Tailbone Cyst Excision

Tailbone Cyst Removal (or Pilonidal Cyst Removal). Tailbone cyst is a frequent disease of the sacrococcygeal region that occurs in the form of recurrent inflammations, abscesses and cutaneous fistulas.

Its etiology is not known. Two theories have been described: the congenital and the acquired.

According to congenital theory, the disease is associated with disorders in the fetal skin development, part of which remains embedded.

It is most likely believed to be the acquired theory in which:

  • hair of the area enters the skin and causes inflammation or
  • hair follicles are ruptured by friction or pressure, causing inflammation and then the hair shaft enters the skin

The disease is more common in males (80%), compared to female sex. It occurs more often from puberty until the 3rd decade of life.

Initially the pilonidal cyst has an acute clinical picture, with severe pain, inflammation and nodule formation corresponding to abscess cavities. Eventually, one or more fistulas containing hair are generated and show little or abundant secretion of smelly liquid. In this chronic phase the symptoms are softer. Recurrent inflammation is common.

During the clinical examination, the course of the fistulas is checked, as in case of communication with the rectum the treatment is different.

The tailbone cyst is treated in the acute phase with the opening and drainage of the abscesses. In the chronic phase, radical surgical removal with histological examination is considered the treatment of choice. It is done with local anesthesia and closure is done with local plastic surgery procedure.

After surgical excision of the cyst, hair depilation can be performed in the area with Laser Alexandrite.

Laser hair removal also acts preventive, especially in people with severe hair growth in the region.