Pilonidal cysts (also known as pilonidal sinuses), most commonly found in the skin and subcutaneous tissue of the upper intergluteal crease, are a chronic inflammatory process that can progress to acute inflammation and abscess formation. The condition most commonly affects men between 20 and 30 years of age, those who are obese, or those who suffer from excessive sweating.
During a medical consultation, the proctologist will interview the patient and perform a general examination. In the case of cysts, there is no need to order additional tests. These tests require no special preparation, take only a few moments, and the examination itself is completely painless. After completing the examination and gathering the necessary information, the doctor can recommend treatment. The success rate of surgical treatment is up to 90%.
In most cases, a pilonidal cyst requires surgical intervention. The procedure is performed under regional or general anesthesia, with the assistance of an anesthesiologist, who, together with the patient, determines the appropriate anesthesia method. The cyst is incised and thoroughly cleansed. The wound after the procedure requires drainage, which is removed approximately three days after the procedure. During the consultation, the doctor and the patient determine the method and scope of the procedure, as well as the type of anesthesia. Immediately after the procedure, pain and bleeding may occur in the surgical area. The patient leaves the clinic with instructions and returns for follow-up appointments at the scheduled time.
A pilonidal cyst is a chronic inflammatory condition that develops around the coccyx, usually due to an ingrown hair. It manifests as a painful lump, swelling, redness, and purulent or bloody-purulent discharge. In severe cases, an abscess may develop, causing severe pain and fever. The condition often recurs, so surgical treatment is often necessary.
The procedure involves surgical removal of the cyst, along with the associated fistulas and inflammation. It can be performed open (leaving the wound to heal on its own) or closed (suturing the wound). Less invasive methods, such as laser therapy, also exist. Recovery time depends on the method – an open wound can take several weeks to heal, while a closed procedure allows the patient to return to normal activity more quickly. Proper hygiene and avoiding prolonged sitting are crucial.
Yes, pilonidal cysts tend to recur, especially if proper preventative measures are not taken after surgery. To reduce the risk of cyst recurrence, regular hair removal in the sacrococcygeal region, avoiding prolonged sitting, maintaining good hygiene, and wearing breathable clothing are recommended. Follow-up visits with your surgeon allow for early detection of any changes and prompt treatment.