{"id":616,"date":"2023-02-10T18:05:21","date_gmt":"2023-02-10T16:05:21","guid":{"rendered":"https:\/\/www.cosmeticdermamedicine.gr\/?post_type=services&#038;p=616"},"modified":"2025-12-10T10:04:48","modified_gmt":"2025-12-10T08:04:48","slug":"pilonidal-cyst","status":"publish","type":"services","link":"https:\/\/www.cosmeticdermamedicine.gr\/en\/pilonidal-cyst","title":{"rendered":"Pilonidal Cyst"},"content":{"rendered":"\n<section \n        class=\"dp-section dp-section-headline-text\">\n\n    <div class=\"dp-inner-wrap\">\n\n \n        <div class=\"dp-headline-text dp-owl--m dp-text--m-left dp-col-align--c dp-text--center\">\n        \n                                    \n            <div \n                class=\"dp-headline-text__content dp-text-max--100 dp-text--m-left dp-text--left\">\n                <p>Pilonidal cyst is a chronic recurrent disease that can occur in various parts of the body (intercostal fold, hands, navel, etc.), but is often located in the sacrococcygeal region.<\/p>\n<p>It used to be considered a congenital disease, but today the prevailing theory is that of acquired growth, where the trapping of hairs in a deep and hairy middle gluteal fissure under stressful conditions (e.g. vehicle drivers), leads to intermittent and chronic fistula formation.<\/p>\n           \n            <\/div>\n\n            \n        <\/div>\n\n\n    \n    <\/div>\n\n<\/section>\n\n\n\n\n<section class=\"dp-section\">\n\n    <div class=\"dp-inner-wrap dp-owl--m\">\n    \n        <p class=\"dp-headline-above\">\n            Cosmetic Derma Medicine Facilities        <\/p>\n        <h2 class=\"dp-headline-alt\">\n            CONTACT US        <\/h2>    \n        <div class=\"dp-text-max--60\">\n            <p>The specialized medical team, modern medical methods and the modern and luxurious spaces of the clinics offer the ultimate experience of hospitality, service and provision of health and beauty services.<\/p>\n        <\/div>\n        \n\n        <ul 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class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-rhodes\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Rhodes                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-heraklion-crete\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Heraklion Crete                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-larisa\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Larissa                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-agrinio\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Agrinio                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-ioannina\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Ioannina                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-limassol\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Limassol                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-nicosia\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Nicosia                <\/a>                                        \n            <\/li>\n        \n        \n                    \n            <li class=\"dp-buttons-group-list__item\">\n                <a \n                    href=\"https:\/\/www.cosmeticdermamedicine.gr\/en\/dermatologists-kalamata\" \n                    class=\"dp-clickable-parent dp-btn--outline-txt-base\">\n                    Kalamata                <\/a>                                        \n            <\/li>\n        \n                \n        <\/ul>\n\n    <\/div>\n\n<\/section>\n\n\n\n\n<section class=\"dp-section\">\n    <div class=\"dp-inner-wrap\">\n                \n        <div class=\"dp-gap--m dp-grid--4-5 dp-grid--l-1\">\n            <div>\n                            \n                                <h2 class=\"dp-margin-bottom--s\">\n                    Causes                <\/h2>\n                                            \n                <div class=\"dp-owl--s\">\n                    <div><p>The most basic cause of Pilonidal Cyst appearance has been shown to be essentially the fact that the hair \u201cturns\u201d inwards, resulting in inflammation and cyst formation.<\/p>\n<p>The disease can manifest as a simple cyst, abscess or complex with multiple pores. The most common clinical manifestation is a painful inflammatory mass in the sacrococcygeal area with accompanying mild cellulitis often with the presence of stomata (pits). The disease rarely extends into the anus.<\/p>\n<p>If an abscess develops (the cause of which is polymicrobial), drainage through an eccentric incision and cleansing of all hairs is required. Changes are required, dermal baths with topical antiseptics and shaving the area for 3 months; these will cure the disease in 60-70% of cases.<\/p>\n<p>Rarely, chronic recurrent disease leads to the development of carcinoma (squamous cell carcinoma) requiring wide en block excision with fascia and biopsy of swollen lymph nodes followed by radiotherapy, with poor prognosis.<\/p>\n<\/div>\n                \n                                    <\/div>\n            <\/div>\n\n                    \n                                    <div class=\"dp-row-align--s dp-order--first dp-order--l-last\">\n                <figure \n                    class=\"dp-aspect--16-9 dp-aspect--m-4-3\">\n                                            <img decoding=\"async\" \n                        class=\"dp-media-fit dp-img-focus--50-50 dp-img-focus--m-50-50\" \n                        src=\"https:\/\/www.cosmeticdermamedicine.gr\/wp-content\/uploads\/kysti-kokkygos-img-001.jpg\" \n                        alt=\"\">\n                                    <\/figure>\n            <\/div>\n            \n                    <\/div>\n    <\/div>\n<\/section>\n\n\n<section class=\"dp-section\">\n    <div class=\"dp-inner-wrap\">\n                \n        <div class=\"dp-gap--m dp-grid--4-5 dp-grid--l-1\">\n            <div>\n                            \n                                <h2 class=\"dp-margin-bottom--s\">\n                    Symptoms                <\/h2>\n                                            \n                <div class=\"dp-owl--s\">\n                    <div><p><strong>Among the symptoms, in addition to inflammation (pus within the cyst), there is also:<\/strong><\/p>\n<ul>\n<li>Pain<\/li>\n<li>Redness<\/li>\n<li>Swelling (puffiness)<\/li>\n<li>Rarely there is also fever or nausea<\/li>\n<\/ul>\n<\/div>\n                \n                                    <\/div>\n            <\/div>\n\n                    \n                                    <div class=\"dp-row-align--s\">\n                <figure \n                    class=\"dp-aspect--16-9 dp-aspect--m-4-3\">\n                                            <img decoding=\"async\" \n                        class=\"dp-media-fit dp-img-focus--50-50 dp-img-focus--m-50-50\" \n                        src=\"https:\/\/www.cosmeticdermamedicine.gr\/wp-content\/uploads\/kysti-kokkygos-image-2.jpg\" \n                        