So why cant they stretch and sew the shit back together? Does that shit climb up your spine and tail bone. no issues with that?
they leave it open because its your azz...not really that clean... healing it from the bottom up is less likely to get infected and it cuts the reoccurence rate by a whole lot.
Sometimes people get such bad pain right away from even a small one that they detect them early. Then a family doctor in the office, or even the ER, can basically just lance it like a big zit and give you some antibiotics. That's what happens to about 60% of people who get them.
For most people if they it comes back after lancing it, maybe a few times, they will probably try to cut it out and sew it back closed. But the rate of infection and reoccurence with that surgery is higher. IF that surgery fails, again maybe after a few tries, then they go to the surgery i had.
What happened to me is that it started small, an ingrown hair most likely, and then the body's natural defense is to wall it off in a little pocket. Well probably for years, mine would rupture and leak pu.ss inside without me knowing it. The abscess grew bigger and bigger and tunneled all over like happy little ants in an ant farm.
Then it just got bad and my body couldn't wall it off and isolate that amount of infected and necrotic tissue. So first i got real sick. I took antibiotics and got sicker. Then above my butt crack got swollen, warn and painful. The doc lanced it in his office and then discovered how bad it was and sent me to a surgeon.
Thinking back to the last few years, twice i needed IV antibiotics, strong ones, to get over being REALLY sick. Both times they called it "infection of unknown origin", but now i think it was my butt. One time i even remember my tailbone sort of hurting, but i blamed the crazy hard Korean mattress and having been laying in bed sick 4 days in a row.
The surgeon saw me right away and said he wanted to take it all that afternoon, in about 2 hours. He thought i was going septic and it needed to be removed as soon as possible.
So think about that... it started off as what i thought was a common cold...and it was....but it was due to my super weak immune system....then in only a few days it was so bad they cut off half my azz ;(