Suggest Treatment For Pilonodal Cyst Below The Tailbone

Posted on Tue, 20 Sep 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 20 Sep 2016 Answered on

Sat, 8 Oct 2016 Last reviewed on

Question : This is on behalf of my brother, aged 26. He has developed pilonidal cyst little below his tailbone. Its really painful. Doctor has suggested incision. I would like to know if there is any treatment for this or is incision really required.

Answered by Dr. Dr. Rahul Kumar (59 minutes later)

Brief Answer:
Go for surgery

Detailed Answer:
Hello
Thanks for the query.
Pilonodal sinus can be totally treated only with surgery.
Antibiotics and anti inflammatory drugs can be used only to control the infection for sometime.
Please ask him to meet a surgeon and get it removed.
It's a minor surgery and is safe as well as effective.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

Follow up: Dr. Dr. Rahul Kumar (16 hours later)

Hi,

Thanks for the reply. He has undergone surgery last night. The doctor told him that he might have to undergo another surgery 2/3 months later in order to do the filling. Is this really required? If filling is really required then can't it be done while removing the cyst itself.

Answered by Dr. Dr. Rahul Kumar (11 hours later)

Brief Answer:
Just meet for a general check up

Detailed Answer:
Hello
Usually the tract heals after surgery and another surgery is not required however there are chances that a small part of tract remains and another surgery might be required to close it.
Just relax there is nothing to worry.
Your brother just needs to meet the surgeon after 3 months for a general check up.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj