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However, the majority of abscesses will require to be drained. Small amount of muscle can usually be safely should anal cyst be removed to treat the should anal cyst be removed fistula without compromising continence. Evaluation A physical exam is typically the only requirement for diagnosis. Although the sphincter muscle is not divided in this procedure, mild to moderate incontinence has still been reported. Computed tomography or MRI may be used in the setting of clinical suspicion without signs discussed above, especially in the setting of unexplained significant anorectal pain, and in the immunocompromised patient who may not mount an immune response.