Well I had my recheck with my colon/rectal surgeon today and since the fissure isn't doing any better, the only option left is surgery. He told me to expect 2 weeks minimum out of work and there's a 20% chance of permanent incontinence. That's what has me most freaked out. I am terrified at the chance of incontinence. I mean I know it's a low chance, but it's still there.=(
He's really hesitant to do it because of me having crohns and being on remicade. He's just worried about me not healing well and the wound getting infected. He told me if I didn't have crohns, he would have done surgery to begin with but he was hoping to avoid it. Unfortunately the medicine didn't work.
So I'm down for a fissurectomy on May 31st but I'm 99.9% sure im going to be rescheduling it. One I have to work it out work wise, I'm leaving on vacation next week, so any sooner is not an option, and two he doesn't want to do the surgery within 3-4 weeks either before my remicade or after. Since I'm due for remicade the June 4th' which would only be 4 days after the surgery, I would have to either push back my remicade. Or do my next treatment as originally scheduled and do the surgery later, work wise and stuff we are looking at June 28th a possible day. I've never gone farther than 9 weeks between remicade, and I start getting my mouth ulcers back usually by then, and if I did the surgery may 31st, that would be 12 weeks between infusions, so I think my best bet is to do surgery later. Unfortunally this may be a worse time work wise but there's only so much I can do. Work will probably start getting way busier now since it would be summer, and schools off and stuff by June, where as may we would still be fairly quiet. My jobs so unpredictable though, there's really no set date that will be perfectly convenient. We could be slow one minute than have 2 emergencies come through the door at once so you just don't know.
We do have one hurdle to get over before we can even schedule for sure though. The hospital they have me scheduled to have the surgery at is not covered by my insurance. So we are going to have to call tomorrow and pray that this surgeon operates somewhere else otherwise I'm not sure what we are going to do.
So anyone who has had a fissurectomy before, advice, tips, your experience, was it successful ? would be greatly appreciated. Like I said, my biggest fear is the incontinence. I can handle whatever pain, but I don't know how I'd handle that. I'd rather the fissure just come back over being incontinent!
He's really hesitant to do it because of me having crohns and being on remicade. He's just worried about me not healing well and the wound getting infected. He told me if I didn't have crohns, he would have done surgery to begin with but he was hoping to avoid it. Unfortunately the medicine didn't work.
So I'm down for a fissurectomy on May 31st but I'm 99.9% sure im going to be rescheduling it. One I have to work it out work wise, I'm leaving on vacation next week, so any sooner is not an option, and two he doesn't want to do the surgery within 3-4 weeks either before my remicade or after. Since I'm due for remicade the June 4th' which would only be 4 days after the surgery, I would have to either push back my remicade. Or do my next treatment as originally scheduled and do the surgery later, work wise and stuff we are looking at June 28th a possible day. I've never gone farther than 9 weeks between remicade, and I start getting my mouth ulcers back usually by then, and if I did the surgery may 31st, that would be 12 weeks between infusions, so I think my best bet is to do surgery later. Unfortunally this may be a worse time work wise but there's only so much I can do. Work will probably start getting way busier now since it would be summer, and schools off and stuff by June, where as may we would still be fairly quiet. My jobs so unpredictable though, there's really no set date that will be perfectly convenient. We could be slow one minute than have 2 emergencies come through the door at once so you just don't know.
We do have one hurdle to get over before we can even schedule for sure though. The hospital they have me scheduled to have the surgery at is not covered by my insurance. So we are going to have to call tomorrow and pray that this surgeon operates somewhere else otherwise I'm not sure what we are going to do.
So anyone who has had a fissurectomy before, advice, tips, your experience, was it successful ? would be greatly appreciated. Like I said, my biggest fear is the incontinence. I can handle whatever pain, but I don't know how I'd handle that. I'd rather the fissure just come back over being incontinent!
