Pilonidal Cyst Question

Discussion in 'Pilonidal Discussions' started by bhawk, Apr 20, 2017.

  1. bhawk

    bhawk New Member

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    I have had my cyst for a long time now, about a year, but it never bothered me enough to bring it up to anyone. (It stays as an open cyst for some reason, probably has the width of 3/4 of a dime and does not hurt when I sit down but does when I apply direct pressure to that area, such as performing a sit up. It does discharge everyday, which sucks, and I just clean it when in the shower.)When I went to my general doctors appointment, I got the courage to inform her about my situation, where she would later send me to meet a surgeon and also gave me antibiotics due to it being infected. I already knew that I had a Pilonidal cyst before going to meet either the doctor or surgeon just by doing research on my own, and read that just about everyone who had it needed surgery to fix the problem.

    When I meet with the surgeon she checked out my cyst and told me that it was pretty deep and had some pockets and stuff inside. Being mentally prepared to hear that I needed surgery I was surprised when she told me to just take two hot baths a day, clean the hair out of the area and have gauze around the cyst( not directly inside the cyst but outside to collect any discharge). I asked her how long this process would take and she said a few months.

    Is this actually a method of getting rid of the cyst, or just a way of preparing me for surgery and cleaning the area,( I am only 16 so I didn't know if she just wants to wait till later because I said it didn't bother me too much) she seemed like a knowledgable doctor and all, but I have never heard of this particular method being performed to fix the problem.

    If anyone could help fill me in on what this method does and how it works, as well as the usual healing time for this process I would appreciate it, thank you.
     
  2. Dr Immerman

    Dr Immerman Very Helpful

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    If you see ten surgeons, you will most likely get ten different answers to how you should proceed. Your surgeon is taking a "wait and see" approach. She wants to see if it will get better or worse. In general, it will not go away with this kind of treatment, and will just prolong the length of time you are dealing with this.

    If surgery is recommended it can vary all the way from pit picking, to excision, to a flap procedure - depending on your surgeon's comfort level with these various procedures.

    There is certainly nothing wrong with following her recommendations, but I would not be surprised if it was still an issue months later. If you do opt for surgery, my personal recommendation is that you look into getting a cleft lift because of its high success rate.

    Dr Immerman
     
  3. Matt1010

    Matt1010 New Member

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    Hi, I suffered for 3 or 4 years with my sinus with it becoming infected multiple times and the doctors just kept giving me the same advice as your surgeon has given you as well as prescribing antibiotics. It did not help me at all, in fact by the time it got to surgery, it was actually worse because of this because this had given the sinus and pits time to grow more inside of me.

    I'm now 3 weeks post op of having Open Excision of my 1cm diameter main sinus and 4 midline pits and my wold is 3cm deep, 6cm long.
    My surgeon actually told me that if i had been referred sooner to have the surgery it would be a lot smaller and healing would be a lot quicker.

    All i would advise is if you think it isn't helping insist that you need the surgery because from personal experience, it will only get worse in the long run if it is put off until a later time.
     

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