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:

  • Pain at the tailbone
  • Redness, swelling and abscess at the tailbone area
  • 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 Texas Colon and Pilonidal Clinic, 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 is the Bascom Cleft Lift Procedure for Pilonidal Disease. Our doctor is experienced in performing this procedure for primary, recurrent and complex pilonidal disease. It is associated with very low recurrence and good cosmetic results.

We also offer newer minimally invasive techniques particularly Endoscopic Pilonidal Sinus Treatment (EPSiT). This is ideal for some primary pilonidal sinuses. This has been found to be associated with quicker recovery and return to normal activities.

Are you concerned you have pilonidal disease? Call (832) 663-0037 to schedule your appointment today and see how we can help you.

The Woodlands Location


920 Medical Plaza Drive Suite 330,
The Woodlands, TX 77380

Cypress Location


27700 Northwest Freeway Suite 330,
Cypress, TX 77433

Our Regular Schedule

Texas Colon and Pilonidal Clinic


8:00 am - 5:00 pm


8:00 am - 5:00 pm


8:00 am - 5:00 pm


8:00 am - 5:00 pm


8:00 am - 5:00 pm





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