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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Pilonidal Cyst?

I had a pilonidal cyst/sinus excised a few years ago and now I am experiencing similar pains to those which I felt previously. There is very little to see though (only 2 very small 'pimple' like things) although the pain had been quite severe at times (similar to the level I experience when it was infected prior to my original op). Is it possible for the sinus to recur in this 'hidden' fashion with little or no visible signs on the surface?
Mon, 31 Aug 2015
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General & Family Physician,  's  Response
Hello
As you mentioned that few years ago you got surgery ( excision ) .
Pilonidal sinus a sheaf of hairs and usually recurrence is possible if not excised properly .
As you mentioned that there are two holes ( actually these small holes are opening of pilonidal sinus ) , so in my opinion consult another surgeon and get his opinion.
However,in pilonidal sinus surgery is only an option . Since this is a sheaf of hairs so in my opinion laser is not so effective option. Open surgery is the best treatment .
Till take pain killers.
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What Is The Treatment For Pilonidal Cyst?

Hello As you mentioned that few years ago you got surgery ( excision ) . Pilonidal sinus a sheaf of hairs and usually recurrence is possible if not excised properly . As you mentioned that there are two holes ( actually these small holes are opening of pilonidal sinus ) , so in my opinion consult another surgeon and get his opinion. However,in pilonidal sinus surgery is only an option . Since this is a sheaf of hairs so in my opinion laser is not so effective option. Open surgery is the best treatment . Till take pain killers.