How to Treat a Pilonidal Cyst

By Max. D Gray. Updated: January 16, 2017
How to Treat a Pilonidal Cyst

A pilonidal cyst is also known as pilonidal abscess or a sacrococcygeal fistula. We're basically talking about an injury that occurs in the midline of the back, particularly at the height of the coccyx, near the gluteal fold or the crack of your buttocks. The cause is a hair penetrating into the subcutaneous tissue forming a cyst around it. In such a case there is a need to drain the abscess or open area with a scalpel under local anesthesia to remove the pus.

If you have questions about the treatment of this condition, in this OneHowTo article we explain how to treat a pilonidal cyst so that you learn about this procedure in depth.

You may also be interested in: How to Prevent Pilonidal Cysts

Risk factors due to the appearance of a pilonidal cyst

The appearance of a pilonidal cyst can be linked to a sedentary lifestyle or due to hereditary issues, folliculitis or an excess of body hair. It is more common in men than in women and usually appears in individuals between 15 and 35 years of age.

A pilonidal cyst can be single or multiple. Typically, the cyst grows outwards, however, if it does downwards, it can produce an anal fistula, complicating matters even further.

Symptoms of a pilonidal cyst

In terms of symptoms, this cyst can start being asymptomatic, i.e. not producing pain or discomfort. The person will notice a hole or a slight bulge in the affected area of the body.

The situation can become serious if not acted upon in time. That is because the pilonidal cyst tends to easily become infected by bacteria on the surface of the skin in that area in particular. In such cases the main symptoms are:

  • Small lumps or swelling in the area of the coccyx that produces heat.
  • Feeling of sensitivity in the area after spending a long time sitting or any physical activity.
  • Draining the pus.
  • Rarely it also causes a nasty fever due to infection.

If an abscess occurs, it will be drained. If there are several infected points in the middle, the situation may be complicated and produce fever, malaise as well as joint and muscle aches.

How to Treat a Pilonidal Cyst - Symptoms of a pilonidal cyst

Treatment for this condition

With regards to how to treat a pilonidal cyst, if there are no complications you will not need to go under the knife. In fact, if the situation is not too complicated there are ways to treat the cyst at home without having to go into the operating theater.

However, the scenario is different if an abscess occurs and it does not drain naturally. In this case, you must go to the doctor. They will apply local anaesthesia and then use the scalpel to cut into the area and drain it, i.e., let the pus flow out. Then, as logic dictates, you will go on antibiotic treatment for a few days and take appropriate care of the wounded area.

How to Treat a Pilonidal Cyst - Treatment for this condition

Chronic pilonidal cyst

If there is a chronic pilonidal cyst, i.e. infected often, it has to be removed under general or local anesthesia. The cyst area as a whole cannot remain inside your body. It is a more complex intervention than the one mention above as it warrants the removal of the entire affected to zone so that the problem does not happen again.

The operation is done so that tissue can grow back and progressively close up the wound. In these cases the low patient will need to be in hospital for some time. Any who, if someone is facing a recurring pilonidal cyst there are certain preventive measures that can be implemented, so we recommend:

  • Maintain proper hygiene of the area by cleaning it every day.
  • Prevent sweat from building up in this area. Clean the area frequently during hot days or after performing physical activity to help prevent infection.
  • It is recommended that you shave the area if you have a lot of hair. Remove root hairs to prevent the presence of cysts.
  • A sedentary lifestyle can be very harmful, so frequent physical activity is recommended.

This article is merely informative, oneHOWTO does not have the authority to prescribe any medical treatments or create a diagnosis. We invite you to visit your doctor if you have any type of condition or pain.

If you want to read similar articles to How to Treat a Pilonidal Cyst, we recommend you visit our Diseases & secondary effects category.

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