Pilonidal Cyst Removal/Recovery

  • Posted by a hidden member.
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    Feb 25, 2013 4:58 AM GMT
    So I'm going to get this out of the way first... yes, I have a cyst on my ass, yes it hurts, no it's not from too much rough sex icon_razz.gif

    I found out I had a pilonidal cyst in about October last year, when it got infected and hurt so bad I couldn't sit down for a week - not fun. I haven't had a flare-up since but my GP recommended I get it removed ASAP because of the size and the amount of pain it caused. I went in for the consult with the surgeon who will be removing it and I'm scheduled for two weeks from now. He told me he'd cut out all the... whatever it is, and get the plastic surgeon in too to remove some skin and fat from my ass (of which there is plenty) and place it over the wound so I won't need to have it repacked every day.

    ANYWAY - Anyone else here had this procedure done? How long was it before you were back at work/exercising? I sit down at work all day and ride my bike a lot so how long before you could get back to sitting down regularly? I've heard conflicting reports from one week to a month, I'm banking on it not taking more than two weeks as that's all I could get off work icon_neutral.gif

    This is my first time getting surgery for anything too. Not terribly worried about it but still a little apprehensive about the whole cutting into my ass deal...
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    Feb 25, 2013 3:28 PM GMT
    http://www.youtube.com/watch?v=8gTCS6AMasc
  • Rowing_Ant

    Posts: 1504

    Feb 25, 2013 3:53 PM GMT
    I had a Pilonidal Sinus about 4 years ago (2007-200icon_cool.gif.

    I had it removed via a "Broad excision" which meant cutting out the infected tissue and laying the wound open, and packing it for about four months. Sadly, I "over healed" which meant that tissue over granulated at the top and didnt heal beneath so it had to be opened up and allowed to heal slower.

    I still have a little tiny cavity at the very base of my coccyx which has never fully healed - lack of oxygen to promote healing and its nice and dark and damp there. lol

    I have it checked up every year.

    I now suffer from coccydinia (spelling?) so use a coccyx cushion.

    To avoid a re-occurance I have been informed to

    1. Stop rowing and horse riding and bike riding
    2. Not wear tight fitting clothing, especially underwear and lycra shorts etc
    3. Avoid prolonged sitting
    4. Avoid exercises or activities which will put pressure or friction on the area, e.g. no doing crunches or seated rows on a machine
    5. In summer wash at least twice daily and generally to keep the area clean and sweat free. In all seriousness my Occupational Health Therapist at my last job told me to wear a kilt in summer,

    Each case is, of course, unique. However a friend of mine who was really into his horse riding developed one and it kept re-occuring despite being told by his Doctor to STOP horse riding. He'd rather keep having to have his arse operated on every 18-24 months than stop riding. He is the prime reason why I have stopped riding and rowing (I used to compete in rowing. ARGHGH. stupid coccyx).
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    Feb 25, 2013 6:03 PM GMT
    totally common! nothing to be ashamed of! see this almost weekly in my ER for wound repack/recheck. you need to be vigilant in sterility but as far as i am aware - even with surgical interventions - there is no guarantee for negative recurrence. i'm not sure how canada works, but generally in the states you are treated with narco...any word on what meds you will get?
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    Feb 25, 2013 9:03 PM GMT
    Not funny, but sorta funny as this is what Rush had that supposedly got him a Vietnam war era draft deferment
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    Feb 25, 2013 9:58 PM GMT
    Been there; done that.

    Twice.

    Once at age 23, again last October. It's not a big deal, unless you're finicky about having huge scars on your ass.
  • Rowing_Ant

    Posts: 1504

    Feb 25, 2013 10:52 PM GMT
    NOt really.! lol The nurse who dresssed mine - who my mum tired to set me up with - said I looked like Id been hit in the ass by Gimli's Axe! icon_lol.gificon_lol.gificon_lol.gificon_lol.gif

    (mmmmm hot geeky nurses)
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    Feb 26, 2013 6:34 AM GMT
    Thanks for the replies everyone, I'd heard it was a relatively common thing, good to know other people outside my family have to put up with it too. (Every male on my mom's side of the family has had this problem, sucks but at least we have something to talk about at Thanksgiving!)

    To answer blackstrap - not sure what they'd be using for painkillers if that's what you meant by narco but I found out the other day both my mom and my sister have had allergic reactions to morphine, so I'll bring that up when I talk to the anaesthesiologist. I have a high resistance to anaesthesia and painkillers (took four injections of something-caine when I got stitched up after slicing open my thumb and it still wasn't frozen) so it should be interesting. I'd prefer a non-narcotic if such a thing exists - I'm not worried about becoming addicted but everyone I've talked to says coming off them is a bitch.

    Apparently the surgeon who's doing the procedure is one of the best in the region, he has a very high success rate and low reoccurence. I think the main difference is he's good friends with a plastic surgeon, and what he usually does is rotate some skin and fat from the butt and put it in place over the wound after surgery so there's no unpacking/repacking and I guess less probability of stuff getting in there and causing another infection.
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    Feb 26, 2013 6:46 AM GMT
    totally had it done... My healing time was relatively short though. it took about 3 or so weeks for it to completely heal after I had it done. I'm just extra careful and haven't had to stop doing anything active, which is awesome. One thing that my dr told me that helps- work on your posture and actually try to sit on your glute muscle, verses rolling back on your coccyx. That will alleviate pressure and help it not reoccur.
    now as far as dat ass goes- pix or you're lying ;)
  • Posted by a hidden member.
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    Feb 26, 2013 6:54 AM GMT
    I just spent 30 minutes looking at cyst removals on YouTube. Thanks.
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    Feb 26, 2013 1:11 PM GMT
    I work part time in a recovery room and those who have posted their experience about pilonidal cysts is pretty accurate.

    I work with a bunch of anesthesiologists and nurse anesthetists so here's my question to you: what do you mean you have a high resistance to anesthesia and painkillers? When someone tells me this, it means the average amount of anesthetic meds given to induce a deep sleep will not be enough and that person requires more meds to make sure they stay asleep.

    Or are you concluding that you have a high resistance because it took 4 shots of lidocaine in order to numb your thumb? Since this is your first time getting surgery, I seriously doubt you have a high resistance at all! As for narcotics, you'll be getting some of the strongest meds in the recovery room. Dilaudid, demerol, toradol (non-narcotic) to name a few. Your surgeon will then prescribe an oral narcotic such as percocet or vicodin for you to take at home.

    Good luck!
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    Feb 26, 2013 3:30 PM GMT
    Re: the anaesthesia thing, that's just what I've been told from doctors, dentists, etc. when I've gone in for stitches or to get teeth pulled or what have you. I guess I'll find out for real in a few weeks, lol!