Doctor insights on:
Pilonidal: No, you should be worried when it hurts and you notice any discharge. ...Read more
What to do if I have a child who has had surgery for a pilonidal dimple that extends to their spine?
I have pilonidal dimple or hole above my tailbone and its a little sore the spot feels like it has anesthesia. How long will it take to heal. No lump?
Pilonidal disease that causes no symptoms does not need to be treated.
Call your doctor if you notice any of the following around the pilonidal cyst:
Drainage of pus, redness, swelling or tenderness.
Antibiotics may be used if there is an infection spreading in the skin. Surgery to remove an abscess that returns. ...Read more
Same: Question of semantics. Some use other names based on depth. ...Read more
Cleft-lift surgery: The most definitive operation for pilonidal disease is the cleft-lift. It has a very low recurrence rate, and a high percentage of primary healing. However, not all surgeons do this procedure - so it is beneficial to find one experienced in performing the cleft-lift. ...Read more
None: Patients with pilonidal cysts may not have any symptoms at all. In others the cyst may become infected resulting in inflammation and pain. The infected cyst may grow and rupture into the surrounding tissue, forming an abscess. Infected pilonodal cysts/abscesses can cause severe pain, redness, swelling, and warmth of the skin of the tailbone area. Abscesses may cause fever and drainage of pus. ...Read more
I am dignosed with pilonidal sytus...Not experiencing any pain right now....Is the operation necessary?
Pilonidal cyst: Surgery to remove the cyst at this stage, no symptoms and no infection, is a good option. This is elective. Waiting until you have an infection, abscess, or severe pain is also an option. However, you will be urgent or emergent category and surgery will be necessary. Elective surgery has better outcomes for a reason. Good luck. ...Read more
Hi, I had a surgery for pilonidal sonus second time, 15 days back. The wound is nice and clean because of daily dressing. What should I do to avoid its reccurence?
Clean and Dry:
A complete resection of the pilonidal sinus should result in a cure from this problem. Keep your healing wound clean and dry.
If you have hair in the area, then once you are completely healed, you can use a depilatory cream to remove all hair from the area. ...Read more
Some r prone to it: If you are one of the lucky (or unlucky) ones to have a propensity for this problem, then you may get it. Others will go their whole lives without ever having this. Good news, though, is it is well treated surgically, usually an outpatient procedure. Sometimes, it can go very deep. Er docs and family practice docs can treat this, but for recurrences, get to a general surgeon for treatment. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
That would be a: Fairly normal course of events for it to relieve the buildup of pressure from the infected material creating an exit pathway or sinus. Without treatment this scenario may often recur. ...Read more
Yes.: There are several surgical approaches to pilonidal cyst removal. The classic approach left a large open wound which healed in over time; recurrence was lower, but wound care was a problem. Newer approaches focus on smaller wounds and primarily closed wounds. More extensive procedures with flaps are generally reserved in the us for more extensive or recurrent disease. ...Read more