I'm off to see my CRS tomorrow after 10 weeks on Dilt cream and the fissure has not healed. I feel like the dilt has helped to an extent but the threat of an agonising time is just one hard bowel movement away. I think the only way to go now is botox. My crs said the fissure looks partially healed already so maybe botox will push it up to 100%. What i'm unsure about is how it's carried out. I've read that you have to have a general anaesthetic while they inject you and i've also read that a simple numbing agent is all that's needed. Did you have to go to a hospital to have it done or was it injected in the crs office on the day? Do they have to do anything special to locate the sphincter or do they just know where to aim. Most of all did the injection cause pain to your fissure?
My crs has always said botox is an option but he's never explained the procedure to me. I think he was very confident the dilt would heal it and I wouldn't have to bother.