Does perianal abscess require surgery?

Perianal abscesses do not necessarily require surgical incision and drainage, but in most cases, surgery is the most effective treatment. Abscesses are caused by infections around the anus, and in severe cases, fistulas may form, which usually require surgery. However, for early or mild abscesses, conservative treatments such as antibiotics and hot compresses can be used to relieve them, but the effects of these methods are relatively limited.

The formation of perianal abscesses is usually caused by bacterial infection, anal gland obstruction or local skin damage. In life, perianal abscesses can manifest as local redness, swelling, pain, and even fever, which often make patients feel very uncomfortable. When the infection is severe, pus accumulates between tissues and cannot be discharged through the body's natural immune mechanism, so it can only be relieved by external intervention.

As for the specific treatment method, surgical incision and drainage is generally recommended because it can quickly and effectively drain pus, thereby reducing pain and inflammation. The operation is usually performed under local anesthesia, with less risk and faster recovery. On the other hand, if the condition is not serious, you can first try to use antibiotics under the guidance of a doctor, control the infection while paying attention to personal hygiene, and keep the area dry and clean to prevent further infection.

To prevent perianal abscess, in daily life, you need to keep the area around the anus clean, develop good bowel habits, and avoid sitting for long periods of time. Eat more fiber-rich foods to keep bowel movements smooth and reduce perianal pressure. Doing proper exercise every day to strengthen your physical fitness can also help improve immunity and reduce the risk of infection. If you experience persistent pain or the abscess becomes significantly worse, be sure to consult a doctor in time to get professional treatment advice.