A member asked:

What is a pilonidal cyst?

15 doctors weighed in across 10 answers
Dr. Michael Zadeh answered

Specializes in General Surgery

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.

Answered 9/13/2018

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A congenital cyst : A pilonidal cyst is a congenital subcutaneous cyst in the buttock area that can get infected and become an abscess treated by incision and drainage or excision.

Answered 9/23/2016

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

Nest of Hair: Pilus literally is the latin word for nest. It is a nest of hair in the gluteal cleft. 79, 000 soldiers had this disease during world war ii. It was considered the jeep drivers' disease form impaction of hair while driving jeeps.

Answered 10/4/2016

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Dr. Erik Borncamp answered

Specializes in Wound care

Nest of hair. : An abscess or chronic infection usually at the top of the crease between your buttocks. Excision would be removal of this collection.

Answered 5/7/2017

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Shave; have 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.

Answered 3/29/2015

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

Surgery: There are numerous surgeries available. See a surgeon to discuss options.

Answered 10/4/2016

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See doctor: Pilonidal cyst can often be managed with local care- shaving hair in the area, occasional antibiotics if redness and swelling occur. Cysts with relatively few symptoms can "burn out" by age 40 or so; it is rare to see folks over 40 with pilonidal cyst symptoms! however, your doctor can help you determine what treatment is most appropriate for your situation.

Answered 12/6/2013

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

Surgery: There are numerous surgeries available. See a surgeon to discuss options.

Answered 10/4/2016

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See a surgeon: Medical treatment with antibiotics & soaking in warm bath water may help temporarily. See a surgeon if you need an infection drained or if a surgical procedure to remove the pilonidal region is indicated for you.

Answered 9/4/2012

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Dr. Allen Kamrava answered

Specializes in Colon and Rectal Surgery

Surgery: There are numerous surgeries available. See a surgeon to discuss options.

Answered 10/4/2016

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