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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can An Abscess On The Buttock Be Treated?

Hello, I have had an abscess in my right buttock and soon after I had what the doctor called a blind fistula. Had surgery but doctor said it was a dead end and it would go away in time. Now the fistula has moved closer to my anus and am leaking semen all the time and it stays very sore and often times bleeds moderately. Confused and don t know what to do with it now. Can someone please give me some advice on what to do? I hurt all the time and don t know where to get help. Can you please help?
Wed, 5 Jul 2017
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General & Family Physician,  's  Response
Hello Dear. You may have to revisit your surgeon and get operated again. Fistulotomy. This is used in 85-95% of cases and involves cutting open the whole length of the fistula in order for the surgeon to flush out the contents. This heals after one to two months into a flattened scar.

After surgery, most people are prescribed medicine for pain relief. For otherwise healthy people, antibiotics are usually not needed. Antibiotics may be required, though, for some people, including those with diabetes or decreased immunity. Most people are able to move around and eat and drink once the anaesthetic has worn off. You may be able to go home the same day, but a longer stay in hospital may be necessary if surgery is more complicated. People can expect to lose only a minimal amount of time from work or school.

People will usually wear a dressing over the wound until it is healed. A district nurse may visit to help you change the dressing and check the wound is healing. Most wounds take about six weeks to heal. Stool softeners may be recommended to ease the discomfort of bowel movements. Some people may be advised to wear a gauze pad or mini-pad to prevent the drainage from soiling their clothes.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
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How Can An Abscess On The Buttock Be Treated?

Hello Dear. You may have to revisit your surgeon and get operated again. Fistulotomy. This is used in 85-95% of cases and involves cutting open the whole length of the fistula in order for the surgeon to flush out the contents. This heals after one to two months into a flattened scar. After surgery, most people are prescribed medicine for pain relief. For otherwise healthy people, antibiotics are usually not needed. Antibiotics may be required, though, for some people, including those with diabetes or decreased immunity. Most people are able to move around and eat and drink once the anaesthetic has worn off. You may be able to go home the same day, but a longer stay in hospital may be necessary if surgery is more complicated. People can expect to lose only a minimal amount of time from work or school. People will usually wear a dressing over the wound until it is healed. A district nurse may visit to help you change the dressing and check the wound is healing. Most wounds take about six weeks to heal. Stool softeners may be recommended to ease the discomfort of bowel movements. Some people may be advised to wear a gauze pad or mini-pad to prevent the drainage from soiling their clothes. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini