I had surgery in 2008 to get everything under control, was stitched up and had no problem until the last year. Had odd pain here and there but nothing constant. Notice about 6 months ago that the site of the stitches/previous pilonidal has split open... now it constantly leaks! At first it was a very vertical textbook definition of a split... about 4 cm long.. it’s turned into about a 3 cm hole that won’t completely heal, leaks and sometimes bleeds. Is this common with pilonidal cysts? Do I have to go back to the hospital to fix this? I’m worried about infections, but can’t do much but wipe away grossness with iodine every time I go to the bathroom. Anyone else experienced this? It doesn’t seem like the classic recurring pilonidal.