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I’ve been dealing with a fissure for almost 11 months now. i just had some suergery to remove a skin tag that formed above a fissure. my dr. cleaned my fissure out and stiched it together to help it heal. don’t know if that’ll work but he’s been suggesting LIS since I’ve had it for so long. my biggest concern is the incontinence that occurs after the procedure. has anyone had the LIS procedure done and has had a major problem with incontinence?? He’s also suggested alternative treatments like botox but seems like people who’ve had botox treatments on this board had it come back. this thing has taken over my life and just want it to go away. words of experience after LIS will be be appreciated.

A:
Most LIS procedures today will not cause incontinence. In the “olde days” they cut the entire length of the muscle so you would be incontinent. They now only cut a portion so you still have some muscle to hold the poopies.

Botox has worked for some. It is always worth a try, but it only works for a few months, then you need another shot if you haven’t healed.

Have you tried any ofo the topicals? Talk to your doc about getting Nifedipine that may help you too.

I’m surprised your doctor removed your skin tag with an active fissure. The tag is formed by the fissure to protect it. My doctor said he wouldn’t remove a skin tag unless the fissure was healed because the chance it will grow back is pretty good.

I had LIS and an injection of some kind of steroid into the fissure and it healed in about 8 weeks.
The LIS relaxes the sphincter muscle so things can heal down there. It doesn’t treat any other bowel problem though. I was very afraid of incontinence but my CRS told me the chance of that was very low.
Sometimes people experience a little loss of control when they have gas and that usually goes away in a few weeks. I had my fissure for about a year and just couldn’t stand the pain anymore so I chose the surgery. The area remains tender for a long time but it’s nothing like the pain of a fissure. I wish I hadn’t been so afraid to begin with and had the surgery sooner but it’s a scary decision to make. Just remember even after the surgery it’s important to keep your stools soft and strain free. We all have our own methods for doing that, some take benefiber or MOM or miralax and eat higher fiber diets. If you need some
suggestions just ask.