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Perianal abscess 12 o clock position
Hello doctors, I'm a 31-year-old male. Two weeks ago, I had a small lump at the 12 o'clock position, just above the anal opening (between anus and penis). It was painful to touch but no fever or sitting discomfort. A general surgeon advised an MRI Fistulogram, which showed a tiny 5.6 mm perianal abscess, no fistula, no anal canal communication, and no tract formation. He vaguely said, “whatever the report, continue antibiotics” for 5 days. After completing the course, the pain is gone, the lump is smaller, and when I pressed it, a small hard white pimple-like substance came out. Still the surgeon insists on laser surgery without any post-report consultation or explanation only said he’ll process cashless approval. My questions: 1. Is surgery really required now? 2. Can this heal fully on its own? 3. Will it become a fistula later? 4.Are sitz baths  required Mri report attached for your reference
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It can turn up to fistula
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Surgical intervention required
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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.