The wound needs to be allowed to heal from the bottom up and this healing process will take at least 2 weeks. Stitching up the wound will re-create the abscess cavity and allow pus to re-accumulate.
It is vital for the wound to be left open and not stitched up. In severe cases, the surgeon will need to remove part of the unhealthy and dead skin overlying the abscess and this will result in a bigger wound.
The surgeon makes an incision/cut on the abscess to allow the pus to drain out with subsequent packing of the open wound with a special dressing material. This is accomplished through a minor surgery under general anaesthesia. How should I treat my Buttock Abscess?Īll buttock abscesses need urgent treatment to allow the pus to be drained completely. The infection then spreads from these pits to both sides of the clefts to form an abscess. The hair pits can be identified during a specialist consult as it manifests as small pinpoint holes in the clefts. The pilonidal abscess starts with ingrown hairs at the depth of the ‘valley’ of the clefts that eventually form tiny hair pits. Most pilonidal abscesses occur in individuals with heavy hair growth at the buttock and cleft regions. The pilonidal abscess has a unique underlying cause.
Some patients may, however, experience a pimple-sized nodule with occasional discharge of small amounts of pus for weeks on end. The patient will experience a tender and red skin lump on either side of the cleft region, and this corresponds to an abscess. The natal cleft is the ‘valley’ between the buttocks overlying the ‘tail bone’ of the spine and the buttock cleft is the corresponding ‘valley’ between the fleshy parts of the buttocks. A pilonidal abscess occurs exclusively at the region of the natal and buttock clefts.
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