Posted by
Message
Andychapman13
LSU Fan
Member since Jun 2016
2508 posts

Deep Pilonidal Cyst
Anyone have any experience with these? I’ve had one on my tailbone for 27 years(never caused any problems) and after running 70 miles last weekend it’s appeared to have ruptured internally and formed another pocket below. Really, really sore, tender to the touch. Couldn’t sleep last night. Hurts really bad whenever I sit down.
I’ve heard the surgery on them puts you down 6-9 months before issue is resolved and am in the middle of running season.


Homey the Clown
LSU Fan
Member since Feb 2009
4467 posts
 Online 

re: Deep Pilonidal Cyst
This will be a long post, but with some good info on the topic at hand:

I had one for around 15 years.

I would have to go to the doctor about once every 9 months or for them to cut open the "pocket" where the fluid would build up, and drain it, and pack it for a day or so.

It finally got bad enough to where I decided to have the surgery to remove it. Unfortunately for me, the "drainage canals" had spread so much that they had to remove a 3 inch wide X 4 inch long triangle of skin from my ass, starting about an inch above my a-hole up to about a few inches below my waste line.

Sounds awful, right? It wasn't nearly as bad as it sounds, painwise. But I had a good surgeon, and he was able to close it up. When you hear of people saying it takes 6 to 9 months to heal up, its because their surgeon did not close it up. They leave it open for it to heal from the inside out.

I had to have a drain for two weeks. While I had the drain, the incision didn't bleed at all. Once it was removed, I started to bleed a little (although I was probably over doing it with my activities, which didn't help).

At 4 weeks, they removed all the stiches, and part of the incision remained open (about a half inch diameter wound) but it did not bleed. I kept the open wound covered until it eventually closed up (maybe two and a half months after surgery).

All that being said, it sounds absolutely awful, but I couldn't believe I waited so long to have the procedure done. I was completely pain free from the day of the surgery until present day.

I missed three weeks of work (desk job) where I remained mostly laying on my stomach in my bed watching fishing videos. I was able to walk around just fine the day of the surgery, just couldn't sit, not because of pain, but because of the risk of tearing the stiches. By six weeks, I was doing light workouts. After three months I was sitting without a donut just fine.

I was lucky enough to have a cousin who is a nurse anesthetist who participated in a bunch of those surgeries and recommended me go to the surgeon he works with, because he said he had never been in one of these surgeries with him where he couldn't close it up.

My surgeon and my cousin, the nurse anesthetist, said mine was one of the worst they've ever seen and that I was fortunate they were able to close it up, which was my main concern.

Be careful selecting a surgeon, some cant close the wound, some don't remove all of it, and it comes back.
This post was edited on 11/23 at 10:43 am


SaintTiger80
LSU Fan
Member since Feb 2020
132 posts

re: Deep Pilonidal Cyst
My buddy had one removed. It sounded like it sucked. Not necessarily the removal, but the upkeep post surgery. Soaking in a bath twice a day. Having to stuff the incision with gauss to get the hole to heal and close properly. Changing gauss several times a day.

It sounds like it sucks but I would consult a doctor. Especially if the pain doesn’t go away soon. I don’t know the long term effects of leaving it vs removing it.


Homey the Clown
LSU Fan
Member since Feb 2009
4467 posts
 Online 

re: Deep Pilonidal Cyst
quote:

My buddy had one removed. It sounded like it sucked. Not necessarily the removal, but the upkeep post surgery. Soaking in a bath twice a day. Having to stuff the incision with gauss to get the hole to heal and close properly. Changing gauss several times a day.


Obviously every case is different, but my upkeep wasn't bad. When I had to take a shit, I wasn't able to wipe well, so I would shower after. So I would shower with the gauze pads on, then remove then and pat dry the area, and re-bandage.

For me personally, it was basically just having deep stiches down the top of my arse crack. There was no packing involved. The incision site remained numb until well after it was completely healed, so there was no pain.

I believe a lot of this depends on the surgeon, and his ability to do a good job.
This post was edited on 11/23 at 10:51 am


JohnDoe00
LSU Fan
Dallas, TX
Member since Feb 2019
546 posts

re: Deep Pilonidal Cyst
I have a tiny one, but dear lord I hope it never acts up.

