Pilonidal Cystectomy

Removing the problem, restoring your comfort.

A pilonidal cyst is a small pocket or sinus near the tailbone (in the cleft of the buttocks) that may contain hair, skin debris, or become infected. While minor cases may respond to conservative treatments, recurrent infections or non-healing cysts often call for surgical removal. At SAWNY, our team brings advanced techniques, experience, and compassion to help you move forward with confidence.

Understanding The Condition

Pilonidal disease often arises in young adults, especially those who sit for prolonged periods, have coarse hair, or possess a deep cleft between the buttocks. Symptoms may include pain while sitting, redness, swelling, drainage of pus, or a visible opening (sinus) in the skin near the tailbone. When the cyst repeatedly becomes infected or evolves into abscesses or sinus tracts, the risk of ongoing discomfort, reduced activity, and work interference can grow, making surgical intervention a path worth discussing.

What Surgery Involves

A pilonidal cystectomy is performed to remove the cyst and its sinus tracts entirely. Depending on your specific case, the surgeons at SAWNY may recommend:

  • An excision with the wound left open to heal gradually (lower recurrence risk, longer healing)
  • Excision with primary closure (faster healing, slightly higher recurrence)
  • Flap procedures for complex or recurrent cases (moving adjacent tissue to fill the defect)

You’ll receive detailed preoperative instructions (including any medications to stop, hygiene preparation, and wound care planning). After surgery, you’ll be guided through recovery: careful wound management, activity limitations, and long-term strategies to reduce the risk of recurrence, such as hair removal, avoiding prolonged sitting, and maintaining the cleanliness of the area.

Personalized Support for Long-Term Results

You’re not just another patient, and your life, work, and comfort matter. At SAWNY, you’ll meet a surgeon who knows your situation, answers your questions plainly, and builds your care around your goals. Our team also supports patients whose condition is work-related or covered by workers’ compensation, ensuring your recovery aligns with both your health and livelihood. When you’re ready to take the next step, schedule your visit and we’ll find the right care for you.