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 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.
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
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.
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.
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...
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.
Common causes of anorectal abscess include:
•Blocked glands in the anal area
•Infection of an anal fissure
•Sexually transmitted infection (STD)
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.