Hasn't ever had to be medically drained or anything. Really hope that's the case. GF did some research on it and follows the above post.
This post was edited on 11/23 at 10:55 am


Replies (0)
Replies (0)
10
Andychapman13
LSU Fan
Member since Jun 2016
2508 posts

re: Deep Pilonidal Cyst
What surgeon did you use if you don’t mind me asking? Does said surgery drain as well or did you do that with someone else? I would prefer to get it drained now and put off the surgery until April or June if possible bc of running season races planned and my work schedule.


Homey the Clown
LSU Fan
Member since Feb 2009
4467 posts
 Online 

re: Deep Pilonidal Cyst
Dr. Joshua Mammen. He's a general surgery specialist in Crowley, LA.

For years I had my General physician drain it for me until I was ready for the surgery. When I went in for my conciliation for the surgery, it was too inflamed, so Dr. Mammen drained it, then he operated on it two weeks later.


Replies (0)
Replies (0)
10
Mac
USA Fan
Forked Island, USA
Member since Nov 2007
14421 posts

re: Deep Pilonidal Cyst
I had 4 surgeries to remove the same p. cyst between like 20 and 23. It finally took when the doctor left it open to heal inside out.

shite sucked but if was a runner I don’t think I would’ve been down for 6-9 months.


Andychapman13
LSU Fan
Member since Jun 2016
2508 posts

re: Deep Pilonidal Cyst
My last anticipated race/chance to complete a 100-miler this season before it gets too hot for me is Feb 27. Got an appointment Wednesday afternoon. Hopefully he can drain it and that last me until then, but we will see. I’ll give y’all an update.


Homey the Clown
LSU Fan
Member since Feb 2009
4467 posts
 Online 

re: Deep Pilonidal Cyst
If he can drain it, you'll be fine for at least a few months.

From my experience, draining it was worse than the surgery. You get a needle in the location that is tender, which for me was excruciatingly painful (and I'm not scared of needles, nor do they typically hurt me). After you make it through the needle, its a piece of cake.

If that fricking needle wouldn't hurt so much, I probably wouldn't have gotten the surgery, but my visits to get it drained began to get to be too often for me to handle.

Good luck, bud. Hopefully it'll all workout okay.


Replies (0)
Replies (0)
00
BlastOff
New Orleans Saints Fan
New Orleans
Member since Feb 2016
627 posts

re: Deep Pilonidal Cyst
I'll chime in as well, got one from riding around on tractors and golf carts post-Katrina. The sweat coupled with bumping around all day inflamed the area causing the cyst. Didn't do anything about it for a couple years, until one night I was at a bar sitting on the stool and it popped. Had a huge spot on my jeans, finally decided to take care of it.

My surgeon was Dr. Contreary, think he's in the Ochsner network. Mine was pretty bad, from right above the poop chute to my tailbone. Surgery wasn't awful, just a pain in the ass, literally, wiping and showering. Felt like it took me a couple weeks to feel somewhat normal enough to move around.

11 years later and no reoccurrences or issues.



TigerDL
Member since Nov 2017
86 posts

re: Deep Pilonidal Cyst
Recommend flying to Oregon for Tom Bascom. His dad pioneered a minimally invasive approach that is worth the trip guaranteed. Back to normal activities two weeks post and never a recurrent issue.


Replies (0)
Replies (0)
00
gmrkr5
LSU Fan
Apex, NC
Member since Jul 2009
14325 posts
 Online 

re: Deep Pilonidal Cyst
i had to have one removed about 20 years ago... it F'n sucked. i dont remember it being 6-9 months but it was every bit of 3-4. i had about a 3x1 hole cut next to my tailbone that had to heal from the inside out. dont plan on doing a situp for like a year though..

it did suck


Replies (0)
Replies (0)
00
first pageprev pagePage 1 of 1next pagelast page
refresh

Back to top

logoFollow TigerDroppings for LSU Football News
Follow us on Twitter, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookTwitterInstagram