Can a pilonidal cyst come back after drainage?

The cysts may return because the area gets infected again or hair grows near the incision scar. People who have recurrent pilonidal cysts often develop chronic wounds and draining sinuses. Here are some ways to prevent a recurrence: Follow your doctor’s postsurgical instructions carefully.

How long should a pilonidal cyst drain?

Your pilonidal cyst was drained with a small incision using local anesthesia. After the incision and drainage, gauze packing may be inserted into the opening. If so, it should be removed in 1 to 2 days.

Can you have a pilonidal cyst for years?

Pilonidal cysts can be a one-time (acute) problem or you may have chronic (returning) cysts. If they’re not treated, chronic pilonidal cysts can also lead to abscesses (swollen pockets of infection) and sinus cavities (empty spaces underneath the skin).

Why is my pilonidal cyst not going away?

Hair and bacteria can get inside the pits, and lead to infections, cysts and fistula tracts. This can become a chronic problem. While conservative management options can effectively treat actively painful disease, these rarely lead to a permanent cure.

What causes pilonidal cyst to flare up?

Pilonidal cysts are caused by groups of hairs and debris trapped in the pores of the skin in the upper cleft of the buttock, forming an abscess. Risk factors for pilonidal cysts include being male, sedentary, having thick body hair, family history, being overweight, and previous pilonidal cysts.

Why do pilonidal sinuses recur?

Early recurrence is usually due to failure to identify one or more sinuses at the time of incision and drainage. Later recurrence (more than six months after surgery) is usually due to tension in the midline cleft and a secondary infection caused by further build-up of hair or other debris (Khanzada and Samad, 2007).

How can I permanently get rid of pilonidal cyst?

The only way to get rid of a pilonidal cyst is through a minor surgical procedure. But there are a few things you can do at home to ease pain and discomfort in the meantime. Try applying a hot, wet compress to the cyst a few times a day. The heat will help pull out the pus, allowing the cyst to drain.

Will Epsom salt help a pilonidal cyst?

Treatment and surgery Regular salt baths (Epsom salt), dry dressings and hair removal are important in healing of the wound. After a simple drainage of the pilonidal abscess a portion of patients may develop further symptoms, including discharging pus from the pilonidal sinus and recurrent pilonidal abscess.