To start I have had on and off anal fissure problems since March 2012 probably before then too. I was told by a general surgeon that it was healed but still had dull ache pain. I have been on dilatezem since the beginning if January and it hasn't helped much.
My CRS has suggested I have an anioplasty flap instead of LIS. I was surprised because I thought LIS was the first line of surgical defense. In doing a little reading it appears LIS has shorter healing times with high success rates vs anioplasty which had 12% or so failure rates. The main advantage of anioplasty is no incontinence risk, but it is not recommended for people with high pressure down there which is what I think my problem is. I don't suffer from hard stools and my stools are very controlled once a day no tearing no blood. This is why I don't understand how I haven't made any progress in healing. Although I have had no tears or hard stools all soft and easy I still have gotten worse in the pain department. I take miralax now to guarantee super soft stools. Has anyone had a similar experience. I want to do LIS at this point but my CRS is bent on anioplasty. I need toget back to work ASAP because I am new and haven't really used any sick leave and don't want to raise any flags. I also am in grad school while working full time so the recovery time has to be as short as possible. Thank you for any information provided.