Why do I have draining pus post incision and drainage at 39?

Hello,

Welcome to icliniq.com.

I understand your concern.

You were diagnosed with a recurrent perianal abscess, for which incision and drainage were performed, along with seton placement due to the presence of a fistula tract. Even after eight weeks, you are still experiencing pain in the area along with persistent discharge.

First, I would like to clarify a few points:

1. Was a loose seton placed for continuous drainage, or was it a cutting seton intended to gradually obliterate the tract?

2. Has the drainage improved compared to before the procedure, or is it the same as it was prior to surgery?

3. Do you have any medical conditions such as diabetes that could delay healing?

4. Also, are you experiencing any bleeding during defecation?

A perianal abscess can lead to the formation of a fistula, which is an abnormal connection between two epithelial surfaces. This is likely why your surgeon placed a seton to allow continuous drainage and prevent recurrent abscess formation while the tract heals.

However, after eight weeks, there should typically be noticeable improvement. Persistent pain and discharge require proper evaluation and physical examination. It is possible that the fistula tract is still active, has not healed completely, or that a new tract has formed.

I strongly recommend that you revisit your surgeon for a thorough examination. An MRI (magnetic resonance imaging) of the pelvis may be needed to assess the presence and extent of any remaining fistula. In the meantime, you may use prescribed analgesics for pain relief and keep the area clean by washing gently with warm water two to three times daily.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.