EUA + Drainage (Examination Under Anaesthesia)
Complete assessment and thorough drainage of deep, complex, or incompletely drained perianal abscesses under general anaesthesia - ensuring no residual pus and early identification of underlying fistula tracts.
What is EUA + Drainage (Examination Under Anaesthesia)?
EUA + Drainage is used for perianal abscesses that are deep, large, complex, incompletely drained by a prior procedure, or where full clinical assessment is not possible in the clinic. Under anaesthesia, the surgeon performs a thorough bimanual examination, identifies all abscess loculations, and ensures complete drainage.
Dr. Samhitha Reddy performs EUA + Drainage at Lux Hospitals, Hyderabad for ischiorectal, intersphincteric, and horseshoe abscesses where thorough drainage under controlled conditions is essential. As part of the perianal abscess treatment in Hyderabad programme, EUA is also the opportunity to identify early fistula tracts - providing a combined diagnostic and therapeutic procedure under a single anaesthetic.
EUA is also the opportunity for early fistula tract identification. If a clear internal opening is found, a loose seton may be placed at the same time.
How the Procedure Works
Assessment & Imaging
Perianal ultrasound or MRI is used pre-operatively for deep or horseshoe abscesses to map the extent of the collection and identify relevant anatomy.
General or Spinal Anaesthesia
Full anaesthesia allows complete relaxation - essential for thorough bimanual assessment of deep ischiorectal or intersphincteric abscesses.
Bimanual Examination
A systematic bimanual examination identifies all abscess compartments, any fistula tract, and the internal opening. Secondary collections in adjacent spaces are mapped.
Complete Drainage
The abscess is incised and all loculations are broken down. Thorough saline washout. Counter-drainage for large bilateral (horseshoe) abscesses if needed.
Seton (if Fistula Identified)
If a clear internal opening and fistula tract are identified, a loose draining seton may be placed at the same sitting. Definitive fistula management is then planned.
Outcomes
Who Needs This Treatment?
- →Allows complete, thorough examination not possible in an awake patient
- →Ensures all abscess loculations are identified and drained - no residual collection
- →Early identification of fistula tract reduces subsequent diagnostic delay
- →Combined diagnostic and therapeutic procedure under a single anaesthetic
- →Prevents recurrence from incompletely drained abscesses
- →Available as a same-day or next-day emergency procedure at Lux Hospitals, Hyderabad
EUA is an invaluable tool for complex abscesses. Under full anaesthesia, we examine the entire anorectal space methodically - finding collections that were not apparent on clinic examination and mapping fistula tracts that will determine the patient's subsequent treatment journey.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
EUA + Drainage (+/- Seton) Procedure Cost in Hyderabad
The cost of EUA (Examination Under Anaesthesia) with drainage and possible seton placement in Hyderabad depends on the complexity of the abscess or fistula, extent of infection, investigations required, and the care needed before and after the procedure.
For patients with deep or recurrent abscesses and suspected fistula, the approximate cost of EUA + drainage (+/- seton) ranges between ₹25,000 and ₹50,000.
| Procedure | Approximate Cost Range |
|---|---|
| EUA + Drainage (+/- Seton) | ₹25,000 – ₹50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence EUA + Drainage (+/- Seton) Cost
The overall cost may depend on:
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Complexity of abscess or fistula: The depth, recurrence, location of the infection, and presence of a fistula tract may influence the treatment approach and surgical planning.
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Pre-operative evaluation: Required investigations, clinical examination, and imaging tests such as MRI fistulogram may affect the overall cost.
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Additional procedures: If procedures such as seton placement, fistula tract management, or other infection control procedures are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, and follow-up requirements may influence the final estimate.
Is EUA + Drainage (+/- Seton) Covered by Insurance?
EUA with drainage and seton placement may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether EUA + drainage (+/- seton) is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.