Anal abscesses are usually treated with an operation to make an opening over the abscess to allow drainage of the pus. This can be done as a day surgery except in cases where they are big or deep in which they will need to be hospitalised for a few days for dressing.
Surgery is the mainstay of treatment for anal fistulas. Fistula surgery usually involves cutting a small portion of the anal sphincter muscle to open the tunnel and convert the tunnel into a groove that will then heal from within outward.
Occasionally, a suture is left is left in the fistula first followed by a second operation to cut the fistula at a later period.