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title: "Pilonidal Cyst in Curitiba — Femi Saúde"
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description: "Pilonidal cyst in Curitiba: pain, swelling and discharge at the tailbone, diagnosis, abscess drainage and definitive surgery. General surgery."
"og:description": "Pilonidal cyst in Curitiba: pain, swelling and discharge at the tailbone, diagnosis, abscess drainage and definitive surgery. General surgery."
"og:title": "Pilonidal Cyst in Curitiba — Femi Saúde"
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"twitter:title": "Pilonidal Cyst in Curitiba — Femi Saúde"
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Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized surgical assessment
# Pilonidal Cyst
Inflammation and abscesses at the tailbone
Consulta
Consulta + procedimento
## What it is
A pilonidal cyst is a lesion that forms in the skin of the sacrococcygeal area, between the buttocks, when hair penetrates the skin and triggers an inflammatory reaction, creating a cavity with tracts. It is more common in young adults, in people with a lot of body hair and in those who remain seated for long periods. It can stay silent for years or present with pain, redness, swelling and discharge or pus through small openings — a pilonidal abscess, which is very painful. Diagnosis is made by examining the area. During an acute flare, the abscess is drained; to prevent recurrence, treatment is surgical, with removal of the cyst and tracts, and subsequent care includes removing hair from the area.
## Most common symptoms
- Pain over the tailbone, between the buttocks, that worsens with sitting
- Redness, warmth and swelling at the site
- Discharge or pus draining from small openings in the skin
- Small hair-containing openings along the midline of the buttocks
- Fever and malaise when an abscess is present
- A lump or hardened area that comes and goes
## Causes and risk factors
- Hairs penetrating the skin over the tailbone area
- Thick, abundant hair in the area
- Long periods of sitting and local friction
- A deep cleft between the buttocks and being overweight
- Excess sweating and moisture in the area
- Age between 15 and 30 and family history
## How it is diagnosed
Diagnosis is made by examining the tailbone area, where the surgeon identifies the characteristic midline openings, with hair, discharge, swelling or signs of abscess, and assesses the extent of the tracts under the skin. Additional tests are generally not needed. Ultrasound can be useful to map out deeper collections and tracts before surgery, and discharge can be sent for culture when infection recurs. The condition needs to be distinguished from anal fistulas and other skin lesions.
## How we treat it at Femi Saúde
During an acute episode, the abscess is drained in the office under local anesthesia, and antibiotics are used when the infection is more extensive. Once the acute phase has passed, treatment to prevent further episodes is surgical: the general surgery team at Femi Saúde removes the cyst and its tracts, choosing the technique based on the extent of the disease and the number of previous episodes, with the wound either closed or left to heal by secondary intention, which requires regular dressing changes. After surgery, removing hair from the area, local hygiene and care with prolonged sitting help reduce recurrence. The plan is individualized, with follow-up until the wound has fully healed.
## When to see a gynecologist
Book a consultation if you notice pain, swelling or discharge over the tailbone, especially if it keeps recurring. Severe pain, rapidly spreading redness and fever indicate an abscess that needs draining: seek a surgeon's evaluation without delay.
## What we offer
1
Diagnosis by examining the area
2
Drainage of the abscess during a flare
3
Surgery with a technique suited to the case
4
Care to reduce recurrence
5
Follow-up of the healing process
## General Surgery specialists
[Dr. Henrique Stachon
Surgeon and Integrative Physician](https://femisaude.com.br/en/doctors/dr-henrique-stachon) [Dra. Juliana Ferreira
Coloproctologist](https://femisaude.com.br/en/doctors/dra-juliana-ferreira) [Dra. Roberta Boscardin
Surgeon and Coloproctologist](https://femisaude.com.br/en/doctors/dra-roberta-boscardin)
## General Surgery treatments at Femi Saúde
[Laser Cantoplasty (Ingrown Toenail)
In-office treatment for ingrown toenails](https://femisaude.com.br/en/treatment/cantoplastia-laser) [Sebaceous Cyst Removal
Complete removal of the cyst in the office](https://femisaude.com.br/en/treatment/remocao-cisto-sebaceo) [Mole Removal (Nevi)
Assessment and removal of moles and skin marks](https://femisaude.com.br/en/treatment/remocao-pintas-nevos) [Lipoma Removal
Removal of the fatty lump under the skin](https://femisaude.com.br/en/treatment/remocao-lipoma) [Abscess Drainage
Relief of pain and inflammation](https://femisaude.com.br/en/treatment/drenagem-abscesso) [Laparoscopic Cholecystectomy
Gallbladder surgery through small incisions](https://femisaude.com.br/en/treatment/colecistectomia-videolaparoscopica)
[See all General Surgery treatments ](https://femisaude.com.br/en/specialties/cirurgia-geral)
## Ready to schedule?
Schedule your consultation and discover how this procedure can transform your quality of life.
[Schedule via WhatsApp]()
## Sitemap
See the full [sitemap](/sitemap.md) for all pages.