Read on to learn more about how these procedures are performed, what the recovery process is like, and if a cyst is likely to return. Your healthcare provider will likely recommend an incision and drainage procedure to treat your pilonidal cyst if:. While an incision and drainage procedure is typically the first surgical option considered for a pilonidal cyst, your doctor may recommend a cystectomy if:. First, your healthcare provider will give you an injection to numb the area.
This reduces pain and inflammation. A pilonidal cystectomy is surgery to completely remove the cyst, along with the pilonidal sinus tracts. You may be advised to stop smoking and go off certain medications for a period of time. Pilonidal cyst surgeries are done under general anesthesia at an outpatient surgical center.
The surgery itself takes about 45 minutes to perform. You should arrange to have someone drive you home. After surgery, your physician might choose to leave the wound open or close it with stitches.
The amount of time it takes for you to recover depends on how your surgery was done and if you received stitches. Most people can resume their regular activities two to four weeks after surgery. Shop for donut cushions online. Your doctor will provide you with instructions on how to keep your wound clean. Follow these directions carefully to avoid an infection or recurrence. Unfortunately, pilonidal cysts do come back after surgery. Studies show recurrence rates are as high as 30 percent.
Pilonidal cysts can be irritating and painful, but the good news is that there are effective removal options. Even after surgery, pilonidal cysts sometimes come back. Keeping the area clean and free of hair can help prevent an infection and new cysts.
Larger text size Large text size Regular text size. What Is a Pilonidal Cyst? A cyst that isn't infected might not cause any symptoms.
Someone with an infected cyst can have: pain, redness, and swelling in the area of the cyst pus or blood draining from a small opening called a sinus tract in the skin over or near the cyst a fever What Causes a Pilonidal Cyst? Who Gets Pilonidal Cysts? Anyone can get a pilonidal cyst, but they're most common in young men. A person can be more likely to develop a pilonidal cyst if they: are born with a dimple or pit in their tailbone area spend a lot of time in a sitting position are overweight have a lot of body hair, especially if it's thick or coarse wear tight clothing that presses on the tailbone area have family members with a pilonidal cyst How Is a Pilonidal Cyst Diagnosed?
Doctors usually diagnose a pilonidal cyst based on where it is and how it looks and feels. How Is a Pilonidal Cyst Treated? A cyst that doesn't cause symptoms might not need treatment. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. If your doctor prescribed antibiotics, take them as directed.
Do not stop taking them just because you feel better. You need to take the full course of antibiotics. If you think your pain medicine is making you sick to your stomach: Take your medicine after meals unless your doctor has told you not to. Ask your doctor for a different pain medicine. If your incision was closed with stitches: Wash the area daily with warm, soapy water and pat it dry.
Don't use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a gauze bandage if it weeps or rubs against clothing. Change the bandage every day. Keep the area clean and dry.
If your incision was left open to heal, change the bandage, called a dressing, as instructed by your doctor. Dressing changes may hurt at first. Taking pain medicine about half an hour before you change the dressing can help. If your dressing sticks to your wound, try soaking the dressing in warm water for about 10 minutes before you remove it. You can do this in the shower or by placing a wet face cloth over the dressing. You may notice greenish grey fluid from your wound as you start to heal.
This is normal. It is a sign that your wound is healing. Use a doughnut cushion if sitting is uncomfortable. Keep the area around your wound free from hair. Ask your doctor what method of hair removal will work best. For example, call if: You passed out lost consciousness. You have sudden chest pain and shortness of breath, or you cough up blood. You have severe belly pain. Call your doctor or nurse call line now or seek immediate medical care if: You have pain that does not get better after you take your pain medicine.
Your incision was closed with stitches and the stitches come loose, or your incision comes open. Bright red blood has soaked through the bandage over your incision. You have signs of infection, such as: Increased pain, swelling, warmth, or redness.
Red streaks leading from the incision. Pus draining from the incision. A fever.
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