Fissure pain, IMO, is largely caused by fecal contamination of the
wound (i.e. it is not incorrect to consider the fissure to be a
open wound). Tucks used religiously help immensely here. and if it is
still burning, you are not done cleaning yet... (This is prior to
surgery)
Fissure repairs are always stitched up in such a fashion
as to allow drainage. This is help prevent the repair from
going septic.
The first bowel movement is a bear... if you do not pass stool
with 1-2 days of surgery, consider that your pain medication
may be constipating you.... not desirable at all. I had a drug
reaction that cause me to 'clamp down', resulting in an extremely
painful retention of gas in the lower GI tract - the only releif
possible was to get into a hot tub and this would allow the lower
GI to unclinch and the gas to pass, reducing the pain. In my
case, my reaction was to Darvocet..... I discontinued the meds and
felt a lot better within 24 hours - then I passed a large bowel
movement and the pain was so intense, that I end up in the hospital
overnight, where they gave me Demerol for pain (another morphine
derivative), which I also reacted to starting the clinching problem
again. Finally, they placed me on napersin (NSAID) which made me
hyper but corrected the pain problems.
Despite the problem, it was still a lot better to get it done
than to continue to suffer needlessly with the pain. BTW, evidently
the tendancy for anal fissues is likely genetic and is most likely
to occur on the posterier (sic) side of the anus....
The woman that went skating the day after her surgery is insane :^>
They will ask you to pee after the procedure prior to sending
you home. If you can, do so - other wise, a Foley cath is in your
future....