3.5 years and still disease free

I chronicled my journey to freedom in this thread: Thread Link

Today, for whatever reason, I remembered while showering how I suffered immensely from this nightmare of a disease and used to dread the feeling of pilonidal abscess forming and the associated pain, embarrassment, and drainage. Took me 3 years to finally start taking it seriously and after considerable research, decided to see Dr. Bascom and had the newer pit picking procedure in which he excises the whole sinus.

It has been nothing but smooth sailing since then and I'm so happy to be living a normal life again. There is hope guys, stay strong!
 

Norma26

New Member
I chronicled my journey to freedom in this thread: Thread Link

Today, for whatever reason, I remembered while showering how I suffered immensely from this nightmare of a disease and used to dread the feeling of pilonidal abscess forming and the associated pain, embarrassment, and drainage. Took me 3 years to finally start taking it seriously and after considerable research, decided to see Dr. Bascom and had the newer pit picking procedure in which he excises the whole sinus.

It has been nothing but smooth sailing since then and I'm so happy to be living a normal life again. There is hope guys, stay strong!
HI, Do you have information about this doctor? A phone number?
 

MissRuss

New Member
How does this work if the pits are in the middle of the cleft? I keep hearing things like ... stay out of the ditch! But if the pits are in the ditch, are removed and when you're standing your "cheeks" close, does it still heal well? I just feel as though I read so many varying things and it can be confusing and frustrating. With that said, this is what my surgeon wants to do with me. So, I'm hopeful
 

JonH21

Very Helpful
How does this work if the pits are in the middle of the cleft? I keep hearing things like ... stay out of the ditch! But if the pits are in the ditch, are removed and when you're standing your "cheeks" close, does it still heal well? I just feel as though I read so many varying things and it can be confusing and frustrating. With that said, this is what my surgeon wants to do with me. So, I'm hopeful

The active disease will be removed and then the cleft will be flattened to prevent it from recurring. My doctor believes the disease occurs from having a deep natal cleft. Once your doctor is done, you won’t have a deep crack anymore. The skin will be flattened the pits will be removed. I’d be happy to send a picture through private message of my scar if it would help you understand.
 

MissRuss

New Member
The active disease will be removed and then the cleft will be flattened to prevent it from recurring. My doctor believes the disease occurs from having a deep natal cleft. Once your doctor is done, you won’t have a deep crack anymore. The skin will be flattened the pits will be removed. I’d be happy to send a picture through private message of my scar if it would help you understand.
Thank you for responding. Yes, I would like to see a picture if you don't mind. How does the cleft flatten with pit picking? I thought that was only with a cleft lift. My surgeon explained what she would do, she said it was pit picking but she would be using biopsy punches on the pits, opening the cavity that usually develops the abscess and scrape it all out. She said she only puts some packing in that cavity only, which i can remove the next day and no further packing required. She said possibly silver nitrate if it doesn't heal as it should.
Its just hard because I have read so many different things and of course, I am nervous
 

JonH21

Very Helpful
Thank you for responding. Yes, I would like to see a picture if you don't mind. How does the cleft flatten with pit picking? I thought that was only with a cleft lift. My surgeon explained what she would do, she said it was pit picking but she would be using biopsy punches on the pits, opening the cavity that usually develops the abscess and scrape it all out. She said she only puts some packing in that cavity only, which i can remove the next day and no further packing required. She said possibly silver nitrate if it doesn't heal as it should.
Its just hard because I have read so many different things and of course, I am nervous

I’m sorry I thought that you were talking about the cleft lift not pit picking
 

JonH21

Very Helpful
Oh, I must have misunderstood. I thought you said you had pit picking done. That's why I was confused
Well I did try pit picking but it didn’t work for me. It doesn’t mean it won’t for you. It’s helped many people, just not me. I’m a huge advocate for the cleft lift. I hope it all works out for you.
 

MissRuss

New Member
Well I did try pit picking but it didn’t work for me. It doesn’t mean it won’t for you. It’s helped many people, just not me. I’m a huge advocate for the cleft lift. I hope it all works out for you.
Bummer! I am glad the cleft lift worked for you though. I'm not so sure I am ready to jump to that major surgery just yet. Do you think the pit picking made things worse? That's my only fear. I understand that there is a chance for recurrence, I just don't want to make anything worse
 

Norma26

New Member
Bummer! I am glad the cleft lift worked for you though. I'm not so sure I am ready to jump to that major surgery just yet. Do you think the pit picking made things worse? That's my only fear. I understand that there is a chance for recurrence, I just don't want to make anything worse
Who are you seeing for the pit picking?
 
Update: Another year and still Pilonidal Free :) Almost going to be 5 years since the treatment and no issues whatsoever.

Just logged in after a year, don't visit the forum much anymore. Not sure if you guys already had treatment but I'll still reply:

@Norma26: I saw Dr. Bascom in springfield, OR

@MissRuss: I'd strongly recommend someone who's familiar and uses Pit Picking in practice, otherwise you won't get good advise. Research is the Key, call doctors on this site and ask questions - no way around it. I went to a popular surgeon in SF Bay area who specializes in Cleft lift, and unsurprisingly he told me that pit picking wouldn't work for me and that I need to get a cleft lift. Thank God, I didn't follow his advise!

Keep in mind there are various types of Pit picking techniques that have evolved over the years, I had the latest one in which Dr. Bascom cut out the entire 'tract/tunnel'. From the website:

One variant performed by surgeons like Dr. Bascom II for simple (one sinus) pilonidal involves make incisions around the pits and drainage point and then removing the entire 1-2 inch (typical) pilonidal tract intact – with pits on one end and drainage point on the other. The surgeon can immediately verify whether the tract has multiple tunnels by looking at the fat around the sinus. This quick and simple procedure effectively removes the whole diseased tissue with no chance of any lodged hair being left in the area. For simple pilonidal cases, this should effectively cure the disease, unless of course, good hygiene wasn’t maintained, new pits formed due to deep cleft or there was poor wound healing.

Remember: Your disease could be minor (even though you've had it for years e.g. I had it for almost 4 years) and Pit Picking could still cure you.
 
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