First of all, I want to say that the traditional surgical method of perianal abscess is just like the second operation you mentioned, but with the continuous improvement of medical level, some doctors in China can perform one-time surgery. The problem here is that there are not as many doctors doing this as you think, and the popularity of an operation is not very ideal. So people who know this therapy may not necessarily master this technology.

Now to answer your question, because I didn't see your actual situation, I dare not say it must be anal fistula, but I personally think it is very likely. As I said at the beginning, an operation requires superb skills. If it is really an anal fistula, it must be treated surgically! Conservative treatment can only relieve symptoms, but it is difficult to cure them. Secondly, anal fistula and perianal abscess surgery are very similar, because they are different stages of development of the same disease. Our situation here is an operation under sacral anesthesia. According to the special situation of different patients, local anesthesia will be considered as an aid, and the operation is absolutely painless. Long-term anesthesia is also used to block pain, basically the night after surgery. If you don't need to sit for a long time at work, it won't affect your work. As for postoperative recovery, I'm not sure, because this varies from person to person, and I'm generally in good physical condition. If I don't have diabetes or malnutrition, I'll be cured in ten days to half a month, which means I won't affect my normal work and life, but I'll be cured in one month! As for the precautions, one is diet, not eating spicy food or drinking alcohol; The second is to maintain hygiene, often take a warm bath, at least after defecation, and if possible, do some physical therapy to keep the anus dry and clean, and do proper anal function exercise. ...

That's my answer. As an anorectal expert, I suggest that you don't be superstitious about rumors on the Internet or in some hospitals. If you choose surgery, try to choose a specialty instead of just looking for general surgery in the hospital.

By the way, I forgot to say that I am from Shenyang. ...