Hello and thanks for writing in at HCM
Surgery always remains the choice of treatment in the patients who tried medical treatment for at least 1-3 months and you have tried it for about 3 years. In surgery anal dilation and Lateral internal sphincterotomy done to reduce the Anal incontinence
But before surgery you must be treated for skin rashes (Intertrigo
) and when the symptoms are less than consult your surgeon and get started your treatment.
My advice to you is to consult your surgeon and follow the advises and get rid from the pain.