At The Woodlands Colon and Rectal Associates, we care for acute, chronic and recurrent pilonidal disease.

What is a pilonidal cyst?
A pilonidal cyst is a chronic infective process located at the tailbone and usually contains hair and debris. The word “pilonidal” was derived from the latin words – pilus (meaning hair) and nidus (meaning nest). It is believed to be due to embedding of hair in the skin at this location.

Who does it affect?
Although it can occur in any age group, it generally affects teenagers and young adults. Men are also more likely to have pilonidal disease than women. People who sit for prolonged periods of time such as truck-drivers have a higher risk of developing pilonidal disease.

How does it present?
Pilonidal disease can be asymptomatic or present in one of the following ways:
a. Pain at the tailbone
b. Redness, swelling and abscess at the tailbone area
c. Chronic drainage of blood / pus from the tailbone area

What are the treatment options?
Most pilonidal cysts will need to be treated surgically. Any abscess would need to be drained. Definitive treatment includes excision or ablation of pilonidal tissue.

How can we help?
At The Woodlands Colon and Rectal Associates, we manage all forms of pilonidal disease. We drain acute pilonidal abscesses, and perform traditional pilonidal cyst excision as well as newer minimally invasive techniques in the management of pilonidal disease.
The traditional pilonidal cyst excisions we offer include pilonidal cyst excisions with/without flap closures.

We offer newer minimally invasive techniques specifically endoscopic pilonidal sinus treatment.

Endoscopic Pilonidal Sinus Treatment (EPiST) is a minimally invasive surgical technique used in the management of chronic and recurrent pilonidal disease. It involves the use of a small camera to examine the pilonidal sinus, clean the sinus off any hair and debris and, treat the sinus cavity.

It is associated with less pain, quicker recovery, earlier return to normal activities and has recurrence rats as low as seen with traditional pilondal surgery.

Are you concerned you have pilonidal disease? Schedule your appointment today and see how we can help you.
  • (832) 663-0037
  • FAX: (281) 962-3033
  • The Woodlands Office: 920 Medical Plaza Drive, Suite 330, The Woodlands, TX 77380.