{"id":294634,"date":"2025-08-20T16:00:04","date_gmt":"2025-08-20T19:00:04","guid":{"rendered":"https:\/\/emfoco.med.br\/pilonidal-disease-causes-symptoms-and-treatment-options\/"},"modified":"2025-08-20T16:00:04","modified_gmt":"2025-08-20T19:00:04","slug":"pilonidal-disease-causes-symptoms-and-treatment-options","status":"publish","type":"post","link":"https:\/\/emfoco.med.br\/en\/pilonidal-disease-causes-symptoms-and-treatment-options\/","title":{"rendered":"Pilonidal disease: causes, symptoms and treatment options"},"content":{"rendered":"<h2><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-287230 size-medium\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" alt=\"Make an appointment with a doctor from Instituto Medicina em Foco\" width=\"300\" height=\"60\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp 300w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px.webp 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<h2><b>Learn about prevention, diagnosis and modern treatment techniques for <\/b><b>pilonidal cyst<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/drcarlosobregon.com.br\/doenca-pilonidal-o-que-e-e-como-tratar\/\" target=\"_blank\" rel=\"noopener\"><b>pilonidal disease<\/b><\/a><span style=\"font-weight: 400;\">  is an inflammatory condition that mainly affects the area near the coccyx. It is characterized by the accumulation of hair and skin debris under the skin, forming a cyst that can become infected and generate significant discomfort and, although it is more common in young adults, it can affect people of different ages and profiles. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Causes include genetic predisposition, ingrown hairs, constant friction and excessive perspiration in the area. Among the most common symptoms are pain, swelling, redness and the presence of a secretion, which can indicate the development of an ingrown hair.   <\/span><b>pilonidal abscess<\/b><span style=\"font-weight: 400;\">. In chronic cases  <\/span><b>skin fistulas<\/b><span style=\"font-weight: 400;\">requiring more complex interventions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/pilonidal-cyst\/diagnosis-treatment\/drc-20376332\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">diagnosis<\/span><\/a><span style=\"font-weight: 400;\"> and treatment should be carried out by a <\/span><b>coloproctology specialist<\/b><span style=\"font-weight: 400;\"> or <\/span><b>proctology specialist<\/b><span style=\"font-weight: 400;\">. Here at Instituto Medicina em Foco, Dr. Carlos Obregon is ready to take an appropriate approach to each case. Early assessment is essential to avoid complications and provide the patient with a better recovery. <\/span><\/p>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><b>Make an appointment with a proctology specialist at Medicina em Foco and avoid complications from the pilonidal cyst.<\/b><\/a><\/p>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-293776\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2025\/08\/Entre-em-contato-com-o-Instituto-Medicina-em-foco-para-agendar-uma-consulta-com-especialista-em-proctologia-para-saber-mais-sobre-doenca-pilonidal.webp\" alt=\"Contact Instituto Medicina em foco to schedule an appointment with a proctology specialist to find out more about pilonidal disease\" width=\"1080\" height=\"1080\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2025\/08\/Entre-em-contato-com-o-Instituto-Medicina-em-foco-para-agendar-uma-consulta-com-especialista-em-proctologia-para-saber-mais-sobre-doenca-pilonidal.webp 1080w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2025\/08\/Entre-em-contato-com-o-Instituto-Medicina-em-foco-para-agendar-uma-consulta-com-especialista-em-proctologia-para-saber-mais-sobre-doenca-pilonidal-980x980.webp 980w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2025\/08\/Entre-em-contato-com-o-Instituto-Medicina-em-foco-para-agendar-uma-consulta-com-especialista-em-proctologia-para-saber-mais-sobre-doenca-pilonidal-480x480.webp 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1080px, 100vw\" \/><\/a><\/p>\n<h2><b>What it is <\/b><b>pilonidal disease<\/b><b>learn about its concept <\/b> <\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><a href=\"https:\/\/fascrs.org\/ascrs\/media\/files\/downloads\/Clinical%20Practice%20Guidelines\/the-american-society-of-colon-practical-guideline-sinus-pilonidalis.pdf\" target=\"_blank\" rel=\"noopener\"><b>pilonidal disease<\/b><\/a><span style=\"font-weight: 400;\">  is an inflammatory condition that develops in the coccyx region, near the groove between the buttocks. It occurs when ingrown hairs penetrate the skin, forming a cyst or cavity that can become infected. This condition is more common in young men and in people who sit for long periods.