A pilonidal cyst is a localized infection that occurs in the crease of the buttocks, near the tailbone. It forms when hair follicles become blocked, leading to the formation of a swollen pocket filled with pus, hair, and debris.

Pilonidal abscess:

Pilonidal abscesses are often caused by hair follicles becoming infected or irritated due to prolonged sitting, excessive sweating, or friction in the affected area. Tight clothing or poor hygiene can also contribute to their development.

Common signs and symptoms of a pilonidal abscess include swelling, redness, pain, tenderness, and the presence of a pus-filled cavity or sinus tract. It can also cause fever and general discomfort.

Treatment options for a pilonidal abscess depend on the severity of the infection. Mild cases may be treated with oral antibiotics, and pain relievers. However, if the abscess is large or causing significant discomfort, it may need to be treated surgically. In severe or recurrent cases, surgical intervention may be required to remove the cyst or fistula and promote healing.

The classical attitude consists in drainage with meshing and progressive healing. The healing can take up to 2-3 month, depending on the size of the opening. The problem with this technique is the poor quality of life of the patients.

I propose different minimal invasive techniques for this type of abscess, that improves significantly the morbidity and the quality of life of the patients as you can see in the photos below. This techniques avoid daily meshing, the pain and many physical restrictions.

To help prevent pilonidal abscesses, maintaining good personal hygiene is important. You can keep the area clean and dry, avoid tight clothing and prolonged sitting, and remove excess hair to reduce the risk of irritation. Laser hair removal of the area can have a positive impact on the recurrence of the cyst.