Reoccurring Perianal Abscess (informed MRI shows no Fistula)

Hello,

I have had 3 operations in the space of around a year for a reoccurring Peri-anal abscess. As far as I know I do not have Crohns. After operation number 3 I had an MRI and have been informed I do not have a Fistula.

How many operations have people had? I want to know if this will ever stop and how many times might I need this operation.

Has anybody had success with alternative/preventative treatment?

Most of what I am reading in relation to reoccurring perianal abscess seems to relate to an Anal Fistula but I have been told I do not have a Fistula. So I am confused as to a way forward and have had limited advise or contact from the NHS.

Full story:

I have had a re-occurring perianal abscess. The first I had was January 2022. I also had covid at the time and was reluctant to go to hospital and was in quite a bad way by the time I went. NHS made me wait a week for the surgey in agony. The abscess popped on its own accord. It was quite a large incision. Due to covid post operative care was difficult and I changed the packing myself throughout.

I was soon again on antibiotics and they worked the first time. But only delaying the abscess from reoccurring for a short time when it returned July 2022 and antibiotics did not work. I again was made to wait a week in Hospital. Abscess popped on its own again.

I noticed that the abscess either does not close completely, or only does for a very short period, and noticed tiny amount of discharge on a dressing I continued to use by way of monitoring discharge.

Then in February 2023 the abscess returns again. This time I was operated on within 24 hours and this was much easier on me, a smaller incision and recovery was much faster.

Only after this 3rd operation they arranged an MRI which I just had the results back for, and I have been informed there is no Fistula. I have started to get an itching sensation which I believe may be the onset of it returning and operation number 4.

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