7 doctors weighed in:
What treats pilonidal cyst ?
7 doctors weighed in

Dr. Allen Kamrava
Surgery - Colorectal
2 doctors agree
In brief: 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.

In brief: 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. Allen Kamrava
Dr. Allen Kamrava
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Dr. Jan Rakinic
Surgery - Colorectal
1 doctor agrees
In brief: 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.

In brief: 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. Jan Rakinic
Dr. Jan Rakinic
Thank
Dr. Erik Borncamp
Wound care
In brief: 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.

In brief: 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.
Dr. Erik Borncamp
Dr. Erik Borncamp
Thank
In brief: 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.

In brief: 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. Jeremy Weinberger
Dr. Jeremy Weinberger
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