“Perianal abscess” this disease, I believe that we are not unfamiliar, but more patients are entangled in this disease can not be self-healing, really must be treated through surgery? The onset of perianal abscess is characterized by: acute onset, severe pain, abscess rupture or cut often form anal fistula. Abscess is the acute phase of inflammation around the anorectal tube, while fistula is its chronic phase. In other words, perianal abscess and anal fistula are two different stages of the same disease. The vast majority of perirectal abscesses are caused by anal gland infections. Diarrhea or constipation can easily lead to sinusitis, and the anal glands open into the sinuses, and because the perirectal-anal interstitial space is lax fatty tissue, the infection spreads and spreads more easily. Of course, perianal abscess can also be secondary to perianal skin infections, injuries, anal fissure, sacrococcygeal osteomyelitis and other diseases, and patients suffering from Crohn’s disease, ulcerative colitis and blood diseases (such as leukemia, etc.), AIDS, etc. are also more likely to be complicated by perianal abscess. If the pus culture result of perianal abscess is E. coli or anaerobic bacteria, it means that the infection comes from the rectum, and after the surgical treatment of perianal abscess, there will be the formation of anal fistula in the later stage, which often requires another surgical treatment. If the pus culture results for Staphylococcus aureus, it means that the infection is mostly from the skin, the possibility of fistula after surgical treatment of abscess is relatively low. Under normal circumstances, a perianal abscess that breaks down will largely become an anal fistula, so it is even more important to receive surgical treatment at the abscess stage. Why do we need early surgical treatment? 1, as soon as possible to reduce pain. Before the abscess ulcer is not broken, it is very painful, and surgery to drain the pus can reduce the pain. 2.Prevent other interstices around the anus from being infected as well. There are many interstices around the anus, which are also easy to be infected, and if there are more places to be infected, the treatment will be more troublesome. 3.Prevent the anal sphincter from being damaged. Damage to the anal sphincter can affect the function of the anus, early surgery to prevent anal incontinence. 4, to avoid the formation of anal fistula after the abscess collapse. Once the abscess breaks down, it is very likely to become a fistula, and the condition is much more serious. 5, to prevent the spread of infection throughout the body. Delayed treatment, the spread of infection in serious cases will cause bacteremia. Perianal abscess this disease is not terrible, terrible is the neglect of this disease, often think long abscess, the use of antibiotics, the usual life and diet light, control is good, but do not know, this will cause more hidden danger, so the disease in time to see a doctor, choose a less painful, more convenient way of treatment it!