Hi, thanks for sharing your health concerns with HCM! I gone through your sufferings and I can understand the recurrent problem you face! I must say that the previous surgery was not complete due to some technical region / local perineal approach problem or could be some post-operative infections too! Might be some left over granulomas/foreign body materials/contamination or inadequate post-operative care... And yes, you need more treatment possibly a re-surgery with more time and more planning! Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.