this point of just asking for the sphincterotomy surgery after so much time struggling with this and it still not being fully healed since my most recent botox treatment which was nearly 6 months ago. It sort of just feels like it is never going to resolve by itself without the surgery, or like it will resolve and then recur immediately at the first hint of a 'slightly less soft than usual' BM or anal sex. But, I've been so worried about various things with the surgery, such as it affecting long term continence which I'm worried would be exacerbated by bottoming in the future? Another worry is that the surgical site wound could cause issues when bottoming even if the fissure itself has healed?
So, does anyone have any advice on this from your own experiences? If so, how long did it take you after surgery to fully heal and get back to being able to have anal sex again? How did you know you were fully healed and ready to get back in the game? How do you successfully bottom without the fissure recurring from the scar tissue tearing during sex? To clarify, I've asked my surgeon all of these questions and he has been optimistic with every treatment I've been through that I'll be able to have anal sex again in the future. But, as he's a straight man I worry that he's perhaps not 100% clued up on this in the context of it being an issue for me as a gay guy.
Sorry for all of the questions and the long post, I just don't really know where to turn for gay sex specific advice on this other than from other gay guys online who have been through the same thing. So with that I'm hoping this thread can be a help for both me and other people going through this.
Thanks!