Pilonidal cyst and sinus removal
A general surgery procedure to clear chronic or recurring infections near the tailbone. It restores the health of the area and relieves the discomfort caused by pilonidal disease.
What pilonidal disease is
The condition often develops when hair follicles become embedded under the skin, leading to abscesses or sinus tracts forming in the tailbone area.
Left untreated, it tends to repeat itself: infections clear up temporarily and return, because the underlying cause remains.
Delaying treatment can allow recurring infections, persistent pain and complications such as new abscesses forming.
Signs you may have a pilonidal cyst
- ✓Pain or tenderness around the tailbone, especially when sitting
- ✓A small opening or dimple in the skin near the base of the spine
- ✓Swelling or redness in the area
- ✓Pus or fluid draining, sometimes with an odour
- ✓Fever alongside an active infection
- ✓Repeated episodes of pain or swelling in the same spot
There is no need to wait for an active infection before seeking an assessment.
If you recognise one or more of these signs, a general surgery consultation can confirm the diagnosis and indicate the most suitable treatment.
How the removal is performed
The procedure begins with local or regional anaesthetic, for greater comfort during the intervention. The surgeon makes a precise incision to drain and completely remove the cyst or the sinus tract.
In more complex cases, the wound may be left open to heal naturally, or closed with sutures, depending on the extent of the condition.
Aftercare includes hygiene instructions and regular dressing changes, to support healing and reduce the risk of recurrence.
Benefits of early treatment
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Clearing the infection — effectively resolves ongoing or chronic infections.
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Preventing recurrence — removes the underlying cause, lowering the chance of it returning.
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Greater comfort — relieves pain and improves mobility.
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Better hygiene — resolves drainage problems, making the area easier to keep clean.
What is assessed before the procedure
Extent of the condition
Assessment of the size and depth of the cyst or sinus tract.
Surgical approach
Deciding whether complete excision or drainage alone is needed, depending on the case.
Wound management
Planning the healing process based on the complexity of the condition.
Post-surgical care
Ongoing follow-up to support recovery and minimise complications.
Common questions about this procedure
Can a pilonidal cyst come back after removal?+
There is some risk of recurrence, particularly if the underlying cause (such as ingrown hairs) is not properly controlled. Complete removal and correct aftercare significantly reduce that risk.
Does the surgery hurt?+
It is performed under local or regional anaesthetic, so there is no pain during the procedure. Some discomfort afterwards is normal, managed with medication and appropriate care.
How long does healing take?+
It depends on the approach used, whether the wound is closed with sutures or left open to heal naturally. The doctor provides a follow-up plan specific to each case.
Can I prevent a pilonidal cyst from developing?+
Keeping the area clean and avoiding long periods of pressure on the tailbone can help reduce the risk, but in predisposed patients the condition can still occur.
Book your appointment
Specialist care for pilonidal disease, with an assessment and surgical plan suited to your case.