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">When not treated properly, it can develop into an abscess (accumulation of pus) or even form <\/span><b>skin fistulas<\/b><span style=\"font-weight: 400;\">  (small tunnels under the skin). Symptoms include pain, swelling and discharge and can cause significant discomfort in everyday life.   <\/span><a href=\"https:\/\/drcarlosobregon.com.br\/contato\/\" target=\"_blank\" rel=\"noopener\"><b>coloproctology specialist<\/b><\/a><span style=\"font-weight: 400;\"> through physical examination and, in some cases, imaging tests.<\/span><\/p>\n<h3><b>What is a pilonidal cyst?<\/b><b>?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">O<\/span> <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/15400-pilonidal-disease\" target=\"_blank\" rel=\"noopener\"><b>pilonidal cyst<\/b><\/a><b> or sacrococcygeal cyst <\/b> <span style=\"font-weight: 400;\">is an inflamed pouch that forms in the coccyx region, usually containing fluid, pus or ingrown hairs and arises when hairs penetrate the skin, causing an inflammatory reaction and, in many cases, infection. This condition is more common in men between the ages of 20 and 35, especially in people with excess hair or who spend long periods sitting down. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">If left untreated, the cyst can develop into a <\/span><b>pilonidal abscess<\/b><span style=\"font-weight: 400;\"> (accumulation of pus) or form fistulas (tunnels under the skin) and, in some cases, a <\/span><b>pilonidal sinus<\/b><span style=\"font-weight: 400;\">This is a small tunnel under the skin that drains secretions. Symptoms include intense pain, redness and discharge. <\/span><\/p>\n<h3><b>Pilonidal disease symptoms<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intense pain in the coccyx region, which worsens when sitting.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swelling and local redness, with a feeling of warmth in the affected area.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Discharge of pus or blood (may have a bad smell).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Palpable nodule or painful lump in the intergluteal fold.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever (in cases of more serious infection).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue and general malaise (when an infectious process is present).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Formation of holes (sinuses) in the skin that drain secretion.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Extreme sensitivity to touch in the affected area.<\/span><\/li>\n<\/ul>\n<p><b><i>Attention:<\/i><\/b><span style=\"font-weight: 400;\">  Symptoms can range from mild discomfort to incapacitating pain, depending on the stage of the disease. The presence of fever indicates infection and requires immediate medical attention. <\/span><\/p>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><b>Suspected pilonidal disease? Don&#8217;t put off treatment! Make an appointment with a coloproctology specialist in S\u00e3o Paulo.  <\/b><\/a><\/p>\n<h2><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-287230 size-medium\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" alt=\"Make an appointment with a doctor from Instituto Medicina em Foco\" width=\"300\" height=\"60\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp 300w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px.webp 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<h2><b>Causes and risk factors of <\/b><b>pilonidal disease<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><b>pilonidal disease<\/b><span style=\"font-weight: 400;\"> is <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/pilonidal-cyst\/symptoms-causes\/syc-20376329\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">often associated<\/span><\/a><span style=\"font-weight: 400;\">  ingrown hairs that penetrate the skin of the sacrococcygeal region, causing inflammation. This condition can be aggravated by constant friction, prolonged pressure and excess humidity, which are common in people who sit for a long time or wear tight clothes. The combination of these factors favors infections and the development of    <\/span><b>pilonidal cyst<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><b>Main <\/b><b>causes of pilonidal disease<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ingrown hairs:<\/b><span style=\"font-weight: 400;\"> These penetrate the skin and cause an inflammatory reaction.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Constant friction:<\/b><span style=\"font-weight: 400;\"> friction in the coccyx region due to long periods of sitting or tight clothing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Excess moisture:<\/b><span style=\"font-weight: 400;\"> sweat promotes bacterial proliferation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Local trauma:<\/b><span style=\"font-weight: 400;\"> Injuries or intense pressure in the sacrococcygeal area.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Favorable anatomy:<\/b><span style=\"font-weight: 400;\"> Deep intergluteal groove that retains hair and debris.