Hey Adam,
I usually had to wait about two weeks, sometimes longer to get into see my "good" CRS. The one I saw prior to seeing her took me in quick. He was a jerk and I figured he was so easy to get in fast with was because nobody else probably liked him. I kind of consider a long wait- a good sign. Well, it has been with my experience :roll:
Anyway, I never had an exam with a scope. From my experience, they won't do it unless you let them. It's a pretty good idea to let them have a good look so they can properly diagnose you and are able to see the fissure. I was gave the option to be put to sleep so they could do an exam before I was diagnosed with a fissure.
They usually have a pretty good idea by the symptoms that you got a fissure, but it has to be seen- to be sure.
My CRS who did my surgery just barely open me up, no scope, etc... and saw my fissure. It's a bit uncomfortable, but it's kind of got to be done.
There are no other specialist for butt problems that are as qualified as a CRS to diagnose and care for fissures/butt problems.
My CRS never pushed surgery but was willing to when I wanted it. She would have gave me more of the ointment(diltiazem) the day I told her I didn't want it, I wanted LIS,Lol. She said "ok , you're ready for the surgery, Ok lets schedule LIS"
CRS do all kinds of surgeries that have to do with colorectal problems. They deal with much more serious things than fissures. My surgery was canceled a couple of times by my CRS because of other life and death surgeries like colon cancer, etc... I doubt money would be a reason they would want to do LIS
You can always get a second opinion if you feel you are being told something that you don't feel right about....