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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Cause Recurrence Cysts At The Lower Back Near The Tail Bone?

i have had a cyst on my lower back "tail bone" i had the first surgery to remove the cyst,2nd surgery because it would not heal, 3rd surgery because it would not heal as well, i was wondering what would cause the wound not to heal? the surgeon i have been going to says he has no idea why its doing what its doing... i am not sure if it is something the surgeon is doing wrong or if there is something with my body that will not allow it to heal.? It's a 3 1/2 inch cut, the top part will close but after a few weeks a small pin hole about the size of the tip of a Q-tip ,will open up and not heal, the bottom part as well will not heal,.. What do you think i should do? Go see a diffrent surgeon at abetter hospital? I need all the edvise i cam get, i am tired of dealing with this cyst.!.!
Wed, 26 Mar 2014
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General Surgeon,  's  Response
HI.
Thanks for an elucidate history.
This is obviously a SINUS ( pilonidal) or a fistula-in -ano.
A good contrast study of the tract can be seen with a routine fistulogram/ sinogram done by a Radiologist or an MRI study. This will delineate the whole tract and give a proper diagnosis - whether this is a fistula related to anus/ rectum OR a pilonidal sinus over the sacrum and tail bone.
Both the problems needs complete removal of the tract and allowed to heal by second intention.
Get a Second opinion of another surgeon - Get all the tests done well in advance of any further surgery . Insist / request on a diagnosis before surgery, as this can very well help in planning the surgery to give you a ''cure''.

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What Cause Recurrence Cysts At The Lower Back Near The Tail Bone?

HI. Thanks for an elucidate history. This is obviously a SINUS ( pilonidal) or a fistula-in -ano. A good contrast study of the tract can be seen with a routine fistulogram/ sinogram done by a Radiologist or an MRI study. This will delineate the whole tract and give a proper diagnosis - whether this is a fistula related to anus/ rectum OR a pilonidal sinus over the sacrum and tail bone. Both the problems needs complete removal of the tract and allowed to heal by second intention. Get a Second opinion of another surgeon - Get all the tests done well in advance of any further surgery . Insist / request on a diagnosis before surgery, as this can very well help in planning the surgery to give you a cure .