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Bacterial infections:<\/b><span style=\"font-weight: 400;\"> Commonly caused by Staphylococcus and anaerobic bacteria.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hormonal factors:<\/b><span style=\"font-weight: 400;\"> increased activity of the sebaceous glands at puberty.<\/span><\/li>\n<\/ul>\n<h3><b>Risk factors  <\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Men between the ages of 20 and 35 (three times more affected than women).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive hair in the gluteal region.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sedentary professionals (drivers, clerks, call center operators).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obesity (BMI over 30).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Family history of the condition.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Military personnel and athletes who sit or use heavy equipment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor local hygiene.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent wearing of tight clothes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive sweating in the gluteal region.<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><b>If you identify with one or more of these factors, it is important to consult a specialist in coloproctology for evaluation and prevention of complications.<\/b><\/a><\/p>\n<h2><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-287230 size-medium\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" alt=\"Make an appointment with a doctor from Instituto Medicina em Foco\" width=\"300\" height=\"60\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp 300w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px.webp 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<h2><b>Treatment for pilonidal cyst<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">O <\/span><b>pilonidal cyst<\/b><span style=\"font-weight: 400;\"> has several <\/span><a href=\"https:\/\/drcarlosobregon.com.br\/tratamentos\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">treatment options<\/span><\/a><span style=\"font-weight: 400;\">These vary according to the severity of the case. For acute abscesses, the   <\/span><b>pilonidal cyst drainage<\/b><span style=\"font-weight: 400;\">  is the most common initial procedure, performed under local anesthesia for immediate pain and infection relief. However, when not treated properly, the problem can become recurrent, requiring more definitive approaches. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chronic or complex cases may require techniques such as <\/span><b>marsupialization<\/b><span style=\"font-weight: 400;\">complete excision or minimally invasive procedures (<\/span><b>EPSiT<\/b><span style=\"font-weight: 400;\">\/<\/span><b>LEPSiT<\/b><span style=\"font-weight: 400;\">). The choice of the best method depends on the assessment of a specialist<\/span> <span style=\"font-weight: 400;\">considering factors such as the size of the cyst, the presence of fistulas and the patient&#8217;s history.<\/span><\/p>\n<h3><b>Non-surgical treatment<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">O <\/span><b>he treatment of pilonidal cysts<\/b><span style=\"font-weight: 400;\"> has a higher recurrence rate (30-50%) compared to surgical techniques and is mainly indicated for the first episodes, for patients with surgical contraindications and to prepare for definitive intervention.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Abscess drainage<\/b><span style=\"font-weight: 400;\">outpatient procedure under local anesthesia for immediate relief of pain and infection. Ideal for acute abscesses, but does not prevent recurrences. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Phenol application<\/b><span style=\"font-weight: 400;\">Chemical solution injected into the cyst to destroy the inflamed tissue. Effective in early cases, with a success rate of 60-80%. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antibiotic therapy<\/b><span style=\"font-weight: 400;\">The use of antibiotics (clindamycin, metronidazole) to control associated infections. Treats the symptoms, but does not eliminate the cyst. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Laser therapy<\/b><span style=\"font-weight: 400;\">laser hair removal to prevent new ingrown hairs. Reduces recurrences when combined with other treatments. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Local care<\/b><span style=\"font-weight: 400;\">Warm compresses for spontaneous drainage, strict hygiene of the affected area and wearing loose-fitting cotton underwear.<\/span><\/li>\n<\/ul>\n<h3><b>Minimally invasive surgeries and techniques<\/b><\/h3>\n<p><b>Conventional techniques<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Excision with an open wound:<\/b><span style=\"font-weight: 400;\"> complete removal of the cyst and allowing it to heal naturally, indicated for large or relapsed abscesses and longer recovery (4-8 weeks).