Botox or LIS?

Edited , 5 users are following.


Thank you for all who have taken the time to share in this community. I was diagnosed with an anal fissure about 6 months ago, am living the nightmare and tried all the conservative measures that have failed. I meet with my CRS tomorrow. Given the choice should I try Botox or go directly for LIS?

thank for you thoughts

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  • Edited


    I haven't tried either yet, are you in the UK? I agree this is a nightmare, i am scared i will never work or leave the house again...

    i have been told i cant have any further appointment or procedure until around July...privately or NHS, so would be good to know if there are CRS still working.

    A lot of stuff Ive read says LIS, but i know a friend of a friend had botox and it worked for them. x

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  • Posted

    Hi xx

    I am living through this too. I live in the UK, do you?

    I Had botox in October and didn't work.

    My surgeon said that 'they don't do lis' anymore and that wasn't an option (he said this in October when I asked about it originally)

    Has any one on here had this in the UK?

    Is it a case of I need to go to a different surgeon in the UK? Like up North?

    Obviously I am mainly working from home so semi - able to cope. However, I want my life back. It is insane.

    In the meantime, whilst there are no appointments, I am just trying everything at home from creams to herbal pads to fissure oils, sudacrem and even honey.

    I am massively struggling.

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    • Posted

      I was also told they don't do LIS anymore, particularly in women. I'm on Devon/ Cornwall border and have been doing a lot of research. All the consultants I have seen so far have been general surgeons and all procedures have failed ( Botox x2, fissurectomy) and actually left me worse than before. I have found a small number of Coleorectal consultants but they only seem to be in the private healthcare sector. Am seriously thinking of self financing by loan to get out of this pain. Obviously once they are accepting new patients.

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  • Edited

    Hi all and thank you for the response. No i am not in the UK but rather the US. i had a vtc with my crs today and he tends to start with botox. The main reason is it avoids the risk of incomtinence and can eventually go to lis if it doesnt work. He says if the fissure is real deep he will go directly to lis knowimg im ok with the risk but he will make that determination during the procedure, i told him i didnt want to drag it out any longer than necessary.

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