by thisfissurecankissmybutt » 09 Jan 2013, 06:52
The main reason I chose LIS over SAD was because of the published success rate of the two procedures - high 90's for LIS (99%+ in my CRS's practice) vs. mid-to-upper 80's for SAD. I wanted my best shot at success and LIS provided that. Plus, I wasn't concerned at all about the tiny incision needed for LIS. In addition, I am in the lowest risk category for incontinence (young, male).
The fact is: LIS is the gold standard for chronic anal fissures, not because most CRS's perform them, but because their success rate is much higher (which is why most CRS's perform them, in my opinion). Of course, if you are in a high risk category for incontinence, you may want to at least consider SAD.
Whichever way you decide to go, I hope you find relief! Anal fissures suck.