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Back In XXXXXXX 2018 I Developed (what I Thought) Were

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Posted on Sat, 6 Apr 2019
Question: Back in XXXXXXX 2018 I developed (what I thought) were haemorrhoids, it was so painful that I didn't eat for 10 weeks. If you dont eat you dont poop! Anyways, back then I went for a check and this was painful too and the doctor said it was haemorrhoids.

Since it healed, I have not been able to have anal sex without any pain and bleeding. It's as though it's healed tighter, I can barely get a small dildo inside.

Basically my sex life is currently ruined as I just cant have it. I went to see another surgeon here and after examination he found that I had an anal fissure (that explains the pain) and that it's healed. I explained my sexual preferences to him and he said that a lateral internal sphincterotomy is what I need so that I can again enjoy my sex life.

I have read online, however, that as a XXXXXXX bottom, this is advised against and I cant find any positives to having it. Has anybody been in the same situation? Did it work for you? Or not?

Could I actually retrain my ass with butt plugs, start small get bigger etc.

From what I gather, because I have a healed anal fissure (scar tissure) it's contracting the internal sphincter (we cant control that) and that's why it's tight.

I'd have the surgery if it works but long term I dont want to be "slack alice" :)
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Follow up: Dr. Bhagyesh V. Patel (2 minutes later)
I copied and pasted my question from a XXXXXXX forum that I posted on, sorry about the bluntness of it :)
doctor
Answered by Dr. Bhagyesh V. Patel (59 minutes later)
Brief Answer:
Anal dilatation is an option before Sphincterotomy

Detailed Answer:
Hello and welcome to Ask a Doctor services.
I have read your query and here is my answer.

* The lateral Sphincterotomy has excellent results for contracture of anal canal after fissure ; but in your case, there are very high chances of recurring fissure after complete recovery due to anal sex preference.

* However , simple procedure of anal canal dilatation under anaesthesia also has best results in such cases.

I request you to discuss the scope of both procedures with your consultant surgeon .
Thanks.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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Back In XXXXXXX 2018 I Developed (what I Thought) Were

I copied and pasted my question from a XXXXXXX forum that I posted on, sorry about the bluntness of it :)