Comparison of Sitz bath alone versus Sitz bath with Antibiotic therapy in the management of uncomplicated Perianal Abscess


  • Hafeezullah Postgraduate Resident , Department of General Surgery
  • S H Waqar Professor & Head, Department of General Surgery,Surgical Unit I, Department of General Surgery, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad
  • Sajid Ali Shah Associate Professor, Department of General Surgery
  • Isbah Rashid postgraduate resident, Department of General Surgery
  • Fatima Shahzad House Officer, Department of General Surgery


Objective: To compare the outcome of sitz baths alone vs. sitz bath with antibiotic treatment in uncomplicated cases of perianal abscess.
Patients and methods: A prospective comparative clinical trial was carried out in Department of General Surgery Pakistan Institute of Medical Sciences (PIMS) Islamabad from January 2018 to December 2019. All uncomplicated cases of perianal abscess who underwent incision & drainage were included in the study as per inclusion. Patients were divided randomly in two groups: group A was advised to use sitz bath alone thrice daily, while group B was advised to
use sitz bath along with antibiotics. Pain score was measured by Visual Analogue Score (VAS) and wound healing was assessed fortnightly. Data was recorded and analyzed using SPSS version 22.
Results: A total of 147 patients were included, 72 patients in group A and 75 in group B. The mean age of the patients was 40.25±15.35 and mean wound size was 6.55 ± 2.45. The difference in pain score by VAS is not statistically significant (p=0.329) at follow up, while wound healing at fortnightly visit in group A was more than in group B with statistically significant difference (0.003).
Conclusion: The use of the Sitz bath alone showed significant results as compared to sitz bath with antibiotics in wound healing among patients with perianal abscess.
Key words: Antibiotics, Perianal abscess, Sitz bath, Wound healing





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