PROCEDURES
Pilonidal Cysts/abscess

Overview

A pilonidal cyst is a cyst at the end of your tailbone, resembling an abnormal pocket filled with hair and skin debris. A pilonidal cyst rests just above the buttocks in close proximity to the tailbone.

A pilonidal cyst develops when hair penetrates the skin and then embeds itself in the skin. When the cyst becomes infected, it can be extremely painful.

Symptoms

Common signs of infected pilonidal cysts include the following:

  • A pit that forms near the upper region of the buttocks
  • Pain radiating from the area
  • Irritated, inflamed skin
  • Discharge (pus or blood) from the affected area of the skin
  • Unpleasant smell as a result of pus seeping from the opening

Diagnosis

Dr Singh begins by carrying out a complete physical examination whereby she checks the buttocks crease for a pilonidal cyst, which looks like a pimple or pus oozing cyst.

Dr Singh will ask the following questions:

  • Is there a variation concerning the appearance of the cyst?
  • Is there fluid discharge seeping from the cyst?
  • Do you notice any other symptoms?

Dr Singh may, in some cases, order an MRI or CT scan to check for tiny punctures that appear beneath the skin’s surface

Treatment

Treatment for a pilonidal cyst depends on whether the cyst is recurrent or if you’ve had any other skin-related issues (abscess or sinus) in the same region.

Treatment for a pilonidal cyst includes the following:

  • Drainage of the cyst involves creating an incision over the cyst to drain the excess, infected fluid. The wound is left exposed in order for it to heal independently. A second procedure is often required to treat the cyst once inflammation and infection subsides.
  • Limberg flap reconstruction is performed on patients with recurrent or severe pilonidal disease. A Limberg flap operation is a procedure that entails the removal of the pilonidal sinus and damaged tissue around it. Dr Singh then removes healthy buttock skin to conceal the opening in the region.

FAQ

When do I need to see a doctor for a pilonidal cyst?
If you notice any signs as a result of a pilonidal cyst, you need to see Dr Singh immediately.
Can a pilonidal cyst disappear forever?
There’s still a possibility the pilonidal cyst may return. If the tract is still present, the risk of reinfection remains high.
Will Epsom salt help with a pilonidal cyst?
Fortunately, Epsom salt can help discharge pus from the cyst. However, you should see a doctor immediately.
Do I need to stay overnight in the hospital after the Limberg flap reconstruction?
Usually, you are required to stay overnight in the hospital for one or two nights following the procedure. You also need to dress the wound regularly until it heals completely.
 
 
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