What is a pilonidal cyst?

 

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On the article

What causes pilonidal cysts?

Symptoms

When should I call my doctor?

Diagnose

What can I do to make myself feel better?

Treatment

After surgery

There is a type of cyst that forms on the tailbone or lower part of the tailbone. It is called a follicular cyst and can become infected and filled with pus. Once infected, it is called a pilus abscess and can be painful.

 

It looks like a large pimple on the bottom of the tailbone. It is seen more often in men than in women. It is usually seen more often in young people. Sedentary people, such as truck drivers, are more likely to develop the disease.

 

They can be treated. If the cyst becomes a problem, doctors can drain it or have it surgically removed.

 

What causes pilonidal cysts?

Most doctors believe that ingrown hairs are responsible for many of them.

 

Another theory is that coccygeal cysts develop after trauma to this area of ​​the body.

 

During World War II, over 80,000 soldiers developed coccygeal cysts and were hospitalized. People thought they were in a bumpy jeep because of the frustration of driving. For a while, the disease was called "Jeep's disease".

If you were born with a small dimple on the skin between your buttocks, you are more likely to get one. Doctors don't know the exact reason, but this pit is prone to infection.

 

Other risk factors include obesity, excessive hair, lack of exercise, sitting for long periods of time, and excessive sweating.

 

Symptoms

Symptoms of pilonidal cysts are:

 

Pus or blood coming out of it

Foul smell of pus

Tenderness to the touch

Heat

Sizes may vary. Your dimples may be small dimples or they may cover a large

Painful area.

 

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When should I call my doctor?

 A cyst is an abscess or boil. Treatment includes topical treatments with antibiotics, warm compresses, and depilatory creams. More severe cases may need to be drained or pierced to heal. As with any boil, antibiotics don't make it better.

 

Call your doctor if you have symptoms, diagnose:

A doctor can diagnose a pilonidal cyst during a physical examination and ask questions about it. Among other things, they may ask you:

When did you feel your first symptoms?

Have you ever encountered this problem?

Did you have a fever?

What medications or supplements are you taking?

What can I do to make myself feel better?

In the early stages of a follicular cyst infection, the redness, swelling, and pain may not be too bad.

A few things you might want to try:

For pain relief, soak in warm water. This may allow the cyst to spontaneously open and drain.

Take an over-the-counter pain reliever, but follow the dosage instructions.

Keep the cyst and its surroundings clean and dry. treatment

Antibiotics do not cure pilonidal cysts. However, there are a number of procedures that doctors can try.

 

 

Drainage:

This is the recommended method for the first coccyx cyst. Your doctor will make an incision and drain the cyst. They remove the hair follicle and keep the wound open by filling the space with gauze. Advantages – Simple procedure performed under local anesthesia. That is, only the area around the cyst is paralyzed.

 

Disadvantages - Frequent gauze changes required until the cyst heals, which can take up to 3 weeks.

Marsupialization:

During this procedure, your doctor will make an incision to drain the cyst and remove any pus or hair inside. Sew the cut to the wound to make a pouch.

 

Pros - This is an outpatient procedure under local anesthesia. It also allows doctors to make smaller, shallower incisions so they don't have to remove and repack the gauze every day.

 

Cons -- It takes about 6 weeks to heal and requires a doctor with special training in this technique.

 

Incision, drainage, wound closure:

With this technique, the cyst is drained but not left open.

 

Advantages - There is no need to use gauze as the doctor closes the wound completely immediately after the operation.

 

Cons – More likely to cause problems with the cyst later on. Removing the entire cyst this way is more difficult. It is usually performed in an operating room with a specially trained surgeon.

 

Other surgical procedures include complete excision of the cyst and cyst wall along with the pilonidal sinuses, use of fibrin glue, taking only the diseased tissue (coring) and removing the cyst with a core biopsy includes.

After surgery:

Follow your doctor's instructions for home care, especially if you need to remove the gauze and put it in a bag.

 

Keep the area clean:

Look for signs of new infection, such as redness, pus, or pain. Schedule a follow-up with your doctor so we can see how your cyst is healing.

It is possible to be completely cured, but remember that pilonidal cysts can recur even after surgical removal.