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Pilonidal Cystectomy Treatment In A Nutshell
Pilonidal cysts are a type of skin tag that can form near the crease between one’s buttocks. These growths contain an impacted or ingrown hair follicle along with debris such as dead cells and dirt, which becomes enclosed in a pocket.
A pilonidal cystectomy is usually recommended by doctors to treat a pilonidal cyst effectively and aids in clearing out any form of infection.
Pilonidal cyst removal is a minor surgery that can be done as an outpatient procedure with local anaesthesia. This will aid in numbing the area and managing the pain during the removal of the infected pilonidal abscess. The procedure is usually conducted in the doctor’s clinic, and you will be able to resume normal activities right after the surgery.
When Should I See A Doctor For A Pilonidal Cyst?
You are recommended to seek medical advice if you notice swelling near the cleft of the buttocks that do not reduce after 2-3 days.
In most cases, when a pilonidal cyst becomes infected, you will experience significant pain and will require relief, so you are advised to visit the doctor if:
Infected Pilonidal Cyst can be a significant cause for concern as it can lead to pilonidal abscesses (or boils) that can develop further into sinus cavities, leaving holes on your skin where the abscess occurred.
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When treated early, doctors may prescribe antibiotics as the first manner of treatment for your pilonidal cyst. This will not immediately treat the cyst as it will still be present beneath the skin (hair follicles & debris). However, it can help to prevent the cyst from becoming infected.
You will be required to schedule regular follow-ups with our doctor to ensure that the cyst shows no signs of infection. Should an infection be detected, you will be advised to opt for surgery to remove the cyst entirely.
An untreated pilonidal cyst can lead to infection and subsequent recurring boils around the crease of the buttocks. This not only causes severe pain, but can result in pilonidal sinus disease where one or more infected pilonidal cysts will form. The sinus is a cavity below the skin that connects to the surface through your pores. The infection spreads from the cyst into the sinus tract and, over time, can lead to recurring infections that become increasingly severe and painful.
Surgery will usually be recommended to remove all traces of infection from the region.
A pilonidal cystectomy is usually not painful. Local anaesthesia will be applied to the surgical site to numb the region before the procedure begins. While you may feel the scalpel used to remove the cyst, you should not feel any pain.
Recovery from the surgery may involve some level of pain, but you will be prescribed painkillers to aid in relieving the discomfort.
Additionally, it is important to take note that you will need to follow the instructions provided by our doctor following the surgery to ensure that the wound is managed correctly to ensure a full recovery.
Before the procedure
During the procedure
After the procedure
A pilonidal cyst surgery is usually conducted in the doctor’s clinic. Our doctor will inform you if you are required to fast before the procedure.
Local anaesthesia will be administered to numb the surgical site. Our doctor will use a scalpel to make an excision to remove the cyst, sinus, skin, and underlying tissue that has become infected.
Pus and any signs of infection will be removed entirely, and the region will be cleaned and sterilised with saline.
Depending on the size of the area that is saucerised, the wound may be kept open to observe for infection. In most cases, the wound will be packed with gauze to ensure that the area remains as dry and sterile as possible.
The surgical site will then be closed up with stitches, and you can be discharged right after the surgery has been completed.
In the next four weeks, you will be required to adhere to the management of your wound to ensure a full recovery. Recovery from a pilonidal cyst surgery takes approximately four weeks.
If you had your wound closed with stitches, complete recovery should take four weeks, while open wounds may require months to heal completely.
You will likely need several follow-up appointments, but it is advised to avoid strenuous exercise and activity until the area has healed. With proper rest, most people can return to their regular activities within two weeks.
However, you should wait longer if possible to avoid straining yourself or further irritation, which could cause scarring/healing issues later down the road.
It is common for pilonidal cysts to return even after surgery. Several factors can influence this recurrence, such as:
Pilonidal sinus disease is a chronic, recurring condition that can be difficult to resolve. In a study conducted on pilonidal sinus and its recurrence, about 20% of people who have had a pilonidal cyst removed required another procedure as the cyst recurred.
It is important to note that patients who have a history of pilonidal cysts should keep the area between the buttock crease clean and hair-free. You may be advised to consider permanent hair removal or shaving every two to three weeks to prevent hair buildup in the area.
