Post-Anal Abscess Surgery: Recovery and Concerns - Surgery

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Postoperative care for anal abscess?


Hello doctor, I had an anal abscess surgery at the end of September.
Now there are no wounds, and I usually take pictures with my phone before and after using the restroom.
Occasionally, I notice a small amount of stool outside the anus, but it does not stain my underwear.
Does this count as incontinence? Is doing Kegel exercises helpful? Also, when I press on the area where the original wound was, I can feel a small lump and it is slightly painful.
Is this normal?

Mr. Chen, 10~19 year old female. Ask Date: 2020/12/25

Dr. Ke Fangxu reply Surgery


This is not considered incontinence; many people experience this phenomenon.
Performing Kegel exercises should be helpful.
Pain at the surgical site should not be a concern, but some patients may develop anal fistulas as a complication after surgery.
If there are subsequent symptoms of redness, swelling, or discharge, it is important to seek medical attention promptly.

Reply Date: 2020/12/25

More Info


Post-anal abscess surgery recovery can be a complex process, and it's important to understand what to expect during this time. After undergoing surgery for an anal abscess, many patients have concerns about their recovery, potential complications, and the effectiveness of certain exercises like Kegel exercises.

First, it's essential to clarify what you are experiencing regarding the presence of stool near the anal area. The occasional finding of small amounts of stool outside the anus, especially if it does not soil your clothing, may not necessarily indicate incontinence. Incontinence is typically defined as the involuntary loss of stool that leads to soiling. However, if you are noticing stool outside the anal area more frequently or if it is causing you distress, it would be wise to discuss this with your healthcare provider. They can assess whether this is a normal part of your recovery or if further evaluation is needed.

Kegel exercises, which involve the contraction and relaxation of the pelvic floor muscles, can be beneficial for strengthening the muscles around the anus and improving control. These exercises can help enhance muscle tone and may assist in reducing any feelings of urgency or minor leakage. It is generally recommended to start Kegel exercises once you feel comfortable and have received clearance from your surgeon. If you are unsure about when to start or how to perform these exercises correctly, consider consulting with a physical therapist who specializes in pelvic floor rehabilitation.

Regarding the lump you feel at the surgical site, it is not uncommon for patients to notice some changes in the area after surgery. The presence of a small, firm lump could be due to scar tissue formation or a residual abscess. If the lump is painful when pressed, it may indicate inflammation or irritation in the area. While some discomfort can be normal during the healing process, persistent pain or changes in the lump's size or characteristics should be evaluated by your surgeon. They may want to perform a physical examination or imaging studies to ensure there are no complications, such as a recurrent abscess or other issues.

In terms of recovery, it is crucial to follow your surgeon's post-operative care instructions closely. This may include recommendations for wound care, dietary modifications to prevent constipation, and guidelines for activity levels. Maintaining a high-fiber diet and staying hydrated can help facilitate regular bowel movements, which is particularly important after anal surgery to avoid straining.

If you experience any concerning symptoms such as increased pain, fever, drainage from the surgical site, or changes in bowel habits, it is important to contact your healthcare provider promptly. These could be signs of infection or other complications that may require intervention.

In summary, while some of your experiences post-surgery may be within the realm of normal recovery, it is essential to maintain open communication with your healthcare provider. They can provide personalized advice based on your specific situation and help ensure that your recovery progresses smoothly. Regular follow-up appointments are vital to monitor your healing and address any concerns you may have.

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