Perineal abscess injection

This is an automatically translated article.

The article was professionally consulted with resident Doctor Le Thanh Tuan - Gastroenterologist - General Surgery Department - Vinmec Nha Trang International General Hospital.
An episiotomy is a painful, pus-filled swelling in the area between the anus and the external genitalia or between the pubic bone and the tailbone. When encountering this situation, doctors will perform an episiotomy to overcome and limit negative health complications from the above condition.

1. Learn about perineal abscess

1.1 What is the perineum? The perineum is the physiological system in the body located between the vagina of a woman or the base of the scrotum and the penis of a man to the anus, with a length of 3-5 cm, playing an important role in many activities such as: have sex, receive sperm, nourish the fetus as well as reproduce...
The perineum includes the fascia, muscles, ligaments... below the pelvis. The structure of this area consists of 3 main layers: superficial layer, middle layer and deep layer:
Superficial layer: consists of 5 muscles (horizontal hip muscle, corridor muscle, anal sphincter and anal sphincter). In which, the anal sphincter is in the posterior position, and the remaining 4 muscles are in the anterior position. Medial layer: includes the deep transverse muscle and the urethral sphincter, both located in the anterior perineum. Deep layer: includes the levator anal muscle and the sitting amputee muscle. 1.2 What is an episiotomy? An perineal abscess is an area of ​​pain, inflammation, and swelling that develops into a soft mass in the perineum. Inside the wall abscess is filled with purulent fluid with bacteria, white blood cells as well as debris... Therefore, these abscesses often cause pain in the perineum in patients.
Perineal abscesses are formed usually due to blockage of sweat glands or oil glands (sebaceous glands), stretch marks - perforation on the perineal skin, folliculitis ... Then, microscopic Bacteria will invade, causing an inflammatory response.

2. Signs to recognize perineal abscess

A patient with perineal abscess will have the following signs:
Touching the perineal area, the patient can feel the tumor is large, tight and painful. As this abscess develops, the patient can easily see the pointy tip of the pus. Most perineal abscesses will enlarge and become heavy when not treated early. When the infection spreads deeper inside, or even enters the bloodstream, the patient may feel tired, have a high fever...

3. Perineal abscess injection – popular method of treating perineal abscess

Perineal abscess injection is the basic procedure and is most often indicated in the treatment of perineal abscesses, with the function of draining pus in the abscess from the infected area to the outside. However, it is an appropriate treatment for small to moderate abscesses. In large perineal abscesses, it is necessary to conduct treatment according to the instructions from a specialist.

4. How is the perineal abscess injection procedure done?

Anesthesia The doctor will start to numb the area around the abscess, to help the patient avoid pain during the procedure. The patient will also be required to take some sedative medication when the abscess is large.
Next, the doctor will apply an antiseptic solution and put a sterile towel on the abscess site and around the abscess, limiting infection after the procedure.
Reducing pressure on the perineal abscess This activity is necessary to ensure that the perineal abscess injection process goes smoothly and easily, limiting the pain of the perineum in the patient.
Perineal abscess injection First, the doctor will make an incision in the abscess so that the pus inside as well as debris flows out. Until the painful area has completely drained out, then antiseptic solutions such as povidine will be used to rinse and clean the abscess, next, the doctors will use gauze to insert into the empty space. for the purpose of hemostasis and drainage of residual capillary fluid. Finally, the doctor will bandage the wound.
Prescribing medicine after the procedure To limit the risk of infection at the site of the abscess after the injection, the patient will be prescribed more antibiotics, and specific instructions on how to care at home. Most patients will feel comfortable as soon as the fluid in the perineal abscess has completely drained. In case the patient is still numb, the doctor may prescribe an additional pain reliever for about 1-2 days.

5. Prevention of perineal abscess after treatment

Perineal abscess injection is a procedure for immediate treatment of abscesses in this location, but cannot provide long-term prevention. The best measures to prevent the perineal abscess from returning are:
Improve and improve the quality of the living environment. Maintain personal hygiene, especially cleaning the intimate area gently, properly, at least 2 times a day. Establish a nutritious diet, increase fiber in vegetables and fruits, drink lots of water. Pay attention to regular exercise to improve health. Stay away from alcohol, tobacco, stimulants and build a scientific and healthy lifestyle. Perineal abscess injection is a simple, quick and effective procedure in the treatment of perineal abscesses. When this problem occurs, the patient needs to quickly go to the hospital for examination, examination and treatment.
To help customers detect and treat gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package, helping customers detect early inflammatory diseases and help treat Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the intimate area, abnormal vaginal bleeding.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.