So first of all, this Doctor is the one that GAVE me the fissure as he tore me inserting the anoscope when banding a hemmie. This was despite me asking if he had a smaller tool (I know they exist as a previous Doctor used one on me) as I tear easily. In he went and my heart sank when he pushed it toward the back I felt the sharp pain and blood trickle. He made light of it but I knew this was going to be trouble for me as I also have pelvic floor dysfunction. The fissures I have gotten myself over the years have always been so tiny and heal up within a week. Well, almost 9 months later and 3 rounds of botox and now a second fissure, I am at a loss. He's been a great Doctor since, in that he sees me on short notice and never rushes me and answers my multitude of questions. The problem I have now is if I should believe his answers. Here is what he has told me:
1) The fissure usually heals within 2 weeks of LIS
2) he made nothing of removing the sentinel tag and putting a stitch in. When I asked if there is a problem with healing where the tag is removed since it is also posterior where there is apparently poor blood flow he seemed to think nothing of it.
3) When asked about incontinence he said that 1 in 250 would have a "skidmark" here or there.
4) when asked if he would do a more conservative cut or if he always severs the sphincter he said he does not do partial cuts and this scares me. He said he only cuts as long as the fissure is, which concerns me because he couldn't see the top of it. I have a weak pelvic floor and don't know how much looseness I can handle. I have botox there now and often can't even feel my bum, which is not good when you want to have a BM.
5) When asked about activity restrictions he seemed to indicate that I just wouldn't want to ride a bike but what I have read on here sure makes it sound a lot more painful and lengthy recovery.
Anyway, I am asking these questions because I feel like he is sugar coating things too much and I have to wonder why he wouldn't be honest with me. It makes me suspicious.