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Pilonidal Cysts

What is a pilonidal cyst?

Definition:

A pilonidal cyst is a unique type of cyst that forms under the skin, typically found near the tailbone at the upper part of the buttocks. It often contains hair and skin particles.

Formation:

These cysts commonly develop when a hair penetrates the skin and becomes trapped.

Symptoms:

Infection can occur, leading to severe pain. This requires drainage through a minor surgical procedure in some cases.

Risk Factors:
  • - Most Affected Group: Young adult males.
  • - Reoccurrence: High likelihood of returning.
  • - Lifestyle Factor: Prolonged sitting increases risk.
Treatment:
  • - Draining the cyst through a small skin incision.
  • - Surgical removal may be necessary for some cases.

What are the Causes of a Pilonidal Cyst?

Primary Cause: Loose hairs penetrating the skin.

Contributing Factors: Skin friction, pressure from tight clothing, cycling, or extensive periods of sitting pushing hair into the skin.

Body's Response: Formation of a cyst around the hair to facilitate its expulsion.

Common Location: Typically occurs at the tailbone.

Occupational Hazard: Individuals involved in animal grooming or hair cutting may develop cysts between their fingers.


What are the Risk Factors?

Age and Gender: Predominantly young adult white males.

Weight: Being overweight.
Lifestyle: Sedentary habits.

Sitting Habits: Long durations of sitting.

Body Hair: Thick, stiff body hair increases susceptibility.


Complications:

Recurrent Infections: Frequent infections can occur without proper treatment.

Cancer Risk: Persistent infections may elevate the risk for squamous cell carcinoma, a type of skin cancer.

What are the Symptoms of a Pilonidal Cyst?

Without Infection:

A pilonidal cyst might not present any noticeable symptoms.


Infected Cyst Symptoms:
  • Location: A depression near the buttocks' upper crease.
  • Discomfort: Presence of pain.
  • Skin Condition: Inflamed and swollen surrounding skin.
  • Discharge: Pus or blood emanating from a skin opening.
  • Smell: Distinct odor due to the draining pus.

When to Reach Out to Your Doctor:

Immediate Action: Seek medical attention upon detecting any signs indicative of a pilonidal cyst to receive appropriate care.

Prevention Strategies:

  • Hygiene: Regular washing to remove dirt and reduce sweat.
  • Weight Management: Achieving or maintaining a healthy weight.
  • Activity: Limiting time spent sitting.
  • Hair Removal: For individuals with a history of pilonidal cysts, regular shaving or the use of hair removal products in the affected area is recommended to lessen the chance of recurrence.

Important Note: The above information is not a substitute for a thorough discussion with your surgeon regarding the necessity of surgery.

If you have inquiries about the appropriateness of surgery for your situation, alternative options, billing, insurance coverage, or your surgeon's qualifications and expertise, please feel free to contact us.

Should you have any questions pertaining to the surgical procedure or post-operative care, it is advisable to engage in discussions with your surgeon either prior to or following the operation.

Dr. Yiannis P. Ioannou is a member of the Surgical Society of American Gastroenterology Surgeons