Pilonidal Cysts

General Surgeons and Colorectal Surgeons located in Chandler, San Tan Valley and Scottsdale, AZ

What is it?

A pilonidal cyst is a pocket that forms under the skin near the top of the buttocks, in the crease between the cheeks. It often contains hair, skin, and other debris. Pilonidal cysts can become infected and form painful abscesses. They are more common in young adults and people who sit for long periods.

Pilonidal Cyst Q&A

Signs & Symptoms

A pilonidal cyst can cause:

Pain or tenderness near the top of the buttocks crease
Swelling or a lump in the area
Redness or warmth around the lump
Drainage of pus or blood, sometimes with a foul odor
Fever if infection is present

Diagnosis

At Sonoran Surgical, our sugeons diagnose diagnoses pilonidal cysts with:

Medical history and physical exam, checking for swelling, redness, or drainage in the sacral area
No imaging is usually needed unless there is concern for a deeper infection or abscess

Treatment

Treatment depends on whether the cyst is infected:

If not infected: observation and good hygiene may be recommended
If infected: antibiotics may help, but most need drainage
Minor office procedure: incision and drainage of the abscess to relieve pain and infection
Surgery: removal of the cyst and sinus tracts to prevent recurrence. This can be done with different techniquincluding minimally invasive methods, depending on severity

If you have pain, swelling, or drainage near the top of your buttocks, contact Sonoran Surgical to schedule an evaluation with one of our experts. Early treatment can help prevent repeated infections and long-term problems.