Day theatre procedure
About this service
Perianal and ischiorectal abscess drainage treats a painful infection around the anus, carried out in Windhoek at Eastgate Clinic's on-site day theatre. Abscesses in this area develop when infection collects in the tissue around the anal canal, causing swelling, throbbing pain and difficulty sitting that typically worsens quickly without treatment. Because of the sensitivity and depth of tissue involved, particularly with ischiorectal abscesses, draining these thoroughly under anaesthesia gives a far more comfortable and complete result than attempting it while awake.
Your surgeon makes an incision to release the infection and clean the area properly, sometimes leaving the wound open to drain as it heals. Most patients go home the same day, with wound care guidance for the following days.
What to expect
- Your surgeon assesses the abscess to plan the incision and drainage needed.
- Anaesthesia is given, since ischiorectal abscesses sit deep beside the anal canal and cannot be drained comfortably while awake.
- The infection is drained and the area thoroughly cleaned.
- The wound may be left open or packed to drain, needing follow-up dressing changes.
Who is it for?
You may be advised to have this if you are dealing with:
- A painful, swollen lump near the anus
- Difficulty or pain sitting due to swelling in that area
- Fever or worsening pain alongside the swelling
- A doctor has identified an abscess needing surgical drainage
Frequently asked questions
What is the difference between a perianal and an ischiorectal abscess?
A perianal abscess sits just under the skin next to the anus, while an ischiorectal abscess lies deeper in the fatty tissue beside the rectum and often causes fever and a dull, spreading ache before a lump shows. Both need surgical drainage.
Can a perianal abscess come back after drainage?
It can, and some abscesses leave behind a small tunnel called a fistula that keeps discharging. Your surgeon will check for this at follow-up and discuss further treatment if the area does not settle.
How do I care for the wound after perianal abscess drainage?
Keep the area clean with warm baths or a shower after each bowel movement, change dressings as shown, and eat enough fibre to avoid straining. Come back sooner if fever, spreading redness or heavy discharge develops.
For referring doctors
Referring doctors can book urgent theatre time for perianal and ischiorectal abscess drainage at Eastgate Clinic in Windhoek, with anaesthetist and theatre support provided. Contact us to arrange access promptly.
Day theatre information for doctorsReady to book your perianal & ischiorectal abscess drainage?
Choose a date and time online and we will confirm your appointment at Eastgate Clinic in Windhoek. Medical aid and private patients welcome.