AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesTechnology, Industry, Agriculture
Pilonidal SinusButtocksSacrococcygeal RegionSuture TechniquesBarberingCleft PalateSurgical FlapsPenile DiseasesActinomycosisAmbulatory Surgical ProceduresHair RemovalRecurrenceWound HealingHair
CystAbscessFamily history of pilonidal diseaseCystsNatal cleftChronic pilonidal sinusSacrococcygealTractsMidline glutealRecurrentCreaseSurgeryExcisionFlapAblationTailboneTractHairsPerianalCongenital originSurgeonsDiscomfortPhenolDisease typicallyCLOSUREPitsOccurrenceOccurLiftSurgical treatmentSymptomsAnusAreaClinicDiagnosisPatientsHairPainComplexOptionsRegionYears
Cyst27
  • The pilonidal cyst is also not a true cyst, in that it has an epithelialized walls and is more of a cavity, which makes a congenital origin less likely. (medscape.com)
  • For patient education resources, see the Skin Conditions and Beauty Center , as well as Pilonidal Cyst and Skin Abscess . (medscape.com)
  • Pilonidal disease is a type of skin infection which typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. (wikipedia.org)
  • Material from the cyst drains through the pilonidal sinus. (wikipedia.org)
  • A pilonidal cyst is usually painful, but with draining the patient might not feel pain. (wikipedia.org)
  • Excessive sweating can also contribute to the formation of a pilonidal cyst: moisture can fill a stretched hair follicle, which helps create a low-oxygen environment that promotes the growth of anaerobic bacteria, often found in pilonidal cysts. (wikipedia.org)
  • The presence of bacteria and low oxygen levels hamper wound healing and exacerbate a forming pilonidal cyst. (wikipedia.org)
  • A pilonidal cyst can resemble a dermoid cyst, a kind of teratoma (germ cell tumor). (wikipedia.org)
  • In particular, a pilonidal cyst in the gluteal cleft can resemble a sacrococcygeal teratoma. (wikipedia.org)
  • A pilonidal cyst is a fluid-filled developmental defect at the base of the spine. (epnet.com)
  • The terms cyst, sinus, and abscess refer to different stages of the disease process. (epnet.com)
  • When a pilonidal cyst gets infected, it forms an abscess, eventually draining pus through a sinus. (epnet.com)
  • A pilonidal cyst may be congenital or acquired. (epnet.com)
  • Available at: https://familydoctor.org/condition/pilonidal-cyst. (epnet.com)
  • The main technique for treating an infected pilonidal abscess is lancing the cyst and draining the pus within it. (pilonidalinstitute.com)
  • The goal of the operation is to remove the entire bed of disease, including the sinus tracts and the cyst, with the extension of the incision all the way to the healthy tissue layer overlying the coccyx (tailbone). (pilonidalinstitute.com)
  • What is a Pilonidal Cyst? (pilonidalinstitute.com)
  • A pilonidal cyst (sacrococcygeal fistula) is an abnormal pocket in the skin that usually locates itself above the. (pilonidalinstitute.com)
  • Our experienced team will work closely with you to determine the most suitable treatment approach based on your individual needs and the characteristics of your pilonidal cyst. (pilonidalinstitute.com)
  • At Thrive Reconstructive Surgery, we boast a team of experienced pilonidal cyst doctors who can treat this uncomfortable pathology and also perform any surgical reconstruction work that is required for the surrounding skin. (thrivereconstructivesurgery.com)
  • We invite you to learn more about the work of our pilonidal cyst doctors. (thrivereconstructivesurgery.com)
  • There are a number of common signs that indicate a pilonidal cyst has become infected and requires treatment. (thrivereconstructivesurgery.com)
  • If you experience any of these symptoms, we recommend contacting the pilonidal cyst doctors at Thrive Reconstructive Surgery, to find out more about treatment options. (thrivereconstructivesurgery.com)
  • We are pleased to be trusted pilonidal cyst doctors serving patients. (thrivereconstructivesurgery.com)
  • How Do You Treat a Pilonidal Cyst? (thrivereconstructivesurgery.com)
  • This will lead to the formation of a pilonidal cyst that subsequently becomes infected and opens up onto the skin surface forming a sinus. (dr-antonio.com)
  • A pilonidal cyst can be appreciated as a subcutaneous indurated lump that is usually tender on palpation and may be fluctuant and pointing (abscess). (dr-antonio.com)
Abscess5
  • The pilonidal sinus and abscess were thought to be secondary to a congenital remnant of an epithelial-lined tract from postcoccygeal epidermal cell rests or vestigial scent cells. (medscape.com)
  • The infected follicle extends and ruptures into the subcutaneous tissue, forming a pilonidal abscess. (medscape.com)
  • Following the removal of a pilonidal abscess, some minor scarring is common. (thrivereconstructivesurgery.com)
  • In patients without abscess, pilonidal disease treatment can be accomplished with the use of phenol and this may result in healing. (dr-antonio.com)
  • In cases of the chronic pilonidal sinus in the absence of abscess, fibrin glue may be used as an adjunct or primary treatment. (dr-antonio.com)
Family history of pilonidal disease1
  • Risk factors include obesity, hairy habitus, repetitive trauma to the natal cleft, and family history of pilonidal disease. (dr-antonio.com)
Cysts15
