about a month or so post op a hematoma developed inside my anus (it was not sewn closed). Therefore, the surgeon had easy access. He stuck the anuscope inside and suctioned it out! I had no anesthesia at all....just whoooop...in there, pfffffffffft...out with the hematoma....and done...thought I would pass out! He placed me on two different antibiotics. One was Cipro, and I had a bad reaction to it, so had to be switched to Bactrim. I returned two weeks later and asked if they could just give me a little something so I wouldn't have the discomfort. Apparently, they have no anesthesia in the office. If I wanted it I would have to go across the street to the hospital. So I just toughed it out. It wasn't bad because he didn't have to use the suction tube.
I have skin flaps outside the anus and from time to time I have itching but I use Calmoseptine and it works like a charm.