Piles / anal fissure / banding / botox in ano / surgery advice please!

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Hi, I'm having an anal surgery tomorrow and I'm so nervous. Any reassurance or similar experiences welcome please!

After 20 or so years of on and off agony caused by an anal fissure and piles that flair up due to constipation - I'm finally having a surgical procedure to see if it can help. Creams and suppositories over the years have never helped.

I've been examined and had a sigmoidoscopy (camera up the bum) and this is now the next step. I've got to have general anaesthetic while the colorectal surgeon does 4 things to my bottom:

  1. 'Refreshes' / removes some of the fissure scar tissue

  2. Bands any internal piles

  3. Injects botox into the internal sphincter muscle

  4. Cuts away the external skintag / pile

I am just so nervous and upset that I have to go through this but after so many years of often debilitating pain no matter what I try, I feel I have no option. I'm worried about the botox as I've never had it before anywhere else and apparently a rare complication is that if they inject it into a blood vessel it can cause respiratory problems. Also the worry of 'what if this makes it even worse?'. I get so anxious at the best of times but going under anaesthetic makes me so scared. (Although I have been under GA 5 times before without problem, plus a C-Section epidural.)

Has anyone else had anything like this done? Help!x

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  • Posted

    Hi, how are you doing now? I just had all this done on 3/15/21, so it's been a month. The first 2 weeks were the hardest but, 4 weeks later, I'm still trying to heal from all of this. Some days it feels like I'm going to be like this forever...

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