Anorectal abscess and fistula
There are two types of pain in this world: pain that hurts you, and pain that changes you – Unknown
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A Pain in My Ass
Back in late October, I started getting some serious painage down in the valley and I had no idea what was going on. I felt swelling, tenderness, and much much pain. From there I decided to see a doctor. I just went to a normal family practice place. The kind with about 50 doctors–all of whom could really care less about you and your problems. After explaining my symptoms to the doctor and a quick exam, he determined I had a hemorrhoid. So he prescribed me some very expensive cream and sent me on my merry way.
About a month later, in early December, I still was feeling the symptoms I originally felt. Only this time, they were accentuated to the extreme. One night, I just could not…
Resources
What it’s like to live with a fistula – the IBD problem that no one talks about
You might think there’s a quick solution for these types of things but often, patients can live with them for years. Some surgeries can help drain abscesses or open the fistula to heal it, but success rates vary and they often end up recurring.
Anorectal Infection: Abscess–Fistula
Anorectal abscess and fistula are among the most common diseases encountered in adults. Abscess and fistula should be considered the acute and chronic phase of the same anorectal infection.
Biomaterials in the Treatment of Anal Fistula: Hope or Hype?
Treatment of AF is challenging. Options abound with variable results. Biologic alternatives typically should be considered low-risk options with variable success rates. While they do provide hope as we develop newer material, initial results are not necessarily associated with significant long-term advantages over traditional surgical treatment. The
Do you have an anal abscess?
An anal abscess is a condition that occurs when there is a buildup of pus near the anus. They can be quite painful. The most common cause of anal abscesses is an infection that develops in the anal glands. The most common type of anal abscess is a perianal abscess, which looks like a swollen boil near the anus.
Perianal Abscess/Fistula Disease
Fistula management is much more complicated. It requires striking a balance between rates of healing and potential alteration of fecal continence. This, therefore, requires much more finesse. Many techniques are now available in the armamentarium of the surgeon who treats fistula-in-ano.
A Pain in My Ass
Back in late October, I started getting some serious painage down in the valley and I had no idea what was going on. I felt swelling, tenderness, and much much pain. From there I decided to see a doctor...
American Society of Colon and Rectal Surgeons
An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. An anal fistula (also commonly called fistula-in-ano) is frequently the result of a previous or current anal abscess. This occurs in up to 50% of patients with abscesses.
MedlinePlus
Common causes of anorectal abscess include: •Blocked glands in the anal area •Infection of an anal fissure •Sexually transmitted infection (STD) •Trauma
Patient
The outcome is good if the abscess is treated promptly. One study found that 31% of patients who had incision and drainage of perianal abscess developed a fistula. Patients aged under 40 years and patients without diabetes seemed to be at higher risk.
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