The large pimple at the end of the tailbone can be a pilonidal cyst. It is a breakout at the point where the hair follicle breaks. The sac gets filled up with hair and skin debris and has a high tendency to turn infectious. Sitz bath, warm compress, and use of antibiotics are often the first line of treatment. But if the condition is severe, a pilonidal cyst removal surgery is the recommended treatment approach to get rid of the cyst permanently. 

Surgical Procedures for Pilonidal Cysts

The pilonidal surgery domain is vast and includes both the traditional surgical procedure and the more contemporary laser treatment. While both approaches have proven effective in many cases, the healing and recovery time after surgery, the risk of recurrence, and the procedure cost varies. Here’s a clear understanding for an informed decision:

Pilonidal Cyst Removal Surgery

Any kind of infection at the site of the cyst will warrant a surgical removal of the cyst. The two primary procedures used are:

 

  • Incision and Drainage – Mild to moderate cases of infection are typically treated this way. It is also the preferred way in the case of first-timers. It involves making a cut and draining the cyst. The area is then cleaned, disinfected, and bandaged properly. It is generally an about-patient procedure with the quickest recovery time. 

 

  • Surgical Cyst Removal – Medically termed as cystectomy, it is a more comprehensive procedure that involves removing the entire cyst and the surrounding tissues. It is recommended in cases where the recurrence rate is high. Also, if there are multiple cysts with sinus tracts in a small area or the infection is severe, the doctor may recommend a cystectomy. It is performed under anesthesia and has the longest pilonidal cyst removal surgery recovery time. Following the post-operative instructions is important to prevent any kind of complications.  

Laser Treatment for Pilonidal Cysts

Laser therapy is a novel approach to get rid of debilitating pilonidal cysts, the easiest way. The technique uses laser light energy on the targeted spots. It burns and damages the accumulated debris and clears the follicle opening. The laser energy also makes the sinus cavity shrink and close down permanently, promising permanent relief. It is a minimally invasive procedure with no risk of blood loss. It has the fastest recovery time and has the least guidelines for post-operative care.  

However, it may require more than one session to properly clear out a badly infected cavity. Laser experts charge per sitting, therefore, the cost of the procedure can turn out to be high. 

Traditional Surgery Vs Laser Treatment – Which One To Choose?

The choice between traditional surgery and laser treatment for pilonidal cyst removal often ends up in a debate. Both procedures have their own set of advantages and claim promising results. However, a lot depends upon whether you are the right candidate for a specific procedure. Also, factors of recovery time, long-term outcomes, and pilonidal cyst removal surgery cost play a crucial role. 

 

An appointment with a leading colorectal surgeon like Dr. Allen Kamrava MD MBA in Beverly Hills, CA can help you find answers to your unique case. Book an appointment to get personalized advice and the best treatment advice to get rid of painful pilonidal cysts permanently.