February 4, 2025

What is a Pilonidal Cyst and Treatments?

pilonidal cyst removal surgery
Exactly is a pilonidal cyst and why does it decide to pop? Let's find out everything related to the cyst including pilonidal cyst removal surgery.

Sometimes, unpredictable pain occurs and we discontinue our routine as we contemplate its origin. Just picture suffering this kind of pain at the very upper part of your buttocks, where it would be most inconvenient. This is where a pilonidal cyst often makes an unwelcome appearance. But what exactly is a pilonidal cyst and why does it decide to pop? Let’s find out everything related to the cyst including pilonidal cyst removal surgery.

Pilonidal cysts – What are they?

When it comes to pilonidal cysts they are just like little sacks found underneath our skin in the form of tiny pimples filled with different objects such as dust particles, strands from our head or any other material we might introduce into them during our daily activities. Normally these structures can be noticed around one’s coccyx close behind one’s abdominal cavity. It appears as an innocent tiny bump but can get infected fast bringing intense pain and a lot of discomfort. Treat it as a guest who invades your house and does not leave until you forcefully evict him most likely through a surgical procedure.

Symptoms of a pilonidal cyst

How do you know if you are dealing with a pilonidal cyst? Here are some telltale signs:

  • Pain and Swelling 

The area across the cyst becomes tender and swollen.

  • Redness and Warmth 

The pores and skin over the cyst may additionally appear purple and feel warm to the touch.

  • Drainage of pus or blood 

If the cyst becomes inflamed, a mass of pus and blood oozes from it.

  • Bad smell 

Infections can lead to foul-smelling discharge.

  • Fever 

In a few cases, an inflamed pilonidal cyst can cause fever.

Causes of pilonidal cyst

So why do those cysts form inside in the first place? The actual purpose is unclear, but a number of elements may contribute:

  • Overgrown hair 

The most unusual offender. Cysts can develop when hair follicles get stuck under the skin.

  • Friction and pressure 

Prolonged sitting or pressure on the coccyx, such as biking or long-time sitting can result in a cyst.

  • Hormonal changes 

Most notably at a particular stage of puberty, during which sebaceous glands are more active.

  • Family history 

Genetics can play a role. You could be at a very high risk of this condition if both of your parents have had pilonidal cysts

Diagnosis of pilonidal cyst

Diagnosis of a pilonidal cyst usually includes:

  • Physical examination 

Your healthcare provider will observe the site to check for signs and symptoms of the cyst.

  • Medical history 

It is important to let your doctor know about your symptoms and any relevant family history of your own.

  • Imaging tests 

After assessing where the problem is and how bad it is, the doctor may choose to have an ultrasound or MRI done for you.

Pilonidal cyst treatment 

Although the treatment for a pilonidal cyst depends on its severity, the following are some common tactics:

1) Home remedies

In mild cases, home treatment might be enough. If the cyst starts to hurt more than usual, or if it seems like there could be signs of infection see your doctor as soon as possible. You might use warm compresses for lessening the acute sensation in a single moment—it does really help! 

2) Incision and drainage

Your doctor might carry out a technique called incision and drainage if cysts are inflamed. This procedure requires opening up a small hole in the wall of the cyst so that the contained pus can drain out and pressure is relieved. It is an extremely short technique, but requires proper wound care later.

3) Pilonidal surgery

In recurrent or severe cases, pilonidal surgery may be important. This means removing the cyst and surrounding tissue to save yourself from fatal infections. It is a more complete answer, especially for those who have experienced multiple cysts.

4) Pilonidal cyst removal surgery cost

Well the costs of pilonidal cyst removal surgery around the globe vary based on how big they are and where one lives with prices ranging between a few hundred dollars and thousands for each surgery. You should consider consulting your healthcare provider or insurance company before undergoing the surgery as recommended, so as not to face unexpected financial consequences.

5) Pilonidal cyst removal surgery recovery 

Recovery from pilonidal cyst removal surgery can take some time.  Your doctor will provide you with unique wound care instructions and any prescriptions of interest. Most people can return to regular activities within a few weeks, but full recovery can take several months.

Prevention of pilonidal cyst

Pilonidal cyst prevention isn’t always possible, but you can take steps to reduce your chances:

  • Practise good hygiene

Keep the environment easy and dry to prevent infections.

  • Excess hair removal 

Regular hair removal can help reduce the chance of hair becoming trapped under the skin.

  • Avoid prolonged sitting 

When you have desk jobs that require continuous sitting, ensure to get off and walk around in between work.

  • Wear loose clothing  

Wear clothes that are loose and breathable to reduce your chances of developing cyst.
Struggling with a pilonidal cyst can bring along with it pains and discomforts. But with the right information, well-timed prognosis and effective medicine, you could manipulate this situation and get back to life easily.