Hey there...I've had to deal with internal fissures, internal hemorrhoids, prolapsed hemorrhoids, external hemorrhoids, oh my=)
I've endured white knuckle pain, whether by cause or treatment. The MOST painful was a thrombosed hemorrhoid, which I had cauterized (yep) in the doctor's office. I had a hemorrhoidectomy in 2008, to basically remove a prolapsed hemorrhoid. I thought the surgery would correct all issues. The surgeon told me in recovery that he didn't touch the external because of the potential for nerve damage. Huh? In 2010, I saw a colorectal surgeon who removed "tags" via OP surgery in his office.
My brother had the banding procedure, but new ones formed.
Unfortunately, IME, the problem and the pain always return. I guess if I had it to do over, I would have to "do it over" because I was in excruciating pain. I still keep HC cream with prescription strength Lidocaine close by. I have SO MANY digestive issues, my caboose is just one car in the trainwreck.
Perhaps others will share more happy endings=)
~~Dixie