Advanced Relief for Pilonidal Cysts

A pilonidal cyst is a fluid-filled sac that forms near the tailbone, typically at the top of the buttocks crease. These cysts develop when hair, skin debris, or bacteria get trapped beneath the skin, leading to inflammation, swelling, and sometimes infection.

Who's at Risk?

Certain factors can increase the likelihood of developing a pilonidal cyst, including:

• Prolonged sitting (common among drivers, office workers, or students)
• Excessive hair growth in the tailbone area
• Skin friction or irritation from tight clothing
• Poor hygiene or excessive moisture in the area
• A history of pilonidal cysts or family history of the condition

If left untreated, pilonidal cysts can become chronic and lead to painful abscesses, draining infections, or even a sinus tract (a tunnel under the skin) that makes healing more difficult.

When Is Surgery Needed?

Doctors typically recommend surgery when a pilonidal cyst:

• Keeps coming back despite previous treatments
• Becomes infected, leading to swelling, pain, or pus drainage
• Forms a sinus tract, making it difficult to heal on its own
• Interferes with daily activities, causing discomfort when sitting or moving

Delaying treatment can allow the cyst to worsen over time, increasing the risk of more extensive procedures. If you’ve experienced recurring cysts or infections, our surgeons can help determine your best treatment plan.

Surgical Treatment Options for Pilonidal Cyst Removal

Surgical removal is often the most effective solution if a pilonidal cyst keeps coming back or becomes infected. Premier Surgical Network's specialists focus on complete cyst removal, particularly excision surgery, to ensure long-term relief and prevent complications. Your surgeon will determine the best approach based on the severity of your cyst, your overall health, and your recovery goals.

Excision Surgery
For excision surgery, the entire pilonidal cyst and any sinus tracts (tunnels under the skin) are surgically removed to prevent recurrence. This approach is most effective for chronic or recurring cysts, ensuring complete removal and reducing the risk of complications.

There are two healing options:

• Open healing, where the wound is left open to heal naturally, lowering the risk of the cyst returning
• Closed excision, where the wound is stitched closed for a faster recovery, though it requires careful monitoring for infection

Incision and Drainage (I&D)
This quick, outpatient procedure relieves pain and infection. The surgeon makes a small incision to drain the cyst and reduce swelling. It's best for first-time or mild cases, but cysts may return if not fully removed.

Flap Closure Surgery
Flap closure surgery may be recommended for more complex cases or when a large amount of tissue needs to be removed. In this procedure, the surgeon repositions healthy skin to help the wound heal properly and minimize the chances of the cyst returning. While the recovery period may be longer, this technique provides better long-term results and reduces the likelihood of future cysts.

What to Expect & Recovery After Pilonidal Cyst Surgery

Pilonidal cyst surgery is typically an outpatient procedure, meaning you can go home the same day. Your surgeon will numb the area with local anesthesia or, in some cases, use general anesthesia for larger cysts. Depending on the severity of the cyst, the surgeon will either drain it or fully remove the cyst and affected tissue.

After surgery, proper wound care is key to healing and preventing recurrence. Recovery time varies based on the type of procedure:

• Incision & Drainage (I&D): Most patients feel better within a few days.
• Open excision: The wound heals naturally over several weeks, reducing the risk of recurrence.
• Closed excision: Healing is faster, but the area must be monitored for infection.

Tips for a Smooth Recovery

• Keep the area clean and dry
• Limit sitting for long periods
• Avoid strenuous activity
• Prevent hair buildup through shaving or laser hair removal
• Watch for signs of infection, such as redness, swelling, or pus

Depending on the procedure, most patients can return to normal activities within a few weeks. If you experience persistent discomfort or signs of infection, contact your doctor for guidance.