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Lateral Internal Sphincterotomy surgery after fissure your experiencecs?

Has anyone had a chronic fissure that was treated by surgery. Please tell me your experiences (good or bad) after surgery. After the surgery how long did you have unbearable pain.
I need to undergo this surgery as well and your responses will give help me a lot.
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Avatar universal
I am trying to decide whether or not to have the laternal sphincterotomy. My anal fissure is controlling my life and I am miserable. The pain almost takes my breath away.  I am indecisive because I am concerned about the matter of incontinence afterwards. I don't want to lose control of gas or bm's. Who can share some light on this aspect of the surgery?
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Avatar universal
Just wanted to share my experience. I developed an anal fissure in October 2013 after a weekend of bad eating and terrible constipation. The pain was off the charts, easily an 11 on a scale of 1 to 10. I couldn't sit down without searing pain. And when I saw the blood, I freaked and went to a colorectal specialist. Long story short: he prescribed .2% nitroglycerin ointment, which I applied twice daily. After a few months, the pain went away. But when I threw my back out earlier this year, it came back -- and according to the doctor, in the same place too. I tried the ointment again and it improved after several months, but never went away completely. The doctor said that he's never seen it go away when it's stuck around for this long.

I bit the bullet and had the surgery. I was put under full anesthesia and I was in and out of the surgery room in about an hour. The doctor said that the procedure itself takes about 15 minutes. For a day after the surgery, my sphincter was completely numb and I couldn't feel it or use it (a really unsettling feeling). So I couldn't even have a bowel movement. After about a day, the feeling slowly came back and I had my first real bowl movement the day after the surgery. It hurt, but nothing like the pain of the fissure. I'd say it was a 5 on a scale of 1 to 10. There was some pain until Sunday. And now a week later, I have minimal pain -- really it's more like discomfort.

I went to a very well-respected surgeon (head of the Colorectal Department at a major hospital here in Los Angeles) who said he's done thousands of these surgeries and that side effects like incontinence are nothing to worry about. I'm glad I had the procedure done and can recommend it to anyone who is dealing with this immense pain.
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11428991 tn?1418144870
I guess I'm blessed. When it comes to the LIS surgery and the days after, I've had no pain at all. Like HebaG said, the instructions of changing of the dressing was ambiguous at best. One instruction states "Keep it dry" the other one "Take a shower before applying new dressing" Seriously? Look, the bottom line (no pun intended) is that everybody's different and every case is not the same. I thank God that everything went just fine, however just relax. Going through with surgery was the right thing to do for me, and it probably will be for you too. I research my Doc's credentials and she's rated one of the best in Arizona. One of the top ten in the country. Do your homework and have some faith.
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Avatar universal
Hey all
I also suffered with anal fissure for around a year now, and after being stuck at home for months due to severe pain after BM and bong unable to Siri decide to go for LIS as advised by two Dr.s
It's almost a week after I had the surgery and like most people it wasn't as bad as I expected.
Actually the pain is far less than b4 the surgery.
My worst part was removing the dressing after the operation, but that was due to unclear instructions from the Dr. And misleading nurses!!
My real problem now is with BM
I'm mostly constipated and lately have been using laxatives but sometimes that doesn't make me go every day.
Yesterday I had to strain during BM and felt that this caused the incisin to widen a bit.
I hope not to suffer again tmw and I am unfortunately unable to eat enough fibers so I am looking for any fiber supplements if any one can advise
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Avatar universal
How are you feeling now? Does the surgery worked well?
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Avatar universal
I have the same problem.  I had the surgery for the fissure 2 weeks ago and most of the pain is gone.  However that throbbing pain after a movement lasts for hours.
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