What disease is it when a lump grows between the chrysanthemum and the testicles?

Patient's question:

About four or five days ago, I noticed a 3-centimeter, oval-shaped lump under the skin between the buttocks and testicles. It hurts when I strain during a bowel movement, when I sit down, and when I walk. There is no discharge. Doctor, what is this condition? Do I need surgery?

Doctor's answer:

According to the described situation, it should be considered an anal fistula or an perianal abscess, so it is recommended to avoid spicy foods in your diet. Then, use water for sitz baths. If necessary, surgical treatment will be required. The testicles can be relieved, but the treatment time is generally long, and it is prone to recurrence after treatment. Therefore, during treatment, it is essential to actively cooperate with the doctor's treatment, use medication appropriately, and also recommend developing good lifestyle habits and proper diet during the treatment period.

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