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Pelvic Inflammatory Disease: Draining an Abscess

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Topic Overview

A pelvic abscess may be drained by needle aspiration. A needle is inserted through the abdominal or vaginal wall into the abscess. The fluid filling the abscess is drawn out (aspirated) with a syringe connected to the needle. A pelvic ultrasound or a computed tomography (CT) scan is used to guide the needle into the abscess. A tube (catheter) may be left in for a few days to allow the abscess to drain completely.

Aspiration of an abscess may be done with a local or general anesthesia. You may go home the same day, unless more treatment is needed or you are very ill.

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Aspiration may be considered when the abscess:

Has failed to shrink or continues to enlarge after 48 to 72 hours of antibiotic therapy.
Is in the area between the vagina and rectum (cul-de-sac).

If your health professional recommends aspiration, ask about abscess recurrence rates and other risks of the procedure.

WebMD Medical Reference from Healthwise

Last Updated: November 23, 2010

This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.