Pilonidal cysts are painful, often embarrassing bumps that develop near the tailbone, typically between the buttocks. While they can be drained or surgically removed, many people find that these cysts recur — sometimes repeatedly! Understanding why pilonidal cysts sometimes keep coming back is the key to finding lasting relief. At Piedmont Colorectal Associates, our team of expert doctors helps patients not only treat existing cysts but also address the root causes of recurrence.

What Causes Pilonidal Cysts to Return?

Several underlying issues contribute to chronic or recurring pilonidal cysts:

• Hair and debris accumulation: These cysts often form when hair and skin debris accumulate in the small pores near the tailbone, creating an environment for infection. Even after treatment, if the area continues to trap debris, new cysts may form.
• Incomplete removal: A simple drainage procedure (incision and drainage) can relieve pain and infection but doesn’t always remove the entire cyst structure. If remnants remain, the cyst is more likely to come back.
• Deep sinus tracts: Some cysts form complex tunnels (sinus tracts) beneath the skin. These can be difficult to detect and treat fully unless surgical exploration is performed.
• Prolonged pressure or friction: Sitting for long periods, especially on hard surfaces, increases pressure on the tailbone region. This can lead to irritation and the reformation of cysts.
• Genetic predisposition: Some individuals are simply more prone to developing pilonidal disease due to body hair density or skin structure.

What Can Be Done to Prevent Recurrence?

While not every recurrence is preventable, there are several ways to lower the risk:

• Keep the area clean and hair-free: Regular hygiene and hair removal (either shaving or laser hair removal) can reduce buildup of debris and prevent infection.
• Avoid prolonged sitting: Use cushions and take breaks when sitting for extended periods.
• Complete surgical treatment: For patients with recurring cysts, surgical removal with attention to sinus tracts may be necessary. Minimally invasive options like pit-picking or cleft lift procedures offer excellent long-term results with less downtime.
• Follow postoperative care instructions: Proper wound care and follow-up after any cyst treatment are essential to promote full healing.

We Offer Solutions That Last

At Piedmont Colorectal Associates, our team has extensive experience managing recurrent pilonidal disease. Our friendly, knowledgeable doctors offer a range of treatment options (tailored to each patient’s needs) to help reduce the chance of recurrence and support long-term comfort.

Call us today at (404) 351-7900 to schedule a consultation and discover how we can help you finally overcome pilonidal cysts.