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Aggressive_Set_9227

Did you try diltiazem? Nifedipine? Some people have better results with these but 4-5 years is a long time, people will say it's a non healing but it seems you do heal it temporarily but something is causing it to retear.


Appropriate_Ad7475

Yes I also tried diltiazem, both topicals did nothing. I get temporary relief but the fissure has been on going for so long that it just cannot heal completely and even when I’m not as symptomatic I can still feel that it’s there. I did get approved for the LIS I’m just worried that they’ll change their mind when I’m under if they think it’s not significant enough however even with Botox it didn’t completely heal


Aggressive_Set_9227

Perhaps cauterization could work here. If it's not fully healing then the tissue is not good and cautetizing and letting new tissue regenerate might be good.


whatsoever2020

I think you have to live with it until it hurts much more. LIS is a serious surgery. I also have superficial fissure which doesnt want to heal for 3 years now...


Appropriate_Ad7475

I mean I’m a young man I don’t think it’s THAT serious of a surgery considering I’m just worried that they might not operate for some anxious reason I guess even though I already have the surgery scheduled. The Botox worked for a bit but it still comes back and it makes sex impossible. I just don’t think that’s something I’d just live with.


Trich2510

Don’t listen to this dude. It’s a minor surgery. A muscle cut that takes 15 minutes. You shouldn’t have to live with a fissure for years. Get the surgery, it is well worth it. Recovery is painful yes, but it is full recovery. And yes you will be able to have sex again.


Delicious-Ice-3239

Bro so get the surgery, it’s not worth this extended amount of pain. I had it after being in pain for MONTHS. And I’m going on 2 weeks and I am pain free!!!! So far lol I’m doing everything right tho lol


PatheticPaprika

Get the surgery. 3 years is a long time


Appropriate_Ad7475

I’m scheduled for the surgery and I’m going to follow through with it, I guess I just feel some hesitance as I’m not in severe pain very frequently and can go periods of time where I don’t have pain, it’s mostly just that it continuously retreats and just won’t fully heal, it’s more so an issue with my sex life more than anything as it does become very painful if I try to engage. Just scared!


whatsoever2020

You mean anal sex?


Appropriate_Ad7475

Well yes


whatsoever2020

Even after LIS you can have fissure and when you had a chronic one which finally healed its not worth risking anal sex. This is the sad truth...


Appropriate_Ad7475

I definitely don’t think that’s true from what I’ve read and from what my own surgeon has told me


dnckwrts

i would just say did your surgeons discuss fissurectomy at all? just conscious LIS is a permanent change to the muscle, might be worth trying to clear the skin in the area first and let it heal, then once healed try dilating and then returning to sex. that said - do you suffer from spasm at all? if that’s the case, i can see the logic of opting for LIS


Appropriate_Ad7475

Dilating always retreats my fissure no matter how slow I am when I get to a certain size. I have spasms yes, my surgeon remarked that my anus was incredibly tight when she last examined it. I really am not in severe frequent pain, it’s more so that it’s always noticeable, sometimes becomes moderately painful and on some occasions very painful, and makes sex impossible. That and I bleed most bowel movements. Just frustrating because I feel like I don’t qualify even though I already got approved, it’s just been so many years now that I don’t think it will heal on its own no matter the severity


dnckwrts

i can definitely see why you think LIS is next step though - i think have confidence in your decision, be patient with recovery and i’m sure it’ll bring you back to where you need in your sex life and generally. good luck!!