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Peri anal abcess and fistula
I have  peri anal abscess since January 2026 Later on Feb detected Fistula track through MRI of 1.5 cm at 1 o clock position Now sometimes during long sit or physical activity I get very very mild discomfort at the inguinal area... ( I am not sure if that is due to fistula or skin rash I am scared is that travelling to scortum... So what is the possibility that I might get fistula or abcess reach till scortum Note : yesterday abcess got bursted and puss is flowing
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Answers (3)

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From your history - it is possible for perianal fistula to extend toward scrotum and drain pus. This happens in anal fistula develops after peri anal access. You have mentioned the mri 1 o clock... it is anterior position - and anterior spread is towards the scrotum/ base of penis.  Pus is draining from abcess - possibly ruptured
Next Steps
next step is consult a surgeon as most of the fistulas heal without surgery-  with in the next 24- 48 hours steps until.you see a surgeon 1 sitz bath-  3 to 4 times a day 2 keep the area clean and dry 3 avoid prolonged sitting 4 use a gauze - draining pus area
Health Tips
signs of infection spread to your scrotum 1 scrotum reddened or swelling present 2 increasing pain 3 fever 4 foul smelling discharge
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Next Steps
Sitz bath might be helpful.
Health Tips
Maintain Hygeine.
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Most likely it is fistula in ano. It can travel to scrotum also, but it needs physical and radiological examination for confirmation. Visit Proctologist or a colorectal surgeon and get it treated
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.