HAVE YOU HAD PIT-PICKING PROCEDURE?

#1
well, i'm pretty sure my son's pilo is coming back. tonight, he felt that ol' familiar tingle starting and it's warm to the touch and slightly red and throbbed a couple of times. it first started last november (2010). he's had four abscesses lanced and drained in six weeks. he got a break from it for about a month. when the 4th abscess was practically healed, my son saw dr. andrew shapiro in west palm beach, fl, whom i found on this web site. we liked him a lot. he was very personable, informative, and knowledgeable. we went to see him because we wanted more information about the cleft lift procedure which he performs. he suggested doing the pit-picking first. we were interested in the cleft lift because it seems to be the 'final' step, so to speak, and both of us just want the recurring nightmare to end. i have read that 85% of those that have the pit-picking done do not have any more problems with recurrence. i'm hoping to hear back from other members of this site about their personal experience with the pit-picking procedure. what was your recovery time? how was the pain? were there complications? did it solve the problem? did the pilo come back? did you have a different type of surgery after the pit-picking?

also, i've read that pit-picking should be done a week or so after an abscessed pilo has been lanced and drained to give time for the swelling to go down, thus allowing the dr to be able to locate everything that has to be removed, etc. dr. shapiro told us that when on the day we notice the pilo acting up again and/or abscessing, to make sure my son did not eat after midnight that same night, to call his office the following morning, and he would do the pit-picking procedure that day. he said it wasn't a long procedure and he would make sure he got him into surgery. i was happy to hear this because the dr. shapiro is one hour away from us and also because my son has missed so much school that i didn't want him to go through a week recovery from the lancing and then another two-three weeks from the pit-picking on top of that. so i'm just wondering what everyone's thoughts are about this as well. hopefully, i will hear back from some of you in the next 24 hours because i've got a feeling that something will be happening this friday - either lancing or pit-picking.

thanks for reading my post. any thoughts you have would be appreciated. thanks and God Bless.
 

Hound

Very Helpful
#2
I haven't had this procedure but I hear good things about it. Think of healing time in terms of the time off needed from flare ups, it helped me to deal with it by thinking of it that way.
 

Pita82

Very Helpful
#3
Yes I've had it done by Dr. Bascom himself. I was pretty much fully recovered within 2 weeks (able to resume lifting weights), and was able to get around fairly normally within 3 days. Did you ever get ahold of Bascom? I still think the cleft lift is a better option.
 
#4
Yes I've had it done by Dr. Bascom himself. I was pretty much fully recovered within 2 weeks (able to resume lifting weights), and was able to get around fairly normally within 3 days. Did you ever get ahold of Bascom? I still think the cleft lift is a better option.
Hi Pita82. I sent an email to dr. bascom with a detailed history and pictures. they did respond and ask that i provide them with the drs, hospitals, etc., that treated my son previously for his abscesses. and they also asked me to mark his butt both standing and sitting and leaning over. they said they would get back to me but i haven't heard back from them.

i was hoping to hold off until my son graduated high-school but it came back for a fifth time. it looks ready to burst right now. i did get antibiotics for him in hopes that it will help the infection go down before tuesday which is when he's scheduled for the pit-picking. i'm thinking that if it's really infected, they might just lance it again, cuz the area might be too swollen to do the procedure. what are your thoughts on this? you were lucky enough to have dr. bascom do it himself. that's fantastic!!!!! and you healed in two weeks. what more could anyone ask for?

i'm curious if you had pits? if so, how many? were their any down low near the anus? cuz i hear that sometimes the stitches pop open and it's very hard to heal when down that low. also, it's my understanding that they don't remove the tracts but instead clean them out. is this correct? sorry, but i'm having a blonde moment and don't remember what i've previously read a hundred times. (not knocking blondes - i am one myself!)

i had my son sit in a very hot bath earlier and he's got a heating pad on it right now. i'm hoping it will start draining on it's own. the skin there is very thin from his 4 previous lancings. i'm thinking if it drains and he's taking antibiotics, he'll be in better shape for tuesday. should i try somehow to help that along?

well, its just about 5am here in south florida. i've gotta go to bed. thanks for posting. i look forward to hearing back from you.

alexander
 

Pita82

Very Helpful
#5
Hi Pita82. I sent an email to dr. bascom with a detailed history and pictures. they did respond and ask that i provide them with the drs, hospitals, etc., that treated my son previously for his abscesses. and they also asked me to mark his butt both standing and sitting and leaning over. they said they would get back to me but i haven't heard back from them.
I would keep bugging them if it's been a while. They're really busy over there.