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Marsupialization:<\/b><span style=\"font-weight: 400;\"> opening of the cyst and suturing of the edges to facilitate drainage, shorter healing time vs. open wound and recurrence rate of 10-20%.<\/span><\/li>\n<\/ul>\n<p><b>Minimally invasive techniques:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>EPSiT (Endoscopic Pilonidal Sinus Treatment):<\/b><span style=\"font-weight: 400;\"> use of microcamera for visualization and internal curettage, without external cuts &#8211; healing in 1-2 weeks and is ideal for cysts without acute abscesses.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>LEPSiT (Laser + EPSiT):<\/b><span style=\"font-weight: 400;\"> combines endoscopy with laser to vaporize diseased tissue, reduces recurrences to &lt;5% in selected cases and usually the patient is discharged the same day.<\/span><\/li>\n<\/ul>\n<h4><b>When to opt for minimally invasive techniques?<\/b><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Initial cases without large abscesses.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patients with relapses after conventional treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When you want to recover quickly (return to work in 3-5 days).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To avoid extensive scarring.<\/span><\/li>\n<\/ul>\n<p><b><i>Warning:<\/i><\/b><span style=\"font-weight: 400;\"> It is contraindicated for very large abscesses (&gt;5cm), multiple complex fistulas and severe uncontrolled infections.<\/span><\/p>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><b>Want to know which treatment option is best for you? Consult a proctology specialist and get a personalized assessment. <\/b><\/a><\/p>\n<h2><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-287230 size-medium\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" alt=\"Make an appointment with a doctor from Instituto Medicina em Foco\" width=\"300\" height=\"60\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp 300w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px.webp 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<h2><b>How can the sacrococcygeal cyst be prevented?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Cyst prevention should be based on simple habits that reduce its main risk factors. Although there is no method that guarantees total protection, maintaining strict hygiene, proper hair removal and avoiding prolonged pressure on the sacrococcygeal region significantly reduces the chances of developing the disease or suffering recurrences. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with a family history of cyst or <\/span><b>pilonidal abscess<\/b><span style=\"font-weight: 400;\">or who sit for long periods of time should take extra care and have their condition monitored by a <\/span><a href=\"https:\/\/drcarlosobregon.com.br\/sobre\/\" target=\"_blank\" rel=\"noopener\"><b>coloproctology specialist<\/b><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><b>Daily care to prevent recurrence<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Strict hygiene<\/b><span style=\"font-weight: 400;\">Wash the area with neutral soap, dry well and avoid residual moisture.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Regular hair removal<\/b><span style=\"font-weight: 400;\">remove hair from the gluteal region (machine or laser, never razor) every 2-3 weeks.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Avoid prolonged pressure<\/b><span style=\"font-weight: 400;\">take breaks every 1-2 hours if you work sitting down, using specific cushions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Suitable clothing<\/b><span style=\"font-weight: 400;\">prefer cotton garments and avoid tight clothes that increase friction.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Weight control<\/b><span style=\"font-weight: 400;\">Keep your BMI below 30 to reduce friction and sweating.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Regular inspection<\/b><span style=\"font-weight: 400;\">check the coccyx area for new ingrown hairs.<\/span><\/li>\n<\/ul>\n<p><b><i>Attention:<\/i><\/b><span style=\"font-weight: 400;\"> post-surgical patients should be followed up for 6 months, avoid prolonged sitting for the first 4 weeks and seek immediate care at the first sign of pain, discharge or <\/span><b>skin fistulas<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h4><b>When to see a <\/b><b>proctology specialist<\/b><b>?<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">The evaluation with <\/span><a href=\"https:\/\/www.doctoralia.com.br\/carlos-obregon\/cirurgiao-do-aparelho-digestivo-cirurgiao-geral\/sao-paulo\" target=\"_blank\" rel=\"noopener\"><b>Dr. Carlos Obregon<\/b><\/a><span style=\"font-weight: 400;\">is essential in the event of symptoms such as persistent pain, swelling, discharge or fever. