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Pilonidal Cysts

Posted by
Kevin on January 21, 2001 at 12:41:32:

I am a 38 year old male and have had a Pilonidal Cyst since about the age of 18. I have been reading many of the articles that have been posted here, and must say that I am surprized at the number of varied responses, procedures, results, etc. The posts that I found most interesting were the ones from others that have decided to not have what I would consider invasive surgery and the resulting problems. Since I also agree with Dr. Stoll's posting on May 22nd with regard to not having the surgery, I thought I might include my experience.

As I said before, I have had my cyst (luckily it's only one) since about the age of 18. I read a post where the person stated that the cyst became very painful and swelled. Mine used to be the same way until I had what I refer to as "Phase 2" occured. I used to drain the cyst by pushing down toward the dimple. I discovered that it was the hair inside that was blocking the track from draining. When I was able to get the hair removed, the site would drain and within a couple of days I would feel fine. I found that I would have a recurrance about every 2-3 months, but that it was managable. This had continued until I was about age 30 when "Phase 2" kicked in. One time that the site became inflammed I was not able to get the hair out of it. It had apparently just become too blocked with the pressure to allow my simple methods of release. At this point, the cyst opened up through a secondary hole at the top of the track, about 2 inches above the dimple and just off to the right. The amount of fluid that drained was amazing but it sure felt better. Obviously the cyst searched for an alternate route of escape and managed to find one. Once the release happened I was able to remove the hair. I made sure to keep it clean and left it uncovered to air dry in hopes that this was a one-time deal and that it would heal. Well needless to say that never happened. The site is now the permanent drainage spot for the cyst. It does begin to heal by scabbing over and with the proper maintenance feels just fine. The scab eventually disappears, at least until the next recurrance.

I still get the recurrances about 2-3 months no matter how much I try to keep the site clean. I believe that this is due in part to the hair growth inside the track since I can always tell when it's going to flare up. Just before a recurrance the dimple will become very itchy caused by the hair inside. If I'm lucky enough and able to remove the hair, I can usually manage to prevent the secondary site from opening. This secondary exit, even after all these years is only about the diameter of a pea. Although this condition can be a royal "pain in the butt" at times, I have found over the years that I would much prefer to deal with it the way it is rather than take the chance on further complications.

My personal view after reading many articles of limited success is that no one can promise that the problem would be resolved with surgery. I also went to a specialist regarding surgery to resolve it but didn't like the 50% odds I was given for success. If you only have one cyst and you find that you can manage it with proper care and keeping the site clean, you may want to consider staying away from the surgery aspect.



Re: Pilonidal Cysts Testimonial (Archive.)

Posted by Walt Stoll on January 23, 2001 at 09:42:28:

In Reply to: Pilonidal Cysts posted by Kevin on January 21, 2001 at 12:41:32:

Thanks, Kevin, for sharing your experience.

You are doing exactly what I would do personally if I had this botthersome misery in MY life.

Namaste`

Walt



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