What to do

[Ouchintexas]

I had my first noticeable cyst 6 years ago. I was 30 then. I may have had a dimple in the area before, but that was the first time I had the typical painful cyst that drained. Primary care doctor tried antibiotics and it eventually drained and went away.

5 years later I had my second cyst. It was more minor but still painful. I was referred to a wound care doctor who cleaned it out and it eventually went away. The doc said that it was all closed and healed. The wound doctor said if I have a third one then surgery would be the best option. I asked if I could just have surgery to prevent and he said insurance was unlikely to cover unless there was active cyst.

Since then I have kept it clean and had no symptoms.

Should I pursue a cleft lift surgery? I would have to travel to find a doctor to do it.

Would cancer be a concern if I don’t have surgery?

 

[Ankush]

I had my first noticeable cyst 6 years ago. I was 30 then. I may have had a dimple in the area before, but that was the first time I had the typical painful cyst that drained. Primary care doctor tried antibiotics and it eventually drained and went away.

5 years later I had my second cyst. It was more minor but still painful. I was referred to a wound care doctor who cleaned it out and it eventually went away. The doc said that it was all closed and healed. The wound doctor said if I have a third one then surgery would be the best option. I asked if I could just have surgery to prevent and he said insurance was unlikely to cover unless there was active cyst.

Since then I have kept it clean and had no symptoms.

Should I pursue a cleft lift surgery? I would have to travel to find a doctor to do it.

Would cancer be a concern if I don’t have surgery?

Brother what did MRI show? Is it deep cyst ?

 

[fishepa]

I had my first noticeable cyst 6 years ago. I was 30 then. I may have had a dimple in the area before, but that was the first time I had the typical painful cyst that drained. Primary care doctor tried antibiotics and it eventually drained and went away.

5 years later I had my second cyst. It was more minor but still painful. I was referred to a wound care doctor who cleaned it out and it eventually went away. The doc said that it was all closed and healed. The wound doctor said if I have a third one then surgery would be the best option. I asked if I could just have surgery to prevent and he said insurance was unlikely to cover unless there was active cyst.

Since then I have kept it clean and had no symptoms.

Should I pursue a cleft lift surgery? I would have to travel to find a doctor to do it.

Would cancer be a concern if I don’t have surgery?

I had a cleft lift from one of the top specialists in the country about a month ago. I specifically asked him if I were to not get the surgery is there a chance it would heal completely on it's own. His answer was no, it will eventually come and go and get infected, it's a cycle. I had my initial open wound surgery 7 years ago and had continued problems until the cleft lift surgery. Towards the end it was getting infected almost monthly then I made the decision to go for the cleft lift. It's totally up to you however it's likely to come back eventually - that's what mine did and also became more frequent. If I were you I would probably just let it be until it becomes a real nuisance. Best of luck to you.

 

[Ankush]

I had a cleft lift from one of the top specialists in the country about a month ago. I specifically asked him if I were to not get the surgery is there a chance it would heal completely on it's own. His answer was no, it will eventually come and go and get infected, it's a cycle. I had my initial open wound surgery 7 years ago and had continued problems until the cleft lift surgery. Towards the end it was getting infected almost monthly then I made the decision to go for the cleft lift. It's totally up to you however it's likely to come back eventually - that's what mine did and also became more frequent. If I were you I would probably just let it be until it becomes a real nuisance. Best of luck to you.

U r not satisfied after cleft left fishepa? What you feel after cleft lift? Is this not ok for you?

 

[fishepa]

U r not satisfied after cleft left fishepa? What you feel after cleft lift? Is this not ok for you?

Yes, but the person above said they've only had a problem twice in 5 years. That is not enough to get surgery in my opinion.

 

[Ankush]

Are you completely ok after cleft,? Can u jump run sit for long hours bend? Is there scar stretching?

 

[Ankush]

Yes, but the person above said they've only had a problem twice in 5 years. That is not enough to get surgery in my opinion.

Fishepa are you feeling Normal now after Bascom procedure or any regrets

 

[fishepa]

Fishepa are you feeling Normal now after Bascom procedure or any regrets

Yep, just about back to normal. Still aches a bit if I sit for long period of time. Not back to playing tennis yet, I'm going to give it a few more weeks before I go back to sports.

 

[Ankush]

Fishepa what dr is saying? Why it still aching on sitting?

 

[fishepa]

Fishepa what dr is saying? Why it still aching on sitting?

Doctor says it’s normal.

 

[Ankush]

Fishepa Did you got repeat mri showing cyst is gone?

 

[fishepa]

Fishepa Did you got repeat mri showing cyst is gone?

Nope, MRI not needed.

 

[Ouchintexas]

Thanks fishepa. That is in line with what my doctor said and that if it happens again to get surgery — my issue is going to be finding a cleft lift surgeon because the doctor recommended open wound healing.

 

[fishepa]

Thanks fishepa. That is in line with what my doctor said and that if it happens again to get surgery — my issue is going to be finding a cleft lift surgeon because the doctor recommended open wound healing.

Open wound surgery is about 60% successful according to my surgeon.

 

[diseasedone]

I had my first noticeable cyst 6 years ago. I was 30 then. I may have had a dimple in the area before, but that was the first time I had the typical painful cyst that drained. Primary care doctor tried antibiotics and it eventually drained and went away.

5 years later I had my second cyst. It was more minor but still painful. I was referred to a wound care doctor who cleaned it out and it eventually went away. The doc said that it was all closed and healed. The wound doctor said if I have a third one then surgery would be the best option. I asked if I could just have surgery to prevent and he said insurance was unlikely to cover unless there was active cyst.

Since then I have kept it clean and had no symptoms.

Should I pursue a cleft lift surgery? I would have to travel to find a doctor to do it.

Would cancer be a concern if I don’t have surgery?

My surgeon assured me that there is no threat of cancer with pilonidal disease.

I really wouldn't pursue a cleft lift or any surgery unless the cyst is causing you problems.

 

[diseasedone]

If you decide to get surgery, I understand Dr. Lambert in the Dallas/Ft. Worth area does cleft lift. There are older discussions on this forum about his practice.

 

[Ankush]

I am from India

 

[Ankush]

My surgeon assured me that there is no threat of cancer with pilonidal disease.

I really wouldn't pursue a cleft lift or any surgery unless the cyst is causing you problems.

You got operated for pilonidal dear and which surgeries you had??

 

[diseasedone]

You got operated for pilonidal dear and which surgeries you had??

I have had an excision with open wound healing in the summer of 2020. I suffered a recurrence in 2022. I had the Limberg flap procedure performed in October 2022.

 

[Ankush]

I have had an excision with open wound healing in the summer of 2020. I suffered a recurrence in 2022. I had the Limberg flap procedure performed in October 2022.

Now you are ok after limberg flap? Or you are having problems again dear?