Natal cleft3
  • A pilonidal sinus can occur in many different areas of the body, but most are found in the sacrococcygeal area, in the natal cleft, approximately 5 cm from the anus. (medscape.com)
  • The characteristic pilonidal sinus is a midline opening in the sacrococcygeal area in the natal cleft. (medscape.com)
  • It is an acute or chronic infection in the skin and subcutaneous of the natal cleft (intergluteal region) in most cases. (dr-antonio.com)
Chronic pilonidal sinus2
  • The recurrence of the disorder after complete excision of the disease tissue down to the sacrococcygeal fascia and the high incidence of chronic pilonidal sinus disease in patients who are hirsute further support an acquired theory of pathogenesis. (medscape.com)
  • Shaving or permanent laser hair removal can be used in acute or chronic pilonidal sinus as an adjunct or primary treatment. (dr-antonio.com)
Sacrococcygeal2
Tracts4
  • Pilonidal disease is now widely considered to be an acquired disorder, on the basis of observations that congenital tracts do not contain hair and are lined with cuboidal epithelium. (medscape.com)
  • One proposed cause is ingrown hair, although hairs found in pilonidal sinus tracts have more often been found to originate from the head. (wikipedia.org)
  • Perineal sinus tracts may also be involved. (thrivereconstructivesurgery.com)
  • The lesions often spontaneously rupture and result in sinus tracts or scarring. (medscape.com)
Midline gluteal2
  • It further carries the huge advantage of a very cosmetic scar that is midline and recreates the midline gluteal (buttock) cleft or crease. (pilonidalinstitute.com)
  • Pilonidal disease is an acquired disease caused by infected hair follicles imbedded in the midline gluteal area. (bvsalud.org)
Recurrent4
  • Complex or recurrent pilonidal diseases are best treated by an operation. (pilonidalinstitute.com)
  • If there are any openings, drainage, or bleeding in the gluteal crease, then you may have recurrent pilonidal disease. (pilonidal.com)
  • A 40-year-old man presents with a 20-year history of recurrent painful nodules on his bilateral buttocks, gluteal cleft, and medial aspect of his upper thighs. (medscape.com)
  • Several procedures have been described for pilonidal sinus treatment raging from hair removal, ablation of the sinus tract and cavity, simple excision, or excision with flap reconstruction in recurrent and complex cases. (dr-antonio.com)
Crease1
Surgery2
  • The most commonly performed surgery is for the pilonidal sinus complex to be surgically excised with the wound often left open to heal. (wikipedia.org)
  • One of the more common questions I receive is how to deal with chronic pain after pilonidal surgery. (pilonidal.com)
Excision1
  • Operative excision of the pilonidal sinus is the traditional standard technique and can be divided into two main approaches: excision and primary closure and excision with healing by secondary intention. (dr-antonio.com)
Flap2
  • Surgeons can also excise the sinus and repair with a reconstructive flap technique, such as a "cleft lift" procedure or Z-plasty, usually done under general anesthetic. (wikipedia.org)
  • Our team has perfected a unique flap-based operation with the incorporation of cutting-edge regenerative tissue to address complex pilonidal disease cases. (pilonidalinstitute.com)
Ablation1
  • Treatment is based on disease severity with minimal invasive techniques like the Bascom I procedure, Moshe Gibs procedure, or video-assisted pilonidal sinus ablation best suited for less complicated cases. (bvsalud.org)
Tailbone1
  • Signs and symptoms may include: Intermittent pain/discomfort or swelling above the anus or near the tailbone Opaque yellow (purulent) or bloody discharge from the tailbone area Unexpected moisture in the tailbone region Discomfort sitting on the tailbone, doing sit-ups or riding a bicycle-any activities that roll over the tailbone area Some people with a pilonidal cyst will be asymptomatic. (wikipedia.org)
Tract6
  • The sinus tract itself is smooth and lined with squamous epithelium. (medscape.com)
  • Eventually, the sinus tract leads to a subcutaneous cavity lined with granulation tissue and filled with nests of hair. (medscape.com)
  • The sinus tract openings are actually an extension of the deep cavity. (medscape.com)
  • This results in a sinus tract that leads to a deep, subcutaneous cavity. (medscape.com)
  • In 90% of cases, the direction of the sinus tract is cephalad, which coincides with the directional growth of the hair follicle. (medscape.com)
  • Pilonidal sinus (PNS): is a sinus tract, or small channel, that may originate from the source of infection and open to the surface of the skin. (wikipedia.org)
Hairs2
  • ABSTRACT: This is the first demonstrated case in which terminal hairs that resembled occipital hairs and ranged from 2 to 13 cm in length were extracted from a patient with primary pilonidal sinus disease. (bvsalud.org)
  • This case provides evidence that occipital hairs may enter the pilonidal sinus and perhaps also play a role in the pathogenesis of the disease. (bvsalud.org)
Perianal1
  • Pilonidal sinus disease was present in 32.6% (269/839) of the patients and was associated with an early debut of hidradenitis suppurativa, a higher Hurley stage, inflammatory phenotype and a greater number of fistulas and perianal involvement. (bvsalud.org)
