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Perianal Abscess - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Perianal Abscess

Perianal abscess | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for perianal abscess treatment abroad

Leading hospitals

Cost for treatment

Diagnostic tests for perianal abscess
1668
Surgical sanitation of perianal abscess
4666.68
General therapeutic rehabilitation
0.00
According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German
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The Marien Hospital Duesseldorf is a modern medical facility in the very center of Duesseldorf and a recognized Research Center. The foundation stone of the hospital was laid back in 1864 with the support of the Catholic Church. The Christian principles of helping and supporting patients have not changed at all over the years, b
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According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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University Hospital Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
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University Hospital Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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| from Booking Health GmbH

Perianal abscess (acute paraproctitis) is the development of abscess in the rectum. This is a serious pathology that requires an urgent surgical intervention. Without timely surgery, a person may develop severe, potentially fatal complications. The high-quality treatment abroad allows the patients to get rid of an abscess once and for all, preventing the disease from becoming chronic. Medical specialistst in Europe perform sparing surgical interventions with the preservation of anal sphincter function.

Content

  1. Symptoms
  2. Diagnostics
  3. Treatment principles
  4. Single-stage treatment
  5. Two-stage treatment
  6. Where to undergo treatment

Symptoms

 

Perianal subcutaneous abscess is the most common pathology. It accounts for half of all clinical cases. The disease is characterized by a sudden onset of severe pain. It gets worse during defecation and intensifies with any movement. When examining the patient, the physician detects swelling and redness.

The second most frequent form of the disease is ischiorectal abscess. The pain is less severe, but general symptoms are more common. The body temperature may increase up to 40 degrees. When examining the patient, the doctor pays attention to the asymmetry of the buttocks, as one of them is swollen, so it increases in size.

Pelvirectal abscesses often imitate prostate inflammation. Patients may develop acute urinary retention and pelvic pain.

Submucosal abscesses have mild symptoms. Patients often do not seek medical help. As a result, the abscess opens up on its own, and the disease becomes chronic.

Diagnostics

 

The following steps are required for diagnosis of perianal abscess:

  • Patient interview.
  • Check-up.
  • Digital rectal examination.
  • Fistulography (X-ray examination with the injection of a contrast agent).
  • Endorectal ultrasound scanning (with the placement of the transducer in the rectum).
  • Bacteriological examination involves obtaining pus culture to determine the causative agent of the pathology.

Additional methods of medical imaging are used less commonly. These can be computed tomography or magnetic resonance imaging.

Treatment principles

 

Conservative therapy is ineffective. Even in case of successful suppression of the acute inflammatory process, the disease will necessarily recur or become chronic.

To avoid the spread of the infectious process to other tissues, the surgical treatment is carried out as quickly as possible. Without timely surgery, destruction of the anal sphincter, death of the intestinal wall or destruction of the pelvic floor muscles can occur.

The surgical treatment can be single-stage or two-stage. A more reliable option is to perform two operations: first, an abscess is opened, and after a few days a radical intervention is performed to cure acute paraproctitis.

Single-stage treatment

 

If the pus passage is located inside from the external sphincter, then the abscess is opened, drained, and the pus passage is excised into the intestinal lumen. To detect the fistulous passage, the doctor uses a dye. To clarify the location of the passage in relation to the anal sphincter, a test with a bellied bougie is performed. Then a wide skin incision is made and the tissues affected with the inflammation are excised.

Some patients develop abscess due to intersphincteric paraproctitis. In such a case, a sphincterotomy is required. This procedure implies the dissection of the sphincter. The doctor dissects the internal sphincter and drains the space into the intestinal lumen.

With transsphincteric paraproctitis, if the inflammatory process affects more than one fifth of the sphincter, or the pus passage is located outside of it, an elastic drainage ligation is performed. This is a treatment option for patients who are considered to be at high risk of developing sphincter insufficiency. The ligation is used in those who cannot undergo sphincterotomy. This type of the operation is used as the first stage of the two-stage treatment process. In the future, the patient will need radical surgery in a few days.

Two-stage treatment

 

The two-stage treatment is considered more reliable. Its essence lies in the fact that during the first operation, the abscess is opened, and drainage is placed to drain the inflammatory fluid. After the elimination of the inflammatory process, after 5-7 days, a second intervention is performed, the purpose of which is to completely eliminate the connection between the intestine and the pus cavity. Such an approach provides a lower risk of complications.

Although the patient actually recovers after the first operation, the second stage of surgical treatment cannot be avoided. Otherwise, the patient will have a recurrence or a fistula will ccur – a pathological connection between tissues (chronic paraproctitis).

Where to undergo treatment

 

To receive the highest level of medical care, you can undergo treatment of perianal abscess abroad. The specialists of the Booking Health company will select the best clinics for the treatment of perianal abscess for you. We will take care of the arrangement of your urgent treatment and emergency surgical debridement of an abscess in one of the developed countries.

There are several reasons for you to undergo perianal abscess treatment abroad:

  • Doctors prefer two-stage surgery. It provides more reliable results with less risk of complications.
  • Provision of additional antibacterial treatment aimed at reducing the risk of infectious complications.
  • Adequate pain relief both during the surgery and in the postoperative period.
  • Minimal risk of fecal incontinence. When there is a high risk of damage to the sphincter function, doctors prefer more sparing types of surgery.
  • The risk of the disease recurrence or transition to a chronic form (formation of a fistula) is almost close to zero.
  • Extensive experience in the diagnostics and treatment of even rare types of abscess: intermuscular, submucosal, bilateral ones.
  • High-quality postoperative care and recovery.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program via our service, the cost of the operation will be lower due to the lack of additional coefficients for foreign patients. You can compare prices in different hospitals in order to book your treatment at the best price.

 

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Farrukh Ahmed. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

National Library of Medicine

Mayo Clinic

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