top of page
Pilonidal cyst (also known as pilonidal abscess, pilonidal disease orpilonidal sinus) is a tiny hole or sac filled with hair and skin debris, which usually looks as a pimple. Pilonidal cyst is a common condition that is formed at the top of the buttocks or bottom tailbone (coccyx).
It is is more common in men than in women, and mostly affects younger people but can also be diagnosed at older age because it can stay asymptomatic for a long time.
In most cases it does not cause any symptoms and treatment is not required unless it becomes infected. In case if it gets infected, people may experience local pain and inflammation. Patients experiencing symptoms should visit a doctor to diagnose the problem.
Who is it suitable for
✔ Patients diagnosed with pilonidal cyst
✔ People with pilonidal cyst that got infected
✔ Patients experiencing symptoms such as inflammation, pain around the pilonidal cyst area, redness, swelling
✔ Patients willing to remove pilonidal cyst for cosmetic reasons
✔ Pilonoidal cyst operation usually takes less than an hour but sometimes can take longer
✔ In most cases patients can go home same day
✔ Most people can resume their daily activities 2 to 4 weeks after surgery
✔ It usually takes 1-3 months for complete recovery
✔ Experiencing some pain or tenderness during the recovery process is completely normal and can be managed by avoiding vigorous activities
Types Of Pilonidal Cyst Surgery
Incision and drainage
A simple procedure performed under local anaesthesia it one of the first choice procedures when the inflamed pilonoidal cyst is found. Doctor will make an incision into the cyst and drain it, removing any hair follicles, leaving the wound open. Usually some rubber drain is left to make healing process more fast and easy. Sometimes these kind of procedure is enugh to solve the problem, if not another surgery after some time can be done.
Surgical procedure performed on an outpatient basis and usually done usinglocal anaesthetic. This procedure involves making an incising and then removing the inside of the cyst. Once all is cleared, the wound is sewed leaving a tiny opening to let the fluids out.
Pilonidal Cystectomy (karydakis procedure)
A pilonidal cystectomy is a surgery to completely remove the cyst. These procedure can be performed under spinal or general anasthesia. An incision is made to remove the skin with the pores and the underlying tissue with the hair follicles. Then transposition of surrounding tissues is done to cover the defect and close the wound. Sometimes a tube is used to drain fluid following the surgery. This will be removed later when the fluid has finished draining. It is the more invasive procedure what can be done and it needs additional recovery time for the patient.
Following surgery, your doctor may decide to leave the wound open or close it with stitches. The use of stitches may help the recovery process, but there is a stronger possibility that your cyst will return.
Before The Treatment
Before scheduling the treatment, you will need to meet with a doctor to discuss your treatment plan and to perform an examination:
• Goals and expectations - Prepare to discuss you goals and your expectations. Your doctor should explain you different types of methods, potential risks, recovery and expected outcomes.
• Medical history - You should provide a complete medical history including your past and current medical conditions, and medications that you are taking.
• Examination - Your doctor is going to perform physical examination to determine the best treatment approach for you. Usually it involves manual check and visual examination.
• Diagnostics, tests and additional examination - Be prepared to undertake additional examination, diagnostics, a specialist consultation and blood tests if your surgeon requests before preceding with this treatment. You may need to do an ultrasound or MRI scanning.
It's recommended that you arrange for help during recovery and drive you home from a hospital.
What does it involve?
There are different types of pilonoidal cyst, but generally the following is involved:
• Depending on the treatment plan, this procedure can be done under local or general anaesthetic. You will need to agree this with a doctor prior to your surgery.
• The procedure will start with making incisions in the area where pilonoida cyst is formed.
• Once incisions are made, the cyst will be cleared by removing hair follicles.
• Drain tubes may be placed through the incision to drain any excess fluid and blood.
• After the cyst is removed, the wound can be closed or stay open for letting the fluids out.
• At the end, sutures are applied to close the incision or make marsuulisation.
• Followup appointment is needed after surgery to assess surgery results.
Pilonoidal cyst operation usually takes less than an hour but sometimes can take longer. In most cases, patients can go home same day.
After the treatment
Your recovery and how quickly you can return to work largely depends on your treatment type and complexity of the operation. For more complex operations, you may need to take at least 2 weeks time-off for your recovery. Most people can resume their daily activities 2 to 4 weeks after surgery but full recovery may take up to 3 months. After pilonoidal cyst operation it is common to experience some discomfort and:
• Contact bleeding is possible
• Need to chang bandage and use topical agents.
• Pin relief theary can be needed for first days after surgery
All surgical procedures include a certain degree of risk and can result in complications:
• Pain (usually can be treated with over-the-counter pain killers)
• Infection of the wound (redness and swelling, can be treated with antibiotics)
• Wound healing problems
• The cyst may come back
bottom of page