Hi folks!
Well, it's done! Here's how it went for me:
1:30pm: My fiancй and I arrive at the clinic. I am TERRIFIED. The surgeon takes me into his office, examines the fissure, and says that there's a few signs of healing. He gives me the ultimatum: get the surgery now or wait another month or so. He tells me that healing naturally could take months. He also tells me about the LIS procedure and that the freezing needles (there are 5!!!!) are very painful, but that's it. I begin to cry and tell him I need more time to decide. I go see my fiancй in the waiting room and he tells me that it basically boils down to how much more pain I can take. I decide no more pain. I wipe my tears and go into the surgery room.
The surgery: The surgeon tells me to put my knees on a little platform and lie flat on my tummy. The platform raises so that my butt is in the air. I didn't have to get undressed, just pulled my pants down. The surgeon injects some Demerol into my arm. 30 seconds later, I am very sleepy and totally calm. Then comes the most fucking painful thing I have ever experienced: 5 freezing needles in the anus, one at a time. I scream every time. Luckily it lasts only about 30-45 seconds total. Then I feel nothing. I remember mumbling some things and also I remember hearing the scissors snip. Then it's over, about 10 mins later. I'm so out of it that I am practically drooling on the table. I get up, pull my pants up, and go lie down in the recovery room.
The trip home: After 30 mins in the recovery room I try to get up but I get VERY dizzy with tunnel vision and nauseous. I'm told this is because of the Demerol. I wait another 30 mins. After 30 mins I start feeling a very sharp throbbing pain in my butt. The doctor says this is because of the local freezing wearing off. The pain is very intense, so I dizzily walk downstairs to the pharmacy and get some percocet. I almost passed out in the pharmacy from the dizziness. Finally I take the percocet and baby-step my way out. My fiancй and I had a good 45 mins trip on the subway before we got home. I was moving very slowly because my ass was in pain and there was gauze shoved in there too. I can't sit down on the subway because of the pain, but I can hardly stand because of the dizziness. Finally we get home and I lie down on the couch and fall asleep for an hour.
Evening after the op: I wake up and make myself some minestrone soup and brocoli. Standing up feels ok. Gauze is uncomfortable and feels like it's pulling at the incisio wound. The doctor told me to wait until the next day (today) before I take it off, so I have to put up with it. I have a good meal then lie down. We watch The Ballad of Ricky Bobby, which was hilarious, but laughing kind of hurt. After the movie is over I feel the pain coming back in jolts so I take another percocet and go to bed.
Today, Day 1 post-op: I wake up at 9am and expect to be in pain because the percocet wore off, but I'm not. No pain. I go into the shower and let the water run on my butt like I was told to do. The first gauze falls out. The second gauze I ever-so-gently pull out. I feel a bit of a pinch but nothing more. I'm scared because I anticipate pain, but there is none. I sit in warm soapy water for 15 mins. Then I get out and dry my bum by sticking in in front of a fan (lol).
11am: OMG I have to go to the bathroom for a BM. I'm scared but I remember that it shouldn't hurt so I'm not that scared. It happens. No pain from the fissure at all!!!! The only pinch I felt was from the incision wound. I bleed a bit, but nothing major. I jump into soapy water bathtub again for 20 mins. No pain. I get out and the ever-present post-BM burning is not there.
Now I have been sitting at this computer writing here for 15 mins and it still feels a bit uncomfortable to sit for long, so currently I'm typing while standing. I have only taken two percocets and honestly I don't think I will need any more! The doctor told me that I should be fine to go to work on Monday, but I might only work a half-day for a few days.
Also: no sign of incontinence yet. I'm not gassy right now but I had some bran so it'll come, and I'll be able to tell then.
All in all, I think this has been a positive experience!! I'm still apprehensive about incontinence so I'm keeping an eye out for that. I think this surgery should be done under general anasthesia at all times. If any of you are getting local freezing only, it hurts but only for a little while. Ask for Demerol and you'll be just fine.
I'll write more tonight or tomorrow!!! Thanks everyone for all your encouragement :)
Geneviиve