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What causes a pus filled abscess between the scrotum and rectum?

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Posted on Mon, 16 May 2016
Question: HI, my husband has an abcess between the scrotum and rectum. he has had 3 of these over several years. I squed the area and got foul smelling pus out. I am a retired surgical rn. but I want to make sure of what I should do.
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Answered by Dr. Grzegorz Stanko (19 minutes later)
Brief Answer:
It must be incised and drained.

Detailed Answer:
Hello!

Thank you for the query.

Abscess has to be incised and drained. Squeezing it is not enough. The incision must be large to completely open it and drain it. Without such procedure there is a high risk of fistula development.
From the other hand, as this keeps coming back, fistula can be there already. That is why, he should consult general surgeon, have incision, rectal examination to find the fistula canal. If this wont identify the fistula, transrectal ultrasound should be next step.

Hope this helps. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5769 Questions

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What causes a pus filled abscess between the scrotum and rectum?

Brief Answer: It must be incised and drained. Detailed Answer: Hello! Thank you for the query. Abscess has to be incised and drained. Squeezing it is not enough. The incision must be large to completely open it and drain it. Without such procedure there is a high risk of fistula development. From the other hand, as this keeps coming back, fistula can be there already. That is why, he should consult general surgeon, have incision, rectal examination to find the fistula canal. If this wont identify the fistula, transrectal ultrasound should be next step. Hope this helps. Feel free to ask further questions. Regards.