What luck! I get to share my TMI! I just had surgery for this very condition on the 10th. Internal Lateral Sphincterotomy. BAND NAME
This is how my surgeon described the procedure in my consultation:
Inject the target (approximately 1/2 inch to the side of my bungholio, according to my husband) with numbing stuff. This will assure complete relaxation of the internal sphinter muscle.
Insert very thin scalpel into the site, and turn the blade slowly. This severs some of the muscle fibers, which in turn, aleviates tension on the fissure, allowing it to heal by itself.
Remove scalpel, glue the small incision shut.
All in all, it took them longer to prep me for surgery than the actual procedure. The incision itself is all healed up, but the fissure is still kind of pissy. Probably because he had to cut and suture a “skin tag” at the fissure… mine had ulcerated. Ow.
In my follow-up exam last Friday, I told him that I had been using my Lidazone (hydrocortizone cream with lidocaine). The doc told me that the hydrocortizone is great for reducing the swelling of hemorrhoids (which I thought I had for months) but it slows the healing process. ::dammit!:: So he gave me a script for that lovely viscous lidocaine that our beloved Qadgop mentioned. I highly recommend the sitz bath, too. And stool softeners!!! Keep your poop soft and it won’t hurt as badly. And for og’s sake, make sure you get many fruits and veggies if you have to take prescription pain killers. Constipation and hard poops are bad for fissures, m’kay?
My butt feels a bit better today. Yay!