Pilonidal Cysts initially form in teenagers and young adults when debris such as small hair become trapped beneath the skin overlying the sacrum and the tailbone. These can remain asymptomatic but can cause acute symptoms from infections or chronic pain resulting from pressure.
For acutely infected pilonidal cysts, the initial management is surgical drainage and a course of antibiotics. Once the initial infection has resolved, we offer surgical excision of the cyst for definitive treatment.
There are multiple closure techniques after cyst excision including primary closure, flap closure, and marsupialization. These have varying risks, benefits, and recurrence rates. During the initial consultation, we discuss these in detail with our patients so they can make an informed decision.