i was hoping to hold off until my son graduated high-school but it came back for a fifth time. it looks ready to burst right now. i did get antibiotics for him in hopes that it will help the infection go down before tuesday which is when he's scheduled for the pit-picking. i'm thinking that if it's really infected, they might just lance it again, cuz the area might be too swollen to do the procedure. what are your thoughts on this?
I'm not really sure you'd have to talk to them. I think it's easier if the area isn't too swollen, but that's about all I really know.

i'm curious if you had pits? if so, how many? were their any down low near the anus? cuz i hear that sometimes the stitches pop open and it's very hard to heal when down that low. also, it's my understanding that they don't remove the tracts but instead clean them out. is this correct? sorry, but i'm having a blonde moment and don't remember what i've previously read a hundred times. (not knocking blondes - i am one myself!)
I had 4 pits which fortunately were not near my butthole. And you're right, they will leave the tissue intact and scour the tracts out.
i had my son sit in a very hot bath earlier and he's got a heating pad on it right now. i'm hoping it will start draining on it's own. the skin there is very thin from his 4 previous lancings. i'm thinking if it drains and he's taking antibiotics, he'll be in better shape for tuesday. should i try somehow to help that along?
Put a damp wash cloth in a plastic baggy and nuke it for a few seconds. Get it as hot as your son can stand without burning him obviously and press it on the cyst. I've done that before to successfully burst a cyst.
 
#6

I would keep bugging them if it's been a while. They're really busy over there.



I'm not really sure you'd have to talk to them. I think it's easier if the area isn't too swollen, but that's about all I really know.



I had 4 pits which fortunately were not near my butthole. And you're right, they will leave the tissue intact and scour the tracts out.


Put a damp wash cloth in a plastic baggy and nuke it for a few seconds. Get it as hot as your son can stand without burning him obviously and press it on the cyst. I've done that before to successfully burst a cyst.
Hi Pita82. I wanted to thank you for your advice. Fifteen minutes after putting a hot damp washcloth on the cyst, it burst open. I guess the heating pad and hot shower weren't hot enough. It's still draining some. The swelling has gone down and he's barely in any pain. I'll post again after the pit-picking procedure this upcoming Tuesday. Thanks again for your advice. It helped trememdously!
 
#11
Hi Pita82. I'm so sorry for not answering you before. It has been a rough few weeks. Found out both my father and mother-in-law have cancer. mom had to have emergency surgery. we're hoping things will be okay...

so ryan had his pit-picking about two and half weeks ago. there have been no problems with the recovery. i'm a little concerned because i can still see a few pits that i thought were 'taken care of'. i know that one pit can lead to a problem. i am going to address this at the next follow up next tuesday. from the beginning, back when his pilo first abscessed last november, i counted seven pits. after the surgery, the doctor told me he had four or five stitches. i thought maybe since some of the pits were so close that he used one stitch to close two pits. but i don't think that is the case. i just don't know for sure. i will definitely post after the appointment.

i want to thank you for asking about my son. you have been a lot of help and very supportive. i'll make sure to post after next tuesday.

thanks and God Bless.
 

Pita82

Very Helpful
#12
Sorry to hear that... When I had mine I thought I had 5 pits but Bascom said I had 4. I forgot exactly what he said about the other one, but it didn't need to be cut out.
 
#14
so ryan had his pit-picking about two and half weeks ago. there have been no problems with the recovery. i'm a little concerned because i can still see a few pits that i thought were 'taken care of'. i know that one pit can lead to a problem. i am going to address this at the next follow up next tuesday. from the beginning, back when his pilo first abscessed last november, i counted seven pits. after the surgery, the doctor told me he had four or five stitches. i thought maybe since some of the pits were so close that he used one stitch to close two pits. but i don't think that is the case. i just don't know for sure. i will definitely post after the appointment.
Can you please post an update about this? Was your son's condition resolved after the Pit Picking procedure? I really need to know...Thanks!
 
#15
I got a pit-picking and in retrospect really wish I'd gone with the cleft lift first thing. I certainly hope that this resolves, it, but in my case there were a lot of pits and it was recurrent, so I just had to go back for another surgery later. I just increased the amount of surgery and recovery time.

As for pits still present: after pit-picking there are little indentations in the skin from where the pits were excised but those are not necessarily still active pits. It is easiest to see if the abscess recurs, but new pits will be pinpricks (and leak fluid), whereas the excised pits will be bloody and have some scarring around them.
 
#16
Did you get the pit picking operation done by Dr. Bascom or the way it says in the Pit Picking guide? I've noticed that there are many variations of this procedure.

How many pits did you have? Were all excised during the pit picking procedure and then new ones formed?
 
#17
I did not have it done by Dr Bascom. It was done by someone who trained with Dr Bascom, and it was done the way it says in the guide. I had ~10 pits. All were excised, and new ones formed.
 
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