Abscesses can occur anywhere on the body, including the anus, and a perianal abscess is an infection around the anal region that can sometimes lead to or result from a fistula-in-ano (FIA). At Dr Bernard Lim Specialist Surgery, we provide expert care for abscess removal in Singapore offering safe and effective abscess drainage to relieve pain, prevent complications, and support full recovery.
A perianal abscess is a painful, pus-filled infection that occurs in the tissue surrounding the anus or rectum. It develops when one of the small anal glands becomes blocked and infected, often due to bacteria or an underlying condition. Without treatment, a perianal abscess may lead to serious complications—most commonly in the form of an anal fistula.
A perianal abscess can result from:
In some cases, a skin abscess near the anal region may spread deeper, creating a larger perianal abscess that requires urgent abscess drainage.
Drainage quickly reduces swelling, pain, and infection.
Early treatment lowers the risk of fistula formation or recurrent abscesses.
Our colorectal specialist will assess the abscess and recommend a personalised treatment plan using safe and proven techniques.
Watch for:
May feel hard or tender depending on the location and depth of infection.
Skin around the affected area may appear red, inflamed, and warm to the touch.
Signs that the infection may be spreading beyond the local area.
Especially during sitting or bowel movements, which can become increasingly uncomfortable.
A yellowish or bloody discharge may appear if the abscess bursts.
Skin may become tight, stretched, or discoloured due to the buildup of pressure.
May feel hard or tender depending on the location and depth of infection.
Skin around the affected area may appear red, inflamed, and warm to the touch.
Signs that the infection may be spreading beyond the local area.
Especially during sitting or bowel movements, which can become increasingly uncomfortable.
A yellowish or bloody discharge may appear if the abscess bursts.
Skin may become tight, stretched, or discoloured due to the buildup of pressure.
Individuals with diabetes, immune system disorders, or inflammatory bowel disease are more prone to developing perianal abscesses in Singapore and should be especially vigilant.
You should consult a specialist for abscess removal if you notice:
Prompt treatment for perianal abscess brings relief and helps prevent long-term complications.
Diagnosis begins with a thorough physical examination of the anal region. During the exam, the doctor will:
In more complex cases, your specialist may recommend:
These diagnostic tools help confirm whether the infection is isolated or connected to a fistula, which is important for treatment planning.
The primary treatment for a perianal abscess is surgical drainage.
During your visit, our specialist will:
This procedure is usually done as a day surgery, allowing you to return home the same day.
Proper aftercare is crucial for a smooth recovery and to prevent complications:
If the infection is severe or shows signs of spreading, your doctor will prescribe antibiotics to help fight the infection.
Your specialist will schedule regular check-ups to monitor your healing progress and promptly address any signs of recurrence or complications.
Recurring abscess is an indication of an underlying anal fistula. Your specialist will evaluate and recommend appropriate treatment options to manage the fistula, prevent future abscesses, and ensure lasting relief.
Abscess drainage may be necessary if you notice:
Delaying drainage can prolong discomfort and worsen the infection.
If left untreated, a perianal abscess can lead to:
Bring your ID, health insurance or Medisave information, and any previous medical records related to your condition.
Prepare a list of current medications, including supplements, to inform your specialist.
Arrange for a friend or family member to accompany you or drive you home if sedation or anesthesia is planned.
Your specialist will review your symptoms, medical history, and conduct a thorough physical examination to confirm the diagnosis.
Expect to complete consent forms and provide relevant personal and medical information before the procedure.
Choosing a trained specialist makes a difference in achieving fast recovery and preventing recurrence.
Our team has expertise in diagnosing and treating perianal abscesses and related conditions.
We use modern, minimally invasive methods that reduce pain, speed up recovery, and minimise scarring.
We tailor treatment plans to your unique needs, addressing the abscess and any underlying issues.
Early identification and treatment of underlying problems help prevent future abscesses and complications.
Our team has expertise in diagnosing and treating perianal abscesses and related conditions.
We use modern, minimally invasive methods that reduce pain, speed up recovery, and minimise scarring.
We tailor treatment plans to your unique needs, addressing the abscess and any underlying issues.
Early identification and treatment of underlying problems help prevent future abscesses and complications.
Most patients heal within 2 to 3 weeks, on average, following abscess drainage. Healing time depends on the abscess size, complexity, and your overall health. Minor discomfort and swelling are normal during this period.
Keep the drainage site clean by gently washing with warm water or saline as instructed.
Practise good personal hygiene to reduce infection risks.
Avoid heavy lifting or strenuous activities until your specialist advises otherwise.
Attend all scheduled visits to monitor healing and catch any signs of recurrence early.
Take prescribed antibiotics fully to ensure infection control.
Taking proactive steps can help reduce the risk of future perianal abscesses in Singapore and maintain long-term health.
Consistent monitoring and healthy habits play a vital role in preventing recurrence of perianal abscesses in Singapore.
Most patients recover within a few days after abscess drainage. However, if there are complications, recovery may take longer. You will be advised on post-surgery care to ensure optimal healing.
If a fistula-in-ano is present, there is a risk of recurrence. Your specialist will discuss further treatment options to address this, such as FIA surgery.
Yes, abscess treatment are is eligible for partial Medisave claims and is covered by most insurance plans*.
Maintaining good hygiene, managing underlying conditions like diabetes, and seeking prompt treatment for anal infections can help prevent abscess formation.
If an abscess bursts, you may experience a purulent discharge. It’s still important to see a doctor for treatment, as the abscess cavity needs to be cleaned, and there may be an underlying FIA to address.
A small incision to drain pus, followed by cleaning and wound care.
No, general anaesthesia is usually used to keep you comfortable.
Pain, swelling, redness, fever, and pus discharge near the anus.
Through physical exam, symptom review, and sometimes imaging tests.
Fistula formation, infection, chronic pain, and sepsis.
When the abscess causes severe pain, swelling, or fails to resolve.
Cleaning, general anaesthesia, incision, pus drainage, and wound care.
Healing typically takes 2 to 3 weeks with proper care.
Perianal abscesses may seem like a small issue, but untreated, they can lead to significant complications. Get the treatment you need.