I had fistula surgery about 15 months ago - I also has a fissure which he scraped.
I then was ok until Sept when I had a lot of bleeding - I was away from home (Australia) and in the UK at the time so it was stressful. I had another colonoscopy and he dilated my anus (he didn't tell me he was going to do this).
Anyway, my bottom has been loads better - I did have a bit of bleeding about 3 months ago but it seemed to heal quickly (it usually gets worse around the time of my period). However, I still have to apply licodaine and nifedipine ointment every day or I get bad itching.
It is expensive in Australia and I also would rather not apply a chemical every day for the rest of my life (I'm only 43). I am trying organic coconut oil and so far it seems to be doing the trick.
I really feel for people on here as I never really had the bad spasms and hideous pain - more like annoying twinges and then itching.