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Let me start this message by saying I feel very good! Now, with that out of the way. Last week or so I developed some very good perianal pain, enough so that sitting or laying down was very uncomfortable. The pain was just along side the butt hole, to the left.

This pain seemed very much like the tailbone pain I had (the reason I am seeing Dr. Shen for sinusotomies)but just a different location. My surgeon diagnosed this as an abscess. The pain was high enough to warrant pain pills for me.

Off to the hospital last Friday for abscess drainage and very happy he also did a pouchoscopy while I was under. I woke up with a "twin" hole in my bottom where the abscess was drained. However, this was merely sore and no need to take pain meds -- quite a relief. However, the surgeon explained about possible fistula, etc. He indicated that my pouch looked "good."

I have a follow-up with him tomorrow morning and another pouchoscopy/sinus work visit with Dr. Shen at the end of this month. The pouch is feeling pretty good three days after surgery and I hope it continues!

I am curious, could the abscess simply be remnants of a prior leak that Dr. Shen had repaired? Do I understand that the abcess is not really a part of the pouch?
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Sounds like a perianal or perirectal abscess. It is impossible to tell if this was connected to your prior fistula or not without knowing how your fistula sinus was directed. Sometimes they have multiple "fingers" to them. Also, perianal and perirectal abscesses can be recurrent.

Good questions to ask your surgeon and Dr. Shen. Maybe he could do a fistuogram to see where it goes. But, hopefully, incision and drainage is all you need for this one, and they do not connect.

Jan Smiler
Thanks, Jan. I think it was a perianal abscess. My doctor looked for a fistula, but said he couldn't find evidence of one. Hope the abscess (and fistula) stay away. The doctor said that the work Dr. Shen did on the sinustomomy was on my right side, the abscess was on my left side.

I feel like a new man and hope we can stabilize! I also have a follow-up pouchoscopy with Dr. Shen for next week that I may want to move back another week or two to let everything heal up.

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