Not Sure What to Do-Minor Case-Vancouver

Discussion in 'Pilonidal Discussions' started by Indigo, Nov 23, 2015.

  1. Indigo

    Indigo New Member

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    So, to start off, I've probably had this cyst for a long time but it never really bothered me until sometime last year. I think it's a pretty minor case because it has never caused me excruciating pain. My main problem is that sitting the wrong way will make it very sore, so I've just learned to sit in better ways and use coccyx cushions etc. I went to see my doctor about it and he recommended I get it removed because it could get worse. That's where my main issue begins, I'm not sure if I should get it completely removed to begin with. I'd say it does bother me daily, but it's something I could probably live with (although I'd rather not have to).

    I've had consultations with 2 surgeons already, and they both want to do excision down the midline with stitches. The first one said he would only make a small incision with about 2-3 stitches, but he was kind of unfriendly, and the second one was much nicer but he wanted to make a much larger incision, right down to the tailbone with 5-6 stitches. After seeing so many people on here unhappy with this type of surgery I don't really know if I should go through with it.

    I am waiting to see Dr. Katherine Hsu, who apparently is the only surgeon in Vancouver who will perform cleft lifts. I confirmed it today with her receptionist that she treats many people with pilonidal cysts and performs this procedure. The only thing is I would have to wait 9 months just to see her and another 6 months after that to get the surgery. The other surgeons are able to do the surgery this April, which is a more convenient time for me because I will have just graduated university so I can take some time off to recover without worrying about a job. But if primary excision surgeries are really as bad as everybody says then I should probably just wait to see Dr Hsu? Or do I even need to get it removed if it's not causing me much pain? I also asked her receptionist about pit picking but she didn't know if Dr. Hsu performed that/ had never heard of it.

    tl;dr cyst doesn't cause a lot pain so not sure if removal is necessary, and not sure whether I should wait a year and a half for a cleft lift or go with primary excision in 5 months or so
     
  2. Indigo

    Indigo New Member

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    I found another doctor about an hour away in White Rock who also does the cleft lift, Dr. Lauzon. He has a much shorter wait time thankfully
     
  3. Indigo

    Indigo New Member

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    Dr. Lauzon pretty much confirmed what I'd been thinking, I have a minor case so he said I don't necessarily need to get it removed , but I could if I wanted to. I bought a better cushion and it has not bothered me at all in the past couple months. I can hardly see it. I'm still worried it could get worse at some point, but do you think I am better off just leaving it if it isn't bothering me?
     
  4. tyty501

    tyty501 Very Helpful

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    Glad you be found someone who had a much shorter waiting time.
    People honestly will tell you mixed things.
    I understand your worry though.
    First off, smart move not going with the closed excision/stitches (mine failed). That surgery shouldn't even be done anymore in my opinion.
    Honestly if it's not that bad, and if you have the time I'd say screw it and get it done.
    The longer it's there and you wait, then you're always risking something to go wrong, get infected or tunnel more into your body, which would lead to a larger surgery and more recovery time.

    I had the cleft lift done and I'm pretty much healed and 7/8 weeks post op. I would've healed sooner if I hadn't had any infections/complications.

    So I'd get it done, and be done with the thing forever.

    Best of luck!
     
  5. Indigo

    Indigo New Member

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    Thanks for the advice!
     

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