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Pilonidal cyst

Discussion in 'All Categories' started by Drishti - Jul 16th, 2025 7:08 am.
Drishti	I want to get pilonidal cyst surgery done. Please tell me about it and its risks.
re: Pilonidal cyst by Dr. B. S. Bhalla - Jul 16th, 2025 7:09 am #1
Dr. B. S. Bhalla	I appreciate your decision to seek medical advice regarding pilonidal cyst surgery. A pilonidal cyst is a painful condition that occurs near the tailbone at the top of the buttocks cleft. It can become infected, forming an abscess filled with pus. When conservative treatments fail or the cyst becomes recurrent, surgical removal is often recommended. Surgical Options: There are several types of surgery: Incision and Drainage (I&D): A minor procedure to drain an abscess. It provides temporary relief but doesn’t remove the cyst. Excision (Wide Local Excision): The entire cyst and sinus tracts are surgically removed. The wound may be left open to heal naturally (open healing) or closed with sutures (primary closure). Minimally Invasive Procedures: Newer techniques like pit-picking or laser ablation offer faster recovery and fewer complications. Risks and Complications: Like any surgery, pilonidal cyst removal has some potential risks: Infection: Despite precautions, the wound may become infected and require antibiotics or further drainage. Recurrence: Even after surgery, there is a risk (about 5–20%) that the cyst can return, especially if hair or debris accumulates in the area again. Delayed Healing: Open wound healing may take several weeks to months and requires good hygiene and regular dressing changes. Pain and Discomfort: Some pain is expected after surgery, usually manageable with prescribed painkillers. Scarring: Depending on the surgical method, visible scarring may occur.