Will an anal abscess always develop into an anal fistula after it ruptures?

After rupture, perianal abscess does not necessarily progress to an anal fistula. Although rupture of a perianal abscess is a potential factor in the development of a fistula, whether a fistula actually forms depends on several factors, including the severity and location of the abscess, as well as individual patient differences. When the perianal abscess is mild and promptly treated appropriately, it may resolve without progressing to an anal fistula after rupture. However, if the abscess is deep, extends into the rectal area, or is inadequately managed, it may lead to the formation of an abnormal passage between the bowel and anal tissues, resulting in an anal fistula. Statistics show that a significant proportion of patients with ruptured perianal abscesses may develop anal fistulas, but not all do. For patients with perianal abscess, early medical intervention and standardized treatment are crucial to minimize the risk of developing an anal fistula.