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Cases of recurrent abscesses or fistula formation require rapid diagnosis and often surgical intervention. Regular monitoring is the best way to prevent complications and maintain the health of the area. <\/span><\/p>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><b>Make an appointment with a proctology specialist in SP.<\/b><\/a><\/p>\n<h2><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-287230 size-medium\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" alt=\"Make an appointment with a doctor from Instituto Medicina em Foco\" width=\"300\" height=\"60\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp 300w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px.webp 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<h2><b>Worried about <\/b><b>pilonidal disease<\/b><b>? Make an appointment with a   <\/b><b>specialist in coloproctology<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">In <\/span><a href=\"https:\/\/emfoco.med.br\/a-historia-do-instituto-medicina-em-foco\/\"><span style=\"font-weight: 400;\">Instituto Medicina em Foco<\/span><\/a><span style=\"font-weight: 400;\">you can find specialized treatment for <\/span><b>pilonidal disease<\/b><span style=\"font-weight: 400;\">with the best protocols and modern techniques, such as <\/span><b>EPSiT<\/b><span style=\"font-weight: 400;\"> e <\/span><b>marsupialization<\/b><span style=\"font-weight: 400;\">. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Our team of experts, including <\/span><a href=\"https:\/\/emfoco.med.br\/drcarlosobregon\/\"><span style=\"font-weight: 400;\">Dr. Carlos Obregon<\/span><\/a><span style=\"font-weight: 400;\">In addition to a personalized, humanized service, we guarantee an accurate diagnosis and the most appropriate treatment for each case, whether in person or online. With a complete infrastructure and advanced technology, we provide comfort and efficiency from the very first assessment. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you suffer from pain, abscesses or recurrences, don&#8217;t ignore the symptoms. A   <\/span><b>pilonidal disease<\/b><span style=\"font-weight: 400;\"> can worsen without the right treatment, but with specialized care it is possible to achieve a definitive cure and regain your quality of life.<\/span><\/p>\n<h4><b>Book your appointment<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">If you have <\/span><b>sacrococcygeal cyst<\/b><span style=\"font-weight: 400;\">cyst, contact the MEF team and schedule an evaluation with a <\/span><b>proctology specialist<\/b><span style=\"font-weight: 400;\"> to determine the best treatment. <\/span> <\/p>\n<p><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><b>Make an appointment with Dr. Carlos Obregon and treat your pilonidal cyst.<\/b><\/a><\/p>\n<h2><a href=\"https:\/\/api.whatsapp.com\/send\/?phone=\u200e551132893195&amp;text=Ol%C3%A1,%20gostaria%20de%20agendar%20uma%20consulta%20com%20o%20Dr.%20Carlos%20Obregon%20para%20tratar%20minha%20doen%C3%A7a%20pilonidal&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-287230 size-medium\" src=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp\" alt=\"Make an appointment with a doctor from Instituto Medicina em Foco\" width=\"300\" height=\"60\" title=\"\" srcset=\"https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px-300x60.webp 300w, https:\/\/emfoco.med.br\/wp-content\/uploads\/2024\/11\/MEF-botao-agendar-consulta-blogpost-400-x-80-px.webp 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/h2>\n<p><b>Address of Instituto Medicina em Foco<\/b><span style=\"font-weight: 400;\">Rua Frei Caneca 1380, Consola\u00e7\u00e3o, S\u00e3o Paulo, CEP 01307-000. <\/span> <\/p>\n<p><b>Opening hours<\/b><span style=\"font-weight: 400;\">Monday to Friday, 8 a.m. to 9 p.m.<\/span><\/p>\n<p><b>Phone<\/b><span style=\"font-weight: 400;\">: (11) 3289-3195<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For more information, follow Instituto Medicina em Foco on social media:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">YouTube: <\/span><a href=\"https:\/\/www.youtube.com\/@institutomedicinaemfoco\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Canal Medicina em Foco<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">LinkedIn: <\/span><a href=\"https:\/\/www.linkedin.com\/company\/instituto-medicina-em-foco\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Instituto Medicina em Foco<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Instagram: <\/span><a href=\"https:\/\/www.instagram.com\/emfoco.med.br\/\"><span style=\"font-weight: 400;\">@emfoco.med.br<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">TikTok: <\/span><a href=\"https:\/\/www.tiktok.com\/@emfoco.med.br\"><span style=\"font-weight: 400;\">@emfoco.med.br<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doctoralia: <\/span><a href=\"https:\/\/www.doctoralia.com.br\/clinicas\/instituto-medicina-em-foco?utm_id=115232&amp;utm_source=widget-facility-115232&amp;utm_medium=certificate&amp;utm_campaign=&amp;utm_content=#highlight-calendar\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Instituto Medicina em Foco<\/span><\/a><\/li>\n<\/ul>\n<p><b>Content updated in 2025.  <\/b><\/p>\n<h2><b>FAQ: Frequently asked questions about <\/b><b>pilonidal disease<\/b><b>causes, symptoms and treatment options<\/b><\/h2>\n<h3><b>1. What is a pilonidal abscess and how does it form?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">O <\/span><b>pilonidal abscess<\/b><span style=\"font-weight: 400;\"> is the infection of the <\/span><b>pilonidal cyst<\/b><span style=\"font-weight: 400;\">caused by the accumulation of hair and secretion in the sacrococcygeal region.<\/span><\/p>\n<h3><b>2. Is pilonidal sinus permanently cured or can it reappear?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">O <\/span><b>pilonidal sinus<\/b><span style=\"font-weight: 400;\"> can be cured with proper treatment, but can reappear without hygiene care and prevention.<\/span><\/p>\n<h3><b>3. What are the main causes of pilonidal disease?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The <\/span><b>causes of pilonidal disease<\/b><span style=\"font-weight: 400;\"> include ingrown hairs, friction, excessive sweating and genetic predisposition.<\/span><\/p>\n<h3><b>4. How does pilonidal cyst drainage work?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In <\/span><b>drainage <\/b> <span style=\"font-weight: 400;\">the secretion is removed and the pain is relieved. The procedure can be carried out in a doctor&#8217;s surgery or in a hospital environment <\/span><\/p>\n<h3><b>5. When can treatment for pilonidal cysts be carried out using minimally invasive techniques?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Minimally invasive treatment is indicated in initial cases, evaluated by a <\/span><b>proctology specialist<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><b>6. Is the LEPSiT technique indicated for all cases of sacrococcygeal cyst?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The technique <\/span><b>LEPSiT<\/b><span style=\"font-weight: 400;\"> technique is indicated for selected cases of <\/span><b>cyst<\/b><span style=\"font-weight: 400;\"> based on a specialist&#8217;s assessment.<\/span><\/p>\n<h3><b>7. What is a pilonidal cyst and what are the early warning signs?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">O <\/span><b>pilonidal cyst<\/b><span style=\"font-weight: 400;\"> is an inflammation near the coccyx; signs include pain, swelling, discharge and redness.<\/span><\/p>\n<h3><b>8. What are the symptoms of pilonidal disease?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Symptoms of <\/span><b>pilonidal disease<\/b><span style=\"font-weight: 400;\"> include pain, swelling, redness, discharge and, in severe cases, <\/span><b>skin fistulas<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><b>9. What does marsupialization mean when treating the disease?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">A <\/span><b>marsupialization<\/b><span style=\"font-weight: 400;\"> is a surgery to treat <\/span><b>pilonidal cyst<\/b><span style=\"font-weight: 400;\">leaving the wound open for controlled healing.<\/span><\/p>\n<h3><b>10. When should we opt for open wound excision or techniques such as EPSiT to treat skin fistulas?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">These techniques are indicated in complex cases of <\/span><b>pilonidal disease<\/b><span style=\"font-weight: 400;\"> with <\/span><b>persistent<\/b><span style=\"font-weight: 400;\"> fistulas.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pilonidal disease: learn about causes, symptoms and treatments from a coloproctology specialist to recover your health.<\/p>\n","protected":false},"author":1,"featured_media":294635,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[2981],"tags":[3324,2810,3325,3322,3323],"class_list":["post-294634","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coloproctology","tag-pilonidal-cyst","tag-pilonidal-disease","tag-sacrococcygeal-cyst","tag-specialist-in-coloproctology","tag-specialist-in-proctology"],"_links":{"self":[{"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/posts\/294634","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/comments?post=294634"}],"version-history":[{"count":0,"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/posts\/294634\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/media\/294635"}],"wp:attachment":[{"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/media?parent=294634"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/categories?post=294634"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emfoco.med.br\/en\/wp-json\/wp\/v2\/tags?post=294634"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}