10 doctors weighed in:
What is the treatment for a pilonidal cyst?
10 doctors weighed in

Dr. Jan Rakinic
Surgery - Colorectal
4 doctors agree
In brief: Often surgery
Cysts with few symptoms may be treated conservatively, with shaving the area free of hair, and perhaps oral antibiotics for minor swelling.
However, more symptomatic cysts usually require resection. Newer approaches favor smaller incisions, often off the midline, with closure of the wound for more rapid healing. Flap closure is usually reserved for complex or recurrent disease in the U.S.

In brief: Often surgery
Cysts with few symptoms may be treated conservatively, with shaving the area free of hair, and perhaps oral antibiotics for minor swelling.
However, more symptomatic cysts usually require resection. Newer approaches favor smaller incisions, often off the midline, with closure of the wound for more rapid healing. Flap closure is usually reserved for complex or recurrent disease in the U.S.
Dr. Jan Rakinic
Dr. Jan Rakinic
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2 comments
Dr. Paul Harper
Pilonidal disease is not a cyst, it is an abscess caused by hair being driven into the natal cleft by pressure from the cleft. Proper treatment revolves around getting rid of hair and clearing out the "pits" which cause the problem in the first place. The cleft lift procedure wil usually end the issue. There is no resection of a cyst because there is not cyst.
Dr. Steven Immerman
I agree with Dr Harper. The cleft lift procedure is the most definitive treatment, and usually ends the issue.
Dr. Allen Kamrava
Surgery - Colorectal
1 doctor agrees
In brief: Surgery
There are numerous surgeries available.
See a surgeon to discuss options.

In brief: Surgery
There are numerous surgeries available.
See a surgeon to discuss options.
Dr. Allen Kamrava
Dr. Allen Kamrava
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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
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In brief: Depends
Depending on the size and length of time the pilonidal cyst has been present, surgery is often indicated.
It could be a small office procedure for smaller conditions, or a slightly more deep surgery done under anesthesia in an operating room. Antibiotics may be able to help some, but not likely result in a permanent cure. Cysts can even recur after surgical excision for some people.

In brief: Depends
Depending on the size and length of time the pilonidal cyst has been present, surgery is often indicated.
It could be a small office procedure for smaller conditions, or a slightly more deep surgery done under anesthesia in an operating room. Antibiotics may be able to help some, but not likely result in a permanent cure. Cysts can even recur after surgical excision for some people.
Dr. Mark Hoepfner
Dr. Mark Hoepfner
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