A pilonidal cyst (also known as sacrococcygeal fistula) is a growth that occurs over the tailbone, above the buttocks. If a cyst becomes infected, it is called a pilonidal abscess. A pilonidal cyst is believed to be the result of ingrown hairs, which are hairs that curl back and grow into the skin, instead of sticking straight out. Younger men are more likely to develop cysts than women. Among the many symptoms are pain, swelling, redness and pus. It’s common for patients with these growths to be embarrassed; however, the expert colorectal doctors at our Los Angeles center offer an effective solution.

Our state-of-the-art facility provides the highest quality treatment for patients. We have a team of world-class surgeons, led by Allen Kamrava, MD, who are here to help. The decades of experience that our team brings to every problem give our patients the peace of mind to know that they are in the best hands possible. If you’re interested in finding our more about our treatment center or booking an appointment, please call 888.512-2312 today.

If you would like to learn more about pilonidal abscess treatment options, please visit Mayo Clinic.

Treating Cysts and Abscesses

Pilonidal Abscess RecoveryThere are a number of medical treatments for sacrococcygeal fistulas. Unfortunately, antibiotics do not heal a cyst or abscess, and patients require the supervision of an experienced doctor, like the ones at our colorectal center, to find relief.

The main technique for treating an infected pilonidal abscess is lancing the cyst and draining the pus within it. The procedure is simple, straightforward, and performed under a local anesthetic. This however does not cure the cyst; it is only a treatment for the acute infection. If the cyst is left untreated over time, more than likely the infection will become a recurring condition.

The most common type of pilonidal abscess surgery involves opening up the cyst, debriding the edges to healthy tissue and then leaving the wound to heal on its own. This technique has come into favor for many practitioners because there is a much decreased risk in wound complications. Since the wound is being left open to heal, there is little risk of an actual wound infection.

A more advanced technique, which Dr. Kamrava has advocated and brought our center to utilize, is complete cyst excision with closure of the wound with rotational skin flaps. These techniques allow for complete cyst excision followed by closure of the wound defect by using a patient’s own native tissue that is immediately adjacent. Though technically a lot more challenging, the outcomes for these pilonidal cyst treatments have demonstrated the shortest recoveries with the lowest recurrence and wound infection rates.

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Frequently Asked Questions

Q: What is a pilonidal cyst?

A: A pilonidal abscess is a growth that occurs at the gluteal cleft. The lower back growth can vary in size and be quite painful, making everyday movements like sitting and standing very difficult.

Q: Is surgery the only treatment or are there antibiotics I can take?

A: Unfortunately, a pilonidal cyst will not go away with an antibiotic alone and in most cases, will require pilonidal abscess surgery to remove.

Q: What types of treatment exist for this colorectal condition?

A: There are several different types of pilonidal sinus treatments. Which one your surgeon uses depends on their level of training and comfort with each procedure.

Q: What are common complications associated with treatment?

A: The most common complication is infection. In most cases, the patient is dealing with an open wound that has to heal and it’s vitally important to keep the area around the wound clean. In addition, it’s important to keep the environment around the wound clean.

Contact Colorectal Experts Today

The Pilonidal Cyst Center of Excellence boasts a fantastic team of expert surgeons who are here to provide the right treatment for you. Each of our doctors has had advanced fellowship training in these techniques, giving our patients a wide range of options and experienced professionals with whom to speak. We encourage you to contact our center today to learn more about the right treatment. Call 888.397.7135 to schedule an appointment.

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