Abscess in the groin – causes, complaints & therapy

Abscess in the groin

Pain in the groin area is always a cause for concern. In addition to the classic urinary tract, kidney and bowel diseases can also be Abscess in the groin come into question. This bacterial disease is more common than previously thought and can significantly affect the patient’s quality of life. Many people mistake these pus as pimples and do nothing. However, this can have serious, possibly even life-threatening, physical consequences.

Table of Contents

What is an abscess in the groin?

Physicians refer to an abscess as a hollow chamber filled with pus, similar to a normal pimple. The difference is in size and consistency. An abscess can become very large and also protracted because the body encapsulates the egg chamber. The pus can not escape like that. As apart from body tissue also decomposing liquids are contained in an abscess, neighboring tissue can be slowly killed and the abscess spread.

If the chamber lies on the surface and the pus can drain quickly, doctors speak of a boil. If the abscess spreads inside the body and then forms small passages, then the term fistula is used. Abscesses can be long-lasting and do not present any danger – especially in the groin area they remain unrecognized for a long time. If the pus (and bacteria) find a way to enter other tissues or even blood vessels, life-threatening conditions can arise. In the worst case, an abscess can spread to septicemia or even damage important organs inside the body.


As a result, the pus and the bacteria can not drain. If this occurs over a long period of time, however, the bacteria can overcome this shell and also attack neighboring tissue. They can also enter the bloodstream and spread throughout the body. A piercing of the abscess therefore promotes this process only without creating mitigation. When an abscess occurs, a visit to a doctor is inevitable. Without an intervention the abscess can not heal.

When to the doctor?

In the case of swelling of the skin in the groin area, a doctor should be consulted if she does not recover automatically within a few days. If the swelling increases in size or if more tissue changes occur, it is advisable to consult a physician. Additional symptoms such as pimples, discoloration of the skin, fever, tiredness, fatigue or indifference are of concern and should be clarified by a doctor.

If the swelling leads to a restriction of the movements or a skewing of the pelvis, a doctor should be consulted. It threatens permanent damage to the skeletal system, which must be prevented. Pain in the groin or a constant feeling of pressure must also be examined by a doctor and clarified.

Should fluids from the skin or tissue change or pus develop should a doctor visit take place. If the pus gets into the bloodstream, there is a risk of blood poisoning. Therefore, in this case the way to a doctor should be sought in time. If open wounds form, germs can enter the organism and lead to the onset of other diseases. For this reason, a doctor should be consulted with an abscess in the groin as soon as the abnormalities persist for several days unabated.

Symptoms and course

Typical symptoms of an abscess in the groin:

An abscess in the groin is difficult for the patient to identify. A pimple or boil is very close to the surface, while the abscess is often deep in the tissue. Skin irritation causes the bacteria to enter the body and form an abscess. The skin has swelling and redness. Abscesses are sensitive to pressure, and the patient will feel a little pain when they are touched. Near-surface abscesses can also cause a thick pus with a horny shell.

Because deeper abscesses in the groin are rarely recognized by the patient, they can expand for a long time. Other symptoms include fever and fatigue. For larger abscesses and the movement of the hip is restricted. If the abscess continues to grow or its contents pour into adjacent tissue, “poisoning” can occur, including blood poisoning. Patients with these symptoms may seek the advice of a physician for certainty.


Near-surface abscesses and boils can be quickly diagnosed by the doctor. Lower abscesses are difficult to find. The doctor will scan the bar and perform further tests. The doctor can only make an accurate diagnosis using an X-ray image. When recording a healthy groin area, this will be identified by their clear contours. If the groin is infected by an abscess, these clear contours are blurred. The pus within the abscess affects the penetration of x-rays due to its density. If the abscess is located far in the inner part of the groin, ultrasound can also clarify the presence of a purulent bulge. Other tests of the doctor are fever fairs and blood tests to detect bacteria.


An abscess in the groin may later on favor a number of complications. If the abscess is not treated, it can press on vessels and nerve cords, causing feelings of distress and oxygen deficiency in certain parts of the body, among other things. If the abscess bursts, the pathogens sometimes get into the bloodstream and cause blood poisoning. If the abscess fistulously deflates, more abscesses and serious sequelae may arise. There is also the risk of life-threatening organ abscesses. In the treatment of a groin abscess, it can also lead to complications. Thus, the prescribed medication sometimes cause allergic reactions. Train ointments such as Ichtholan can cause intolerance reactions such as itching and skin redness and lead to the formation of further abscesses via a smear infection. Surgical procedures can lead to injuries in the groin and are associated with secondary bleeding and excessive scarring. After the surgery, it can sometimes come to a re-education of a pus cavity. In general, however, abscesses usually heal without major complications.

Treatment and therapy

The treatment is surgical. Depending on the location of the abscess in the groin, it is done by means of local anesthesia or under general anesthesia. The doctor will open the abscess and drain the pus. Thereafter, the antibacterial treatment takes place. The abscess is not sutured but left open. The doctor will continue to rinse the cavity with antibacterial agents in post-treatment. An abscess in the groin therefore often requires in-patient hospitalization.

With good and timely treatment, the abscess heals after about two weeks. Consequential damages are not to be expected, but there will be a small scar left over. However, the severity of the procedure depends on the location and size of the abscess. Further treatment also includes finding and eliminating the causes as far as they can be detected. Kidney and intestinal disorders will require additional testing. The treatment of the causes is made after the healing of the abscess. Without this there is a risk of a recurrence of this Abszessform in the bar. If the abscess has already spread, further surgical procedures and intensive antibacterial treatment must be expected as well.


Good protection against bacteria is still a healthy immune system: regular exercise and healthy diets are not a protection, but a good help in the fight against bacteria. As a prevention, it only helps to care for the skin well and to palpate the groin regularly.

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Christina Cherry
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