Dr Öncel Yakar’s comments

What is anal abscess-fistula?
The process that starts with the inflammation of the glands in the anal canal causes abscesses in this area. Abscesses that need to be drained surgically may turn into anal fistulas as a result of the formation of a path connecting the skin and the infected gland in the future.

What are the anal abscess-fistula complaints?
In perianal abscess; severe pain, swelling and fever develop around the anus. In case of fistula development, there is a discharge from the anus or from the external opening on the skin.

How is anal abscess-fistula diagnosed?
People who have complaints about this area should consult a doctor. Diagnosis can be made after the surgeon’s manual examination. In some cases, advanced endoscopic examinations such as sigmoidoscopy-colonoscopy may be requested, to evaluate the large intestine. Pelvic MRI (Magnetic Resonance Imaging) may be obtained in the presence of a complicated fistula.

How is anal abscess-fistula treated with medication?
The treatment of both diseases is surgery. It is not possible to cure these conditions with medication.

What are the surgical options in anal abscess-fistula?
In the presence of anal abscess, surgical drainage of the abscess is mandatory. Anal fistula surgery is a complex process that can be treated with different methods depending on its location and size. The appropriate method is determined individually for the patient.

Common complaints such as pain, discharge, itching, swelling and bleeding in the perianal area are mostly due to benign diseases. However, these diseases are one of the main patient groups that General Surgery is interested in, especially because the negatively affects on quality of life. The correct diagnosis and choice of medical or surgical treatment are among the factors that increase treatment success. Assoc. Prof. Dr. Didem Öncel Yakar shares information that will guide you for proper diagnosis and treatment. May health be with us in every moment of our lives.