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I have a pilonidal cyst on my tailbone. What must I expect?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a pilonidal cyst on my tailbone, and I would like to ask

  1. What are the risks?
  2. What is the success rate?
  3. How long do I have to be in the hospital?
  4. How long until I can go and work or be my normal self?

Please suggest.

Hi,

Welcome to icliniq.com.

It is very evident from your query that you have a pilonidal cyst. This condition is mostly common in males sex and more common in hairy people. I will ask you a few questions, and your cooperation will be invaluable.

What is your profession? Do you have to drive for long hours, and what is the duration of the swelling? This is very important because this condition is common in drivers. The hair from the back or above the natal cleft penetrates through the skin, causing a cyst, and it can get infected and cause a pilonidal sinus with serous or pus discharge. Surgery is the treatment.

Now I will answer the queries one by one. There is no risk for the surgery as such, but if you have diabetes, your sugars have to be controlled. You have to make sure that you trim the hair over the anal region, as I have already mentioned that it is common in hairy males. So if you do not trim your hair near the anal region, it can recur. You should get an X-ray sacral region to rule out osteomyelitis. Success rate 70 to 80 % depending on the size. You have to be in the hospital for three to four days. You can work normally after 7 to 10 days. You have to keep your anal region clean to avoid infection.

I hope I have answered your query.

Revert in case you have any other doubts.

Thank you.

Medically reviewed byDr. Divya Banu M

Published At December 16, 2019
Reviewed AtJanuary 2, 2026

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