What is the success rate of conservative treatment of perianal abscess?

The success rate of conservative treatment for perianal abscess is low, generally below 30%, and the recurrence rate is high. Perianal abscess is mainly caused by infection, which causes local pus accumulation. Although conservative methods such as antibiotics, hot compresses and maintaining anal hygiene can be used to relieve symptoms in early small-scale infections, in most cases, timely surgical drainage is required to completely remove the pus and prevent the spread of infection.

Conservative treatment is usually suitable for cases where the infection is mild or the patient is temporarily unsuitable for surgery. Antibiotics can be used to control infection drugs such as amoxicillin and clavulanate potassium, but this can only temporarily relieve inflammation and cannot effectively remove abscesses that have already formed. Topical potassium permanganate sitz baths can help relieve symptoms and promote local blood circulation; a healthy diet and increased dietary fiber intake such as whole grains, fruits and vegetables can relieve constipation and reduce anal irritation; keeping the anus clean and avoiding sitting for long periods of time are also auxiliary measures. However, when the abscess becomes larger or local pain intensifies, surgical drainage is required as soon as possible. Common surgeries include abscess incision and drainage, fistulectomy and hanging thread therapy.

Conservative treatment is usually suitable for cases where the infection is mild or the patient is temporarily unsuitable for surgery. Antibiotics can be used to control infection drugs such as amoxicillin and clavulanate potassium, but this can only temporarily relieve inflammation and cannot effectively remove abscesses that have already formed. Topical potassium permanganate sitz baths can help relieve symptoms and promote local blood circulation; a healthy diet and increased dietary fiber intake such as whole grains, fruits and vegetables can relieve constipation and reduce anal irritation; keeping the anus clean and avoiding sitting for long periods of time are also auxiliary measures. However, when the abscess becomes larger or local pain intensifies, surgical drainage is required as soon as possible. Common surgeries include abscess incision and drainage, fistulectomy and hanging thread therapy.

If perianal abscess is not treated in time, it may cause more serious complications, such as anal fistula formation, tissue necrosis, etc. It is very important to go to a regular hospital for diagnosis and receive scientific treatment as soon as possible. At the same time, pay attention to comprehensive care after surgery, avoid high-fat, high-sugar diets and heavy physical labor to help wound healing. No matter what method is used, it must be carried out under the guidance of a professional doctor. Do not take medicine or delay treatment without authorization. Pay more attention to body signals to better restore a healthy life.