Don't expect the worst!

#1
Today marks the third week since I had a closed excision for a pilonidal cyst! I'm very excited to be closer to life without dealing with PD.

My boyfriend discovered the cyst last year, but since it wasnt bothering me I ignored it until a month ago. Once it started to hurt & leak I knew it was time to have something done about it.

I'm so thankful that the surgeon recommended to me is such a great one. He's done a really good job. The healing is going smoothly, too. The skin is separated a little bit at the scar, but he assures me that it'll close up soon. It weeps quite a bit, mostly at work, but gauze & good hygiene has been my best friend lately. I'm 100% focused in my health. Going back to work has been a nightmare since my job is super physical, but that should change soon.

I can't wait to get back to my normal activities. I love to ride my bike so it sucks that I haven't been able to in months. :/ I'm hoping to get back on comfortably around January. I'd ride sooner, but I don't want to risk hurting myself & screwing up my body's healing process.

I'll update on here through the weeks & months of my healing. :):wigglebum:
 
#3
Where did you get it done? Did insurance cover it? If not how much was it? Currently in Seattle x
I'm in Washington too! I'm located in Vancouver & got it done down here. I'm so lucky that my insurance covered the entire procedure. I think it would've been around $2,000-ish?
 
#4
I was recommended a cleft lift (first time with this issue, I’m 27) and would much rather have the sinus alone just removed. No cysts anymore, just 2 open pits. Like dime-sized. My wife and I just feel like, again with me being a first-timer/since I’m not in pain, a cleft lift seems very invasive. Like “chopping your finger off for a cut on your finger”. I’m in Washington, near Everett if you’re familiar. I’m thinking about getting a second opinion. Which doc did you see specifically?
 
#7
I was recommended a cleft lift (first time with this issue, I’m 27) and would much rather have the sinus alone just removed. No cysts anymore, just 2 open pits. Like dime-sized. My wife and I just feel like, again with me being a first-timer/since I’m not in pain, a cleft lift seems very invasive. Like “chopping your finger off for a cut on your finger”. I’m in Washington, near Everett if you’re familiar. I’m thinking about getting a second opinion. Which doc did you see specifically?
You might be looking at it in the wrong way. Maybe its more like chopping your finger off for a cut that has gone Gangrene you can try to save the finger at the risk of the life. Ok maybe my comparison is a bit harsh of course getting a cleft lift is not really like cutting off a finger, it has zero impact after its healed.
I see Doll face just posted that 5 weeks out and their wound is still weeping. My daughter had Cleft lift, hasn't had any leakage since about 7 - 10 days out. NEver needed anything other than ibuprofen for the pain, and historically a very very low risk of ever having to deal with this again. She missed a week of school for the operation. For us we were more than glad to have a lift done the first time and hopefully the only time. We went from a pain when sitting to surgery in under a month. she had 1 cyst and one sinus opening. Good luck on what you decide and I hope it goes as well for you as it has for our Daughter.
 
#8
I was recommended a cleft lift (first time with this issue, I’m 27) and would much rather have the sinus alone just removed. No cysts anymore, just 2 open pits. Like dime-sized. My wife and I just feel like, again with me being a first-timer/since I’m not in pain, a cleft lift seems very invasive. Like “chopping your finger off for a cut on your finger”. I’m in Washington, near Everett if you’re familiar. I’m thinking about getting a second opinion. Which doc did you see specifically?
I'm having some weird complications too. :( I kind of wish I just dealt with the cyst itself instead of an excision. I'm new to Washington, so I'm not familiar. I live in Vancouver.
 
#11
IT OPENED UP

Ugh. I went in for a possible infection, but the surgeon found a hole & the rest of the scar was separated at the surface.

He cleaned out the hole, which hurt really bad. Then sealed it with silver nitrate. So now I have to have my work accommodated again & he wants to see me once a week for wound care.

I'm so exhausted mentally & physically. I just wanna cry. I want my life back.
 
#13
I also had a closed excision surgery to remove my cyst, and I also had the sinus open back up about 3 weeks after surgery. I tried letting it heal for a few months, and then about 6 weeks of silver nitrate treatment, but it didn't help. It has now been 6 months since I had the surgery. I'm 34, I'm in good shape, I have a good diet, and I don't have diabetes or any other health issue that would prevent me from healing. I just don't think it's going to heal on its own so I took another step.

I have a cleft-lift surgery scheduled with Dr. Immerman in November. If you could contact Dr. Bascom's office, I would try that. A lot of people here have had the same experience, and a cleft-lift surgery seems to be one of the better solutions. There is a lot of literature out there regarding cleft-lift success stories and recurrence rate studies comparing cleft-lift with open excision and closed excision methods. Give them a read. I would suggest talking with someone who deals with this problem regularly. My surgeon was excellent and I have no complaints, but he's not an expert on this condition. Good luck, and remember that you can get through this. You have a couple hurdles left, but it's not the end of the world and you will have your life back soon.
 
#14
Thank you for your response!

I plan on giving the silver nitrate a shot at least. I'll mention the cleft lift to my surgeon because maybe he does those or could recommend someone closer.

I'm also a very healthy person. Before surgery I would exercise regularly & eat pretty good meals. :( So it really sucks that my body is struggling to heal this. I'll take your advice & stay positive about it.
I also had a closed excision surgery to remove my cyst, and I also had the sinus open back up about 3 weeks after surgery. I tried letting it heal for a few months, and then about 6 weeks of silver nitrate treatment, but it didn't help. It has now been 6 months since I had the surgery. I'm 34, I'm in good shape, I have a good diet, and I don't have diabetes or any other health issue that would prevent me from healing. I just don't think it's going to heal on its own so I took another step.

I have a cleft-lift surgery scheduled with Dr. Immerman in November. If you could contact Dr. Bascom's office, I would try that. A lot of people here have had the same experience, and a cleft-lift surgery seems to be one of the better solutions. There is a lot of literature out there regarding cleft-lift success stories and recurrence rate studies comparing cleft-lift with open excision and closed excision methods. Give them a read. I would suggest talking with someone who deals with this problem regularly. My surgeon was excellent and I have no complaints, but he's not an expert on this condition. Good luck, and remember that you can get through this. You have a couple hurdles left, but it's not the end of the world and you will have your life back soon.
 
#15
Good luck again, and stay positive. I would check out surgeons people in here mention, and ask them how many they perform a year. In my opinion, it's worth travelling and paying a little more to get someone who will do it right so you can move on and get back to normal.
 
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