Experiences of chronic anal fissure treatment, Botox and surgery outcomes

[MiaRosexo]

Just wanting to hear people's experiences with fissures/surgery for it!

Background: I developed an anal fissure around 8 years ago (crazy I know!), it was possibly the most painful thing I've ever experienced in my life, a lot of blood, dreading going to the toilet. It took me a year or so to go to the doctors out of embarrassment/not really understanding it. By this point a skin tag/sentinel pile had formed over it, I was referred to surgery however covid cancelled this... I think I was secretly relieved although I knew I needed it, I'd heard too many horror stories around incontinence, the procedure not having a high success rate etc.... the opp was never rebooked and over time the symptoms started to gradually disappear, definitely for a good few years and I presumed it had healed. However in more recent months I think it must have fully reopened as I'm back to square one again, chronic pain and bleeding.

Does anyone know what my chances of success are with the botox first or am I too far gone? Ideally I'd like to avoid the full surgery (can't remember the name of it) due to the reasons stated above. I also fear that I'm not a mum yet however would like to be (god willing) in the near future and I've head that these can get 10 times worse with pregnancy/childbirth so this needs nipping in the bud sooner rather than later really.

Also any home remedy recommendations welcome!

Thanks all x

I had the surgery and had no pain.

Great thank you do you mind me asking if it was on local/general anesthetic and did you have to rest for quite a while after? I've heard people taking 10 days or so off work

General anesthetic day case.
I took next day off due to the anesthetic

Maybe mine was mild. It was mainly removing a large tag and botox. I do think surgery for piles is worse.

I had anal fissure surgery, Botox and internal piles surgery. I also had a skin tag. Apart from the sharp pain on going to the toilet (caused by the anal fissure) I’ve noticed no improvement: I still get piles. I still struggle to get clean after going to the toilet and need to use moist wipes etc. Still have pain from lots of wiping needed to get clean. Wasn’t worth it for me.

I haven't experienced this myself, but I just wanted to say that eight years is a very long time to be dealing with something so painful. A friend of mine had a chronic fissure and was terrified of treatment after reading horror stories online, but she found the reality much less daunting than she'd expected. Hopefully others can share their experiences of Botox and surgery, but I wouldn't assume you're "too far gone" based on how long you've had it. I hope you get some relief soon, because it sounds absolutely miserable.