Purulent discharge after 6 months of anal abscess surgery what to do?

Question
Hello doctor,
I operated on an anal abscess for 6 months and still does not heal, pus still flows from the wound and sometimes bleeds a lot. It often hurts when going to the toilet. Doctor let me ask, what should I do after 6 months of anal abscess surgery?
Tran Trung Truc (1993)
Answer
Answered by Specialist Doctor II Phan Thanh Nguyen - General Surgery Doctor - Department of General Surgery, Vinmec Central Park International General Hospital.
Hello,
With the question "What should I do after 6 months of anal abscess surgery?", the doctor would like to answer as follows:
Normally after anal abscess surgery, the incision will heal after 4-6 weeks. In your case, it is likely that the disease has progressed to anal fistula. You'll need a follow-up visit to a gastroenterologist, a pelvic MRI, and possibly surgery. Occasionally, an anal fistula surgery can be performed 4-6 weeks after the abscess is drained. Fistulas may not appear for months or years after an anal abscess.
Therefore, fistula surgery is often a separate procedure, which can be performed on an outpatient basis or with a short hospital stay. It is advised for patients to soak the affected area in a bath of warm water 3-4 times a day. Stool softeners are recommended to reduce discomfort of bowel movements. Some patients are advised to wear gauze or small absorbent pads to prevent drainage from contaminating clothing.
If you still have questions about anal abscess, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!