Fissure in ano usually occurs as a result of constipation and local infection. If laser lis was done and there is recurrence, we need to see the anatomy… that is the location of the abnormal tract and the length of it and its course. Only then we can determine the treatment plan. But yes another procedure is required to correct the condition again.
Next Steps
MR Fistulogram / usg fistulogram and review and consult local general Surgen for clinical examination.
Health Tips
Diet rich in fiber and drink plenty of fluid. Sitz bath ( place bottom in warm water )