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A 30-year-old member asked:

What treats pilonidal cyst ?

4 doctor answers7 doctors weighed in
Dr. Jan Rakinic
Colon and Rectal Surgery 38 years experience
Shaving, surgery: Uncomplicated cysts can often be managed with shaving the area. Dislodged hairs that work into the cyst cause the infection. Of course, some folks who aren't hairy have pilonidal cysts. If local swelling and pain occurs, infection is likely. Antibiotics can often treat the acute symptoms unless there is a frank abscess- that needs drainage. Recurrent symptoms usually require resection of the cyst.
Dr. Jeremy Weinberger
General Surgery 23 years experience
Hair removal : Pilonidal cyst is actually a misnomer. It is best called pilonidal disease. It is due to ingrown hair in the inter gluteal crease. The treatment is two fold. A surgeon needs to remove the chronically inflamed tissue that is beneath the skin either by an open or closed technique, followed by lifelong hair control at the source. Methods include laser removal, shaving, and depilatories.
Dr. Allen Kamrava
Colon and Rectal Surgery 15 years experience
Surgery: The only treatment for pilonidal disease is surgery. There are numerous surgeries offered for this. Ultimately, it will be what your surgeon is most comfortable with and has done most often.
Dr. Erik Borncamp
Wound care 25 years experience
Infected?: Abx will NOT cure a pilonidal cyst. They can help clear the infection and surrounding cellulitis that can occur when the cyst becomes infected. .... but not the cyst itself. The cyst needs to be removed if bothering you. If not bothering you can be safely watched.

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A 33-year-old member asked:

What is a pilonidal cyst?

10 doctor answers15 doctors weighed in
Dr. Michael Zadeh
General Surgery 17 years experience
Cyst on tailbone: A pilonidal cyst is a cyst that develops in the midline of the tailbone near the cleft of the buttocks. The most accepted theory for the cause of these cysts is the blockage of hair follicles in the skin of the area which creates "pits" in the cleft of the buttocks. As the follicles become clogged with hair and skin debris, cyst formation occurs.

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Last updated Aug 14, 2019

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