Does a minor perianal abscess require surgery?

Minor perianal abscesses do not necessarily require surgical treatment, but the specific treatment method depends on the severity of the condition. In the mild stage, small abscesses may be relieved by conservative methods such as medication and hot compresses, but if the pain worsens or the infection spreads deeper, timely surgical intervention is required.

Perianal abscess is a soft tissue purulent disease caused by bacterial infection. Its causes may include bacterial invasion of anal glands, decreased immunity, perianal trauma or other related inflammations. Minor perianal abscesses often manifest as local redness, swelling, mild pain or tenderness. For milder cases, antibiotic treatment can be used to effectively control the infection, while hot compresses can promote blood circulation, help reduce swelling and relieve symptoms. Warm water sitz baths are also a commonly used auxiliary measure to relieve pain and improve local cleanliness. If symptoms such as increased swelling, severe pain, or the beginning of pus discharge, you need to be highly vigilant, as it may have progressed to a more serious stage, and surgery may be inevitable. The most common surgical methods include abscess incision and drainage, anal fistula repair, or anal gland resection, all of which need to be decided by the doctor based on the specific circumstances.

If a mild perianal abscess occurs, keep the perianal area clean, avoid long periods of sitting or spicy food, and eat more high-fiber foods such as green leafy vegetables and oats to prevent constipation. If the condition recurs or self-treatment is ineffective, timely medical treatment is the key to protecting your health. Understanding your own condition, paying attention to small changes, and trusting the doctor's advice are the first step in scientific treatment.