Do you have to operate on a perianal abscess?

The symptoms of perianal abscess are mild and may be relieved with conservative treatment, and surgical treatment may not be necessary, but surgical treatment is the preferred modality and usually results in a better prognosis.
Perianal abscesses are formed when pathogens invade the soft tissues around the rectum and anal canal or the surrounding interstitial space, and suppurative infection occurs, and common causative organisms include Escherichia coli, Staphylococcus aureus, and so on. For some of the milder symptoms of perianal abscess, anti-infective treatment with antibiotics, such as cefoperazone, ceftriaxone, etc. can be used. Symptoms may improve, but there is a risk of developing an anal fistula.
Surgery can drain the abscess in time and prevent the spread of infection, which is the first choice of treatment for perianal abscess, and incision and drainage is the most traditional operation. In recent years, there are also new procedures such as negative pressure drainage of perianal abscess.
Specific therapeutic measures vary from person to person, after the diagnosis is clear, the professional doctor can formulate a plan, and you need to consult your doctor before using medication.