Pilonidal cysts are painful, fluid-filled cysts that usually develop near the tailbone at the top of the buttocks. Although there are various conservative treatments such as antibiotics and drainage available, for long-term management pilonidal cyst surgery is the only option. Nevertheless, antibiotics and drainage can provide temporary relief. Through this article let us take a look at the severity and progression of the cysts, the varying nature of the cysts, and when to consider the surgery.
Severity and progression of pilonidal cysts
Let us divide the severity and evolution into three stages for better understanding:
- Abscess formation
- Recurrent Cyst
- Sinus tract formation
Abscess formation
When the pilonidal cyst becomes infected, an abscess may form. As a result, it produces significant pain, redness, swelling, and fluid leakage. In such cases, surgical intervention is typically required to drain the abscess and remove the cyst to prevent repeated infections.
Sinus tract formation
In some cases, pilonidal cysts might result in the formation of sinus tracts. These tracts are small, tunnel-like passageways that connect the cyst to the skin’s surface. It frequently leads to recurring infections that are difficult to treat. Surgical intervention is indicated in such circumstances.
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