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Wednesday, December 4, 2013
Fissurectomy recovery time - How to heal
How long does it take for an anal fissure to heal after a fissurectomy and when should I seek further surgery? I have tried various methods to get rid of this thing, but it still tears from once to twice a week. Specifically, I`ve tried stool softeners, osmotics, get regular tea, metamucil, milk of magnesia, changing my diet, taking sitz baths, and drinking more water. I have had this fissure for 14 months now. I had the fissurectomy in May 2008. What would be the best way for me to approach this thing? I have been in to see doctors, but implementing their latest suggestions gave me jock itch, athlete`s foot, and a yeast infection. As such, how does one heal something that won`t heal and use measures that won`t make your situation worse?
Additional surgery may not be the answer. First, talk to your surgeon about your EXACT symptoms. They may or may not be fissure-related. If they ARE, and ultrasound to determine if your sphincterotomy was complete might be a reasonable thing to do. Botox injection of a persistent anal fissure might be reasonable as well. Topical steroid preparations could be helpful. If your symptoms are NOT fissure-related, then identifying the true problem and treating it if possible is the answer. In any case, continue the supplements that are helping you have soft easy BM.
Janice Frederick Rafferty, MD
Professor of Surgery
Chief of Colorectal Surgery Division
College of Medicine
University of Cincinnati