Hi guys.
My story is here about my double fissurectomy, skin tag removal & Botox.
http://anal-fissure.org/t6886-sharing-my-double-fissurectomy-botoxShort version - I had been suffering with pain whilst pooping for 3 years. First 2 years self treating hemmies. The next year I finally took my mum who frog marched me to the doctors. I was examined for hemmies but no luck in finding them. Prescribed lidocaine to try. No luck.
Another examination and finally diagnosed with possible fissure. Prescribed GTN (Nitro). Pounding headache for 5 mins after and a rash.
Returned to doctors still in pain and prescribed Diltiazem. To no avail. Then finally referred to a CRS. Long waiting list, lots of pleading and threatening to stop eating managed to get me in to see him. Was a rushed appointment due to it being slipped in before his appointments.
He did an external exam and saw skin tags which were indicative of fissures. Two of them.
He explained LIS is mainly suggested for men because then have a longer sphincter than women and therefore the risk of incontinence is higher in women. He said he'd perform an exam under anaesthetics (EUA) and see what needed to be done.
More than likely it would be a fissurectomy which as you said they will do on a chronic fissure ( unable to heal with creams) - cutting away the scar tissues - which cannot heal because of the stools & spasms - and also because scar tissue cannot heal once it gets to a certain point.
I imagine the procedure as... Bare with me on this analogy... Lady parts. The lady lips will never heal closed as the skin is not open to do it (just like scar tissur), if you cut away the lady lips a bit, and keep the legs shut, it's more likely to heal and close up.
Does that make any sense at all? Excuse my gross analogy.
So by cutting away the scar tissue, making the fissure "acute" once again, it has more of a chance to heal with creams. This is then supported with introduction of Botox (a kind of cream effect but way more productive) or LIS which is the next step up from Botox.
Some have Botox to support LIS too. I know I'd like them both if my Botox doesn't work, just to help with the BMs.
Does that make better sense? Again sorry for the vagina analogy.
WelshAnalogyQueen x