Pilonidal Cyst Treatment in Glendale & Los Angeles
A pilonidal cyst forms in the skin near the top of the buttocks crease, often containing hair and debris. It’s most common in young adults, particularly those who sit for long periods. These cysts can become infected, forming a painful abscess that needs drainage.
Common Symptoms
- Pain and swelling near the tailbone
- Redness or warmth over the area
- Drainage of pus or blood, sometimes with odor
- Fever, if the area is significantly infected
Treatment Approach
- Incision and drainage for an acute abscess, often as an in-office procedure
- Good hygiene and hair removal in the area to reduce recurrence
- Surgical excision of the cyst tract for cases that keep coming back after drainage alone
A Note Worth Reading
A single drained abscess doesn’t always mean surgery is needed — many people do fine afterward with hygiene changes. Excision is generally reserved for cysts that recur.
Related Questions
When should I see a colorectal surgeon instead of my primary care doctor?
Your primary care doctor is a good first stop for most symptoms and can refer you if needed. It’s reasonable to seek a colorectal surgeon directly for persistent anorectal symptoms (bleeding, pain, a lump, or drainage that doesn’t resolve), a colonoscopy finding that needs follow-up, a family history that puts you in a higher-risk screening category, or a known condition like inflammatory bowel disease that may eventually need surgical input. When in doubt, a referral from your primary care doctor or gastroenterologist is a reasonable way to confirm whether a surgical consult makes sense.
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This page is general health information, not medical advice, and does not create a doctor-patient relationship. It is not a substitute for an in-person evaluation. If you are experiencing a medical emergency, call 911.
Discuss Pilonidal Cyst With Dr. Gregorian
Call the office or send a message to request an appointment with Dr. Armen Gregorian, MD, FACS, FASCRS.