I think about 6 years. I had who I thought was a wonderful Urologist treating me until she discharged me (unexpectedly) as a patient in December of last year. It wasn't long after that I got the fissure. I knew things were tightening up. I pleaded with her to treat me as I think it will persist until my anismus is addressed but she won't talk to me. The physio I was seeing (who works with her) said that my pelvic floor was fine and that I didn't need the botox. I am still so upset about it all as I know I wouldn't be in the situation if they would have just listened to me. Anismus/pelvic floor dysfunction is functional and cannot always be palpated when laying on a table.
To make matters worse, I finally found another Doctor to do the botox but she did the wrong muscles and now I can hardly poop and feel like I have to all the time. It's hard to explain but when your pelvic floor is really relaxed and not the sphincters, it just kind of sits there. Not good for a fissure. So I basically have to resign myself to the fissure not getting better, and maybe even worse until this round of botox wears off. Then I have to decide what to do...Anyway, rant over. Sorry...