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Treatment of Perianal Abscess

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for perianal abscess
 from  418
Surgical sanitation of perianal abscess
 from  1502
General therapeutic rehabilitation
 from  565.57

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy 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 t
Diagnostic tests for perianal abscess
1602
Surgical sanitation of perianal abscess
4875

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

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
Diagnostic tests for perianal abscess
1803
Surgical sanitation of perianal abscess
5648

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

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
Diagnostic tests for perianal abscess
2124
Surgical sanitation of perianal abscess
7465

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for perianal abscess
1727
Surgical sanitation of perianal abscess
5563

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for perianal abscess
2095
Surgical sanitation of perianal abscess
6556

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

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
Diagnostic tests for perianal abscess
1615
Surgical sanitation of perianal abscess
4835

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

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
Diagnostic tests for perianal abscess
1646
Surgical sanitation of perianal abscess
5279

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

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
Diagnostic tests for perianal abscess
1792
Surgical sanitation of perianal abscess
5780

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

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
Diagnostic tests for perianal abscess
1529
Surgical sanitation of perianal abscess
4754

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the 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 field
Diagnostic tests for perianal abscess
0
Surgical sanitation of perianal abscess
0

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

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
Diagnostic tests for perianal abscess
1684
Surgical sanitation of perianal abscess
5137

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

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
Diagnostic tests for perianal abscess
1942
Surgical sanitation of perianal abscess
6522

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

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
Diagnostic tests for perianal abscess
1657
Surgical sanitation of perianal abscess
5118

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

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
Diagnostic tests for perianal abscess
1723
Surgical sanitation of perianal abscess
5564

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for perianal abscess
1808
Surgical sanitation of perianal abscess
5785

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for perianal abscess
1680
Surgical sanitation of perianal abscess
5116
| 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: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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