My Story + Questions

#1
Hello all, I’m new to this forum!

I’ve had the cyst since I was 14. I’m now 20. When the first instance occurred, I thought I had hemorrhoids, so I kept applying cream to the area in hopes it would clear up. Every time I went to the bathroom (number 2) it would always hurt and bleed.

I set up an appointment with my normal doctor who confirmed that it wasn’t hemorrhoids but she told me to go to the ER right away. There, they gave me morphine and antibiotics and told me I had a Pilonidal cyst. It was an abscess at this point. I was recommended to a specialist and followed up weeks after and took baths daily to clear it up.

Flash forward to about a month ago when I could tell something was coming back but paid no attention because it didn’t hurt. I was told it would come back. One night, I hit my tailbone on the side of the car door when I was turning around and it was the WORST pain I had felt. The next few days were awful, hard to sit, and it was draining. At this point I opted to leave work early and go to the ER.

The doctor and nurses couldn’t get a good look at it. In fact, she couldn’t see it at all. It hurt so, so bad so they had to stop and I had to do a CT scan which showed a big pocket of puss. I was too sensitive to do a local lancing, so they took me to the OR under general anesthesia to lance and because it was infected, that’s all they did. (I woke up trying to fight the nurses apparently, which I don’t remember at all and resulted in a popped blood vessel in the eye).

I had a checkup today and my surgeon told me that she wants me to get another surgery to remove the whole thing, in about a month. I apparently have 3 pits, not the one like I originally thought. It’ll be the Bascom procedure, which she said she extremely likes. I hear that it’s one of the best procedures to be done. I’m excited to get this done and over with but I’m absolutely terrified. I had a panic attack before the first surgery and woke up crying.

It’s reassuring to hear these stories that everyone shares. I have some questions though.

1. For those who have a sitting job and had the Bascom procedure done, how long were you out of work? She said I can’t apply pressure on it at all, so no sitting.

2. Is hospitization common? She said if I can’t get the pits to heal from the original draining/get smaller then the procedure would be more extensive and she might keep me overnight.

3. Is a drain common? I didn’t ask her this but it seems like some people have gotten drains after their procedure.

Thank you!!
 
#2
I was told you could go back to a desk job two weeks out but I would wait until 3 weeks. I felt like 3 weeks out I had normal energy and minimal pain. I think most people do get a drain, I did not. I had significant bruising afterward so I wonder if I should have! Where I had my procedure, it sounded like half of the patients stay overnight and the other half are day procedures. Best of luck to you!
 
#3
I was told you could go back to a desk job two weeks out but I would wait until 3 weeks. I felt like 3 weeks out I had normal energy and minimal pain. I think most people do get a drain, I did not. I had significant bruising afterward so I wonder if I should have! Where I had my procedure, it sounded like half of the patients stay overnight and the other half are day procedures. Best of luck to you!
Thank you so much for the reply! I thought two weeks was too short as well and she also said my case is a bit worse than normal, with two large pits and one small one. She’s hoping these will go down in size before the surgery but I’m not healing the greatest from the original lancing so I’m not sure what will happen. I also wasn’t sure about the drain because she didn’t mention it at the appointment but who knows, maybe I won’t need it.
 
#4
I think it takes awhile to feel back to normal from anesthesia yet alone the surgery! I pretty much doubled everything my surgeon said, I really wanted to play it safe. Good luck to you, I hope your surgery goes well!
 
#5
I think it takes awhile to feel back to normal from anesthesia yet alone the surgery! I pretty much doubled everything my surgeon said, I really wanted to play it safe. Good luck to you, I hope your surgery goes well!
Thank you very much! I just can’t wait for this to be done and over with. It’s honestly the worst pain I’ve ever felt. :[
 
#6
Update: I go for surgery on the 18th of this month!

However, my surgeon said that since my cysts are healing up well, she would like to try an excision rather than the Bascom procedure if at all possible but she said it depends on how it looks when that time comes.

I feel like I’ve read some pretty negative reviews of just the excision? Am I wrong? Everyone recommends the Bascom procedure but I haven’t been able to read much about excision.
 
#7
I can only say my experience with a closed excision was not good. I’ve known a couple people that did fine with it. I do know that the success rate is lower though compared to the cleft lift. My problems with the closed excision were wound healing issues since most closed excisions are done directly on the midline which is terrible for healing. Good luck to you on your decision, hope you find the info you need!
 
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