Congenital origin1
Surgeons1
  • Although other surgeons may recommend traditional "excisional treatment" (surgical removal of the involved area) for pilonidal disease, the pediatric surgeons at Penn State Children's Hospital rarely find this necessary. (pennstatehealth.org)
Discomfort1
  • Although patients with pilonidal disease usually blame any discomfort in that area to pilonidal problems, orthopedic issues can give pain in that area. (pilonidal.com)
Phenol2
  • Among many treatment options for pilonidal sinus, instillation of crystalloid phenol showed promising results in terms of low recurrence rates, low post-operative complications and less healing time. (bvsalud.org)
  • The pilonidal cavity needs to be debrided and curetted before applying phenol. (dr-antonio.com)
Disease typically2
CLOSURE1
  • Multiple randomized trials in pilonidal sinus treatment have demonstrated that primary closure leads to faster healing and early return to daily activities and work. (dr-antonio.com)
Pits1
Occurrence1
  • Pain developing months after a cleft lift is not a common occurrence. (pilonidal.com)
Occur1
  • Infections that occur in the sacro-coccygeal area (at the upper part of the gluteal cleft/bottom crack) are referred to as pilonidal disease. (pennstatehealth.org)
Lift4
  • Fortunately, these have not been patients on whom I have performed a cleft-lift, but rather other patients coming to me seeking solutions. (pilonidal.com)
  • However, it is possible for a patient to have a cleft lift and some time afterwards develop pain that seems similar to the pain that they had with pilonidal disease - raising the question about what exactly is happening. (pilonidal.com)
  • Having a cleft lift does not absolutely guarantee that a patient will ultimately be pain free, but in a recent article I wrote, 500 cleft lift patients were surveyed. (pilonidal.com)
  • When I perform a cleft-lift, I add additional padding over the coccyx which prevents this kind of pain. (pilonidal.com)
Surgical treatment2
  • Although numerous randomized clinical studies have evaluated different treatments, no clear consensus has been reached as to the optimal medical or surgical treatment of pilonidal disease. (medscape.com)
  • For mild cases of pilonidal disease, the primary approach often involves non-surgical treatment methods. (pilonidalinstitute.com)
Symptoms1
Anus1
  • In the rarer instance that the sinus is located caudally, it is usually found 4-5 cm from the anus. (medscape.com)
Area1
  • Long-term management involves local hygienic practices that we call "power-showering" (directing a detachable shower head directly on the area, and "vertical hygienic scrubbing" (scrubbing the gluteal cleft/bottom crack up-and-down with a soapy washcloth). (pennstatehealth.org)
Clinic1
  • A cross-sectional study in which data regarding past history of pilonidal sinus disease, clinical and sociodemographic information were recorded during the first visit to the Hidradenitis Suppurativa Clinic of 2 tertiary hospitals. (bvsalud.org)
Diagnosis2
  • Umbilical pilonidal sinus is a rare diagnosis which is characterized by an inflammatory granulomatous reaction to hair shafts penetrating the epidermis. (bvsalud.org)
  • Elapsed time between pilonidal sinus disease and diagnosis of hidradenitis suppurativa was associated with higher disease severity. (bvsalud.org)
Patients6
  • In a census and survey of patients admitted to British hospitals in 1985 for treatment of pilonidal sinus disease, it was found that 7000 patients required hospitalization for an average of 5 days. (medscape.com)
  • The hospitalization of these patients for the treatment of pilonidal disease resulted in a loss of productivity and earnings, as well as a disruption of education, because patients recovered in the hospital. (medscape.com)
  • The recovery timeline for pilonidal disease patients can vary. (thrivereconstructivesurgery.com)
  • Pilonidal sinus disease is a comorbid disorder and may be the reason for first contact with the healthcare system of patients with hidradenitis suppurativa. (bvsalud.org)
  • The aim of this study was to evaluate the frequency of association of pilonidal sinus disease and hidradenitis suppurativa and to explore whether pilonidal sinus disease defines a different clinical profile for patients with hidradenitis suppurativa. (bvsalud.org)
  • Pilonidal sinus disease could be a sentinel event to identify patients who would benefit from close treatment and follow-up. (bvsalud.org)
Hair1
  • Although many theories have tried to explain the origin of pilonidal sinus, the obstruction of a hair follicle by follicular hyperkeratosis seems to play a central role. (dr-antonio.com)
Pain1
  • Sciatica stretch this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. (lybrate.com)
Complex1
  • Cavities may be large and extend downward close to the anal sphincter complex and laterally over the gluteal region. (dr-antonio.com)
Options1
Region1
  • Sinuses to the neural canal can occasionally extend to the dura, but these are rare and are located in the lumbar region rather than in the sacral region. (medscape.com)
Years1
  • The onset of pilonidal disease is rare in people older than 40 years. (medscape.com)