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An anal, or rectal, abscess occurs when a cavity in the anus becomes filled with pus. It causes extreme pain, fatigue, rectal discharge, and fever. An anal abscess is a painful condition in which a collection of pus develops near the anus. Most anal abscesses are a result of infection from small anal glands. this video edit shows a method of using an endoscope to help with perineal abscess drainage and fistula. What you need to know the annual incidence of perianal abscess is estimated between 14 000 and 20 000 people in the uk, resulting in about 12 500 operations in the nhs each year. 1 a recent swedish cohort study estimated the incidence at 16. 2 the true incidence may be higher, since many patients are treated with antibiotics in the community and some abscesses spontaneously. Anorectal abscess (also known as an analrectal abscess, or perianalperirectal abscess) is an abscess adjacent to the anus. Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus, crohns disease, chronic corticosteroid treatment and others. Ischiorectal, inter- and intrasphincteric abscesses have been described. Incision and drainage of perianal abscess with or without treatment of anal fistula. Trial of short-course antimicrobial therapy for intraabdominal infection. Anal abscess medical treatment depending upon the severity of the abscess and any other medical problems, treatment may be accomplished on an outpatient or inpatient basis. The treatment plan should be explained to the patient in detail. Perianal abscess refers to a formed infective-inflammatory collection within the perianal region. They are often associated with perianal fistulae and are components of grades 2 and 4 fistulae of the st james university hospital classification 2. Infection and anal gland drainage obstruction from the perianal fistula may.