Pilonidal cysts are common. However, the reporting of the problem remains abysmally low. Merely, 70,000 cases are reported in the US every year. The medical condition occurs between the cleft of the buttocks, making it an awkward condition for the patient. Not everyone is comfortable talking about it and many with mild to moderate symptoms often skip seeking professional help. While surgery remains the most efficacious pilonidal cyst treatment, the hush-hush state usually makes it a misunderstood and undertreated medical condition. Myths and misconceptions around pilonidal cyst surgery and its treatment abound. Below we debunk some of the most common myths about pilonidal surgery.

Myth 1: Pilonidal Cysts Can Self-Heal And Do Not Require Surgery

Fact: A pilonidal cyst starts as a benign pimple-like growth. However, a few progress into pilonidal disease. A good number of cases heal without any surgical intervention. It is a good idea to seek expert advice at the outset of the condition and improve treatment outcomes without invasive procedures. 

Myth 2: The Pilonidal Cyst Surgery Is Painful

Fact: Like any other surgical process, pilonidal cyst removal surgery is performed after sedating the patient. It comes with well-illustrated post-procedure guidelines. The list of do’s and don’ts and prescription medications prescribed by the colorectal surgeon helps the patient sail through this phase comfortably. Most patients resume their routine activities within a few days to a couple of weeks, depending upon the type of surgical procedure. 

Myth 3: The Healing Phase After Surgery Is Long and Painful

Fact: Dealing with a painful cyst can be debilitating. It can interfere with day-to-day activities and affect quality of life. The surgical process for pilonidal cysts aims to remove the infected area. Depending upon the severity of the symptoms and complexity of the case, the colorectal surgeon will decide the future course of action. The treatment for pilonidal cyst can be minimally invasive or aim at complete excision of the cyst. The recovery time and post-procedure care thus depend upon the type of surgical procedure the patient undergoes. Most patients resume their routine activities within a few days to weeks.

Myth 4: Pilonidal Cyst Surgery is Risky

Fact: Just like any other surgical process, pilonidal cyst surgery too has its own set of complications. But with remarkable improvements in medical science and modern surgical techniques, skilled colorectal surgeons handle the case with ease. Invasive procedures are now done with smaller incisions. Also, open excision surgery and closed wound options are available. These reduce the risk of complications and promote faster healing. When performed by a skilled and experienced colorectal surgeon, pilonidal cyst surgery is safe. 

Myth 5: The Recurrence Rate After Surgery Is High

Fact: There is no denying the fact that pilonidal cysts have a high recurrence rate. Almost 30% of the patients experience a relapse with more severe symptoms and increased complexity. However, with advancements in surgical techniques coupled with proper surgical excision, an experienced and skilled colorectal surgeon can bring down these numbers drastically. Also, effective wound care and hygiene habits are crucial to reduce the risk of recurrence after surgery.

Myth 6: Pilonidal Cyst Surgery Is Invasive

Fact: The options for pilonidal cyst treatments galore. Like for treating any other medical condition, pilonidal cysts can also be treated in several ways. Procedures like incision and drainage are minimally invasive. For more complex and chronic cases, more invasive surgical options yield better results. It depends upon the skill and expertise of the surgeon to evaluate the case closely and chalk out the appropriate treatment plan. 

Myth 7: The Pilonidal Cyst Surgery Is An Expensive Procedure

Fact: The cost of pilonidal cyst surgery directly depends on the type of surgical technique used to remove it.  This in turn depends upon factors like the location of the cyst, its size, and its extent. The skill and expertise of the surgeon come in handy at this stage. While pilonidal cyst surgery can be expensive, it eliminates the recurring costs associated with frequent infections and complications. Thankfully, surgical treatment pilonidal cysts is typically covered by insurance.

Myth 8: Any Surgeon Can Perform The Pilonidal Cyst Removal Surgery

Fact: The skill and competence of the healthcare provider are important for achieving better treatment outcomes. Pilonidal cyst removal surgery is a specialized procedure. A general surgeon take help from latest technologies to perform this surgery, but it is crucial to choose a colorectal surgeon who has specific experience and expertise in performing such specialized procedures. A specialist with hands-on experience in performing excision surgeries must be the most preferred. 

Myth 9: Pilonidal Cyst Is a Life-threatening Condition

People suffering from chronic cysts experience a vast range of symptoms. The excruciating pain makes the condition debilitating and hinders day-to-day activities. This severely affects the quality of life. But pilonidal cysts are not a life-threatening condition unless it leads to rare complications. Fortunately, the condition can be well-managed in its initial stages. It is important to take timely advice and not to ignore its symptoms. 

Final Thoughts

Timely and proper treatment can help save you from all the anxiety and discomfort associated with pilonidal cysts. Merely by debunking the myths surrounding pilonidal cyst surgery, one can aim at better resolution and improved treatment outcomes. If you can feel an unwanted growth at the end of the tailbone, Look for a healthcare professional to discuss the best treatment options for you. Dr. Allen Kamrava, MD, MBA, is one of the leading colorectal surgeons in Beverly Hills. He has an outstanding track record of improving the condition of patients with pilonidal cysts.