I have had a couple of flareups in the past 5 years, but only one roid each time. Prep-H or similar and warm water soaking gave some relief and both times the roid went away after a week or two. When I developed the first one, I didn't realize they could resolve without formal intervention. I have known a couple of people who had surgery (clusters of the painful things!) and recovery was slow and painful. In one case, they redeveloped after a year or so. I suspect some people are predisposed to this type of problem, but it isn't just old person disease. Give conservative treatment a chance and maybe you will be lucky too.