Changes

*Mild antiseptic solution such as 0.05% chlorhexidine.

*Mild antiseptic solution such as 0.05% chlorhexidine.

Following flushing, antibiotics should be used either systemically or topically (with or without the use of a corticosteroid).

Following flushing, antibiotics should be used either systemically or topically (with or without the use of a corticosteroid).

The flushing may need to be repeated at 10-14day intervals until resolution. In severe cases anal sacculectomy may be requires of which an open technique is preferable.

The flushing may need to be repeated at 10-14day intervals until resolution. If recurrent episodes occur anal sacculectomy is indicated. This surgery involves careful dissection and removal of both anal sacs. Two techniques are described 1) closed and 2) open. When performing the closed technique the external anal sphincter muscle is not transected and the lumen of the anal sac remains closed;  hence decreasing the chance of faecal incontinence and local infection following surgery.  Inflammation and fibrosis of the perineal region should be treated prior to surgery as this will also decrease the surgical risk of anal sphincter damage and resultant faecal incontinence.

The main complications of this procedure include faecal incontinence which may be temporary or permanent, scooting, inflammation, infection, dehiscence, tenesmus, rectal prolapse, fistulation, haematochezia, stricture formation and seroma formation.

==Prognosis==

==Prognosis==

Is usually good, if reccurent episodes occur anal sacculetcomy may be indicated.

Is usually good.

==References==

==References==