Fissures and other proctological conditions can be very frustrating as they take a lot of time to heal and recurrence is also there.
Since you’ve been operated three times before and have not got relief, it would be best if you go to a dedicated proctologist and also rule out other causes of chronic anal fissure. Botox injection can be a good alternative if you wish to avoid surgery as it can have risk of incontinence.
Next Steps
Go to a proctologist and get evaluated before getting treated.
Health Tips
In proctological condition it is more necessary to find why it happens rather than just treating as it the recurrence is high