Apart from that, people who hold jobs that require long hours of sitting have an increased risk of recurrence. Consider taking a walk every other hour and stay active throughout the day instead of spending the entire period at your desk or vehicle.
The professional fees for a pilonidal cystectomy ranges from $1,000 to $3,000. Do note that the charges listed here refer to the doctor’s fees. This is before you take into account any hospitalisation fees along with your eligibility for insurance claimables. To obtain an estimated fee for Pilonidal Cyst removal, visit MOH’s Historical Transacted Bill Sizes and Fee Benchmarks.
To understand your financing options and out-of-pocket costs, speak to your insurer, or you may contact our friendly staff via WHATSAPP or call our CLINIC for assistance.
A pilonidal cyst surgery is insurance claimable, although the amount may vary depending on your insurer.
The Integrated Shield Plan allows Singaporeans to obtain additional coverage on top of what is offered by Medishield Life for private healthcare. If you have purchased a hospital plan rider from your insurer, it typically covers the cost of the deductible along with co-insurance.
In that case, you may be eligible for a cashless procedure during your hospitalisation. If you are unsure of your eligibility for a cashless procedure, contact us or speak to your insurer to find out more.
Medisave can be used to pay for your pilonidal cyst removal. With the help of our experienced staff at G&L Surgical Clinic, you will be able to make ease-of-use of your Medisave for your pilonidal sinus treatment. However, prevailing limits may be set on how much can be utilised in such procedures.
Do not hesitate to approach us if you have concerns about your treatment plans, and we will be glad to assist you with them.
Dr Ganesh at G & L Surgical Clinic strives to prioritise his patients’ recovery and comfort. Having had adequate experience in performing pilonidal cyst removals for numerous patients for many years in Singapore.
Furthermore, the G & L Surgical Clinic staff have been thoroughly and adequately trained to make your experience a comfortable and hassle-free one. Whether you intend to undergo our pilonidal cystectomy or other medical services in Singapore, you can rest assured that you will be properly and sufficiently cared for by trained professionals.
Organise a consultation with our surgeons for further assistance on pilonidal cyst removals in Singapore.
I had a lipoma on my neck which bothered me for a long time. Dr Ganesh was able to give me good advice on whether I needed to have it removed and in the end I decided to opt for the removal since I couldn’t stand the sight of it.
Surprisingly, the procedure was not as painful as I imagined and Dr Ganesh was very meticulous in how he approached my condition. Throughout the experience, I didn’t feel that I was merely a patient but a friend as he kept the consultation very conversational. I appreciated that I was nervous about having the treatment.
Now, with the lipoma gone, I am feeling better, and definitely happier. Thank you Dr Ganesh and the team at G&L!
Had a 2 cm skin cyst removed from my back by Dr Ganesh. As it was the first time going for an opt, I was nervous at first but staff Jiaxin assured me that everything was fine. True enough, the experience was amazing. Dr Ganesh knew exactly what to do and throughout the procedure, he talked to me to help me feel less nervous. The G&L team also wore a huge smile whenever they saw me and that helped me feel comfortable and relaxed when I was there. In fact, the surgery was almost painless too. If you are looking for a clinic to trust, I highly recommend you go to G&L clinic, they are the best!
I had a lipoma on my shoulder that needed removing as I could feel the pain whenever I carried a bag against my back. I found Dr Ganesh online and scheduled an appointment with him the next day.
I could tell he had the experience because everything I was worried about such as scarring, he managed to have them explained. I felt at ease with his advice and his staff were also very reassuring in guiding me on caring for the wound after the treatment.
Thank you Jiaxin for being so patient in tending to my wound.
Thank you to Dr Ganesh and the G&L team for doing a wonderful job too! Keep it up!
Dr Ganesh is a doctor that cares with a heart. He knows that I was worried about the cysts on my neck getting bigger and arranged for me to be seen on the same day I called. His team was prepared for my arrival and went through my registration swiftly. I liked how efficient they are and it helps make me feel I’m in good hands.
After seeing Dr Ganesh, I got to know I have a lipoma which is non-cancerous but I can remove it if it bothers me.
I got it removed the same week since I was paranoid. It’s a week after and I like the prompt follow up from his team to ensure that I am recovering well. This is the standard that all healthcare providers should have.
Highly recommend them if you are looking for a trusted and professional clinic!
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