What follow-up is included in the treatment of anorectal abscess?

Updated: Nov 28, 2018
  • Author: Andre Hebra, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

An otherwise healthy patient with a simple isolated perianal abscess may be treated in the ED with incision and drainage and released with timely follow-up care. If inpatient surgical treatment is required, surgical follow-up is necessary; acute abscesses recur in 10% of patients, and chronic fistula-in-ano may occur in as many as 50%. [1] Typically, the patient follows up with the physician in 2-3 weeks for wound evaluation and inspection for possible fistula-in-ano.

If any unusual symptoms arise, such as persistent pain or fever, patients should be advised to return immediately to the ED or to another provider.


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