Perineal abscess

Perineal abscess is a strictly localised collection of pus. Abscesses are usually caused by an infection, where pus accumulates in the tissues, leading to pain, swelling and redness. If left untreated, an abscess can grow and lead to complications, so it is important to see a doctor.

What happens before the procedure?

The doctor will assess the condition of the abscess, its size, location and the patient’s general state of health. Before the procedure, it is recommended that you do not take any medication that affects blood clotting (e.g. aspirin or other anti-inflammatory drugs), unless this is necessary as directed by your doctor. It is also important to inform your doctor of any allergies you may have, particularly to local anaesthetics, and of any medication you are taking.

What happens during the procedure?

The doctor will mark the planned incision site with a special skin marker. You will be given an injection of local anaesthetic at the site of the procedure so that you do not feel any pain and the procedure is as comfortable as possible. A small incision is then made to open the abscess and drain the accumulated pus. If necessary, the wound is rinsed with antiseptic solutions and a drain may be left in place to allow any remaining fluid to drain away. The procedure usually takes around 15–30 minutes.

What happens after the procedure?

After the procedure, the doctor may monitor you for up to 30 minutes to ensure you do not experience any side effects, including dizziness, nausea or an allergic reaction. Local anaesthesia will not make you feel tired or drowsy, so you will be able to drive yourself home.

After the procedure, it is recommended that you:

• Clean and dress the wound regularly;
• Take any prescribed medication (for pain relief or to treat infection);
• Avoid strenuous physical activity;
• Maintain good personal hygiene, particularly in the perineal area.

Side effects of the procedure

• Redness, swelling;
• Minor bleeding;
• Pain or tenderness at the site of the procedure;
• Recurrence of infection;
• Scarring;
• Recurrence of the abscess.

Frequently asked questions about the treatment of perineal abscesses

Is the procedure painful?

No pain is felt during the procedure due to local anaesthesia, but a slight stinging sensation or discomfort may be felt afterwards, which usually subsides within 1–2 days.

How long does it take to heal?

Healing depends on the size of the abscess and the patient’s general health, but usually takes between a few days and 2 weeks. Proper wound care helps prevent complications and speeds up healing.

When can you return to work?

Most patients can resume their daily activities as early as the day after the procedure, but it is recommended to avoid strenuous physical activity until the wound has fully healed.