Recognizing and Treating Pilonidal Cysts in Teens
If your teen has been complaining about pain near their tailbone, especially while sitting or walking, they might be dealing with something called a pilonidal cyst. This condition can be painful and confusing since many parents have never heard of it before, and teens often feel embarrassed to talk about it.
At Pacific Coast Pediatric Surgery, we understand how tough this condition can be, for both teens and their families. In this article, we’ll explain what pilonidal cysts are, how to spot the signs, and what treatment options, including pilonidal cyst surgery, are available.
What Are Pilonidal Cysts?
Pilonidal cysts are a skin condition that usually happens near the top of the buttocks, right above the crease. It starts when hair grows into the skin or gets trapped under the surface, causing irritation. This area can become red, swollen, and even infected.
A pilonidal cyst often begins as a small dimple or lump under the skin. Over time, it can form a cyst (a closed sac filled with fluid or pus) or a small tunnel under the skin, called a sinus tract. When it gets infected, it can be very painful and may even drain pus or blood.
Who Gets Pilonidal Cysts?
This condition is most common in:
- Teenagers and young adults (especially between ages 15 and 25)
- People who sit for long periods (like students or drivers)
- Boys more than girls
- Individuals with coarse body hair
Hormonal changes during puberty, as well as friction and pressure from sitting, can make the problem worse.
Signs to Look Out For
Not sure if your teen may have a pilonidal cyst? Look for these common symptoms:
- Pain near the tailbone, especially when sitting or bending
- Swelling or a tender lump above the buttocks
- Red or irritated skin in the area
- Pus or blood leaking from the lump
- Fever (if an infection is present)
If your teen is showing any of these signs, it’s a good idea to call your pediatrician or a pediatric surgeon for a closer look.
How Are Pilonidal Cysts Treated?
Treatment depends on how severe the cyst is and whether it’s infected. Here are the most common approaches:
1. Draining the Cyst
If the cyst is infected, it may need to be drained. This can be done in a doctor’s office under local anesthesia, with a small cut to let the pus out. It brings fast pain relief, but sometimes the cyst can come back. Larger pilonidal abscesses may require procedures under general anesthesia.
2. Limited Pilonidal Sinus/Cyst Excision
For teens who have infected pilonidal sinuses or cysts, limited and targeted surgery to just remove the sinuses is often the best option (also known as a “Gips procedure”). A pediatric surgeon can perform this procedure to significantly reduce the risk of the cyst and sinus tracts from coming back.
Surgery may be done in a few different ways depending on the case. Your doctor will help decide which method is best for your teen.
What to Expect After Surgery
Most teens recover well after pilonidal cyst surgery. Here’s what the healing process usually looks like:
- Your teen may feel sore for a few days
- The area must be kept clean.
- They usually take one shower per day and apply dry gauze
- They might need to avoid sports or heavy activity for a couple of weeks
- Regular follow-ups will ensure the wound is healing properly
Most teens return to school within a few days, depending on the type of procedure.
When to See a Specialist
If your teen is experiencing pain or drainage around his or her tailbone, it’s time to see a pediatric surgeon.Limited pilonidal sinus/cyst surgery may be the safest and most effective way to fix the problem and help your teen feel better long term.
At Pacific Coast Pediatric Surgery, we specialize in caring for teens and children. We’ll walk you through the process with clear information, gentle care, and a treatment plan designed just for your child.
We’re Here to Help
Pilonidal sinuses and cysts can be frustrating and painful, but your teen doesn’t have to face it alone. If you think your child may need help, contact our office today to schedule a consultation.
Early treatment can prevent bigger problems later, and help your teen feel like themselves again.