alt=\"\">\n                                    <\/figure>\n            <\/div>\n            \n                    <\/div>\n    <\/div>\n<\/section>\n\n\n\n\n<section class=\"dp-section--aux dp-width--full dp-padding-block--l\">\n\n    <div class=\"dp-section-inner dp-zero-vertical\">\n        \n        <div class=\"dp-inner-wrap\">\n            <h2 class=\"dp-headline--xxl dp-section--treatments-headline\">\n                How it is treated            <\/h2>\n        <\/div>\n    \n    <\/div>\n\n\n\n    <div class=\"dp-section dp-bg--beige\">\n\n    \n    <div class=\"dp-inner-wrap\">\n\n                <div class=\"dp-double-accordion__intro dp-text-max--100 dp-margin-bottom--l\">\n            <p><strong>Methods of treating Pilonidal Cyst include:<\/strong><\/p>\n        <\/div>\n                \n        <div class=\"dp-grid--2 dp-grid--l-1 dp-gap--m\">\n            \n            <div class=\"dp-flex--col dp-gap--m\" data-module=\"accordions\">\n            \n                        \n                        \n            \n                                    \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-l-yto9w-1\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-l-yto9w-1\">\n                            <span class=\"dp-accordion-text\">\n                                Wide excision                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-l-yto9w-1\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-l-yto9w-1\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>This is a\u00a0<strong>wide<\/strong>\u00a0excision of the coccygeal cyst with a 5 mm margin up to the sacrococcygeal fascia. In particular, three methods of wide excision of the coccygeal cyst are described: The closed, the semi-closed and the open method.<\/p>\n<p>In the\u00a0<strong>closed<\/strong>\u00a0method, after wide excision of the bladder, the wound is first closed with stiches. This technique has the advantage of faster healing and better aesthetic result, but is accompanied by a higher rate of complications, such as recurrence of the cyst, inflammation, wound perforation and rupture, etc.<\/p>\n<p>In the\u00a0<strong>semi-closed<\/strong>\u00a0method, the wound is first of all closed with stiches, only half of it, in order to facilitate healing, but at the same time to ensure adequate drainage of the wound, so that the risk of perforation, local collection and rupture is significantly reduced. By constantly changing the gauzes on the wound, it is healed in a second way. It has advantages over the closed method in terms of reduced chances of recurrence or perforation and disadvantages in terms of increased healing time.<\/p>\n<p>In the open method, the wound after excision of the coccygeal cyst is left open and healed, after successive changes and use of topical antiseptics. It shows a significantly lower chance of perforation or recurrence, but requires a significantly longer healing time and is often accompanied by a poor aesthetic result.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                                    \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-l-yto9w-2\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-l-yto9w-2\">\n                            <span class=\"dp-accordion-text\">\n                                Marsupialization                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-l-yto9w-2\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-l-yto9w-2\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>Entering a probe through the main duct, opening and communicating all cavities and cleaning by creating a shallow wound that heals more easily. Stitches of marsupialization are applied on the periphery. It has similar healing rates to wide resection.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                                    \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-l-yto9w-3\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-l-yto9w-3\">\n                            <span class=\"dp-accordion-text\">\n                                Techniques without resection                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-l-yto9w-3\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-l-yto9w-3\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>They consist of careful removal of hair and fibre from the pores without excision. It requires long-term monitoring.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                                    \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-l-yto9w-4\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-l-yto9w-4\">\n                            <span class=\"dp-accordion-text\">\n                                Injection of phenol into the bladder                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-l-yto9w-4\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-l-yto9w-4\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>It has high recurrence of rate and is associated with a lot of pain.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                                    \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-l-yto9w-5\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-l-yto9w-5\">\n                            <span class=\"dp-accordion-text\">\n                                Simple resection of the bladder                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-l-yto9w-5\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-l-yto9w-5\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>Consists of resection of the pilonidal cyst alone without other tissue, either through a median incision left open or through a median incision which is then closed. The lateral incision has the advantage of being easier to heal, but it is not always easy, especially in complicated cases.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                        \n                        \n            <\/div>\n               \n            <div class=\"dp-flex--col dp-gap--m\" data-module=\"accordions\">\n            \n            \n                        \n                       \n                        \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-r-yto9w-1\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-r-yto9w-1\">\n                            <span class=\"dp-accordion-text\">\n                                Flap Reconstruction                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-r-yto9w-1\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-r-yto9w-1\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>The main problem is necrosis and infection of the flap.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                        \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-r-yto9w-2\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-r-yto9w-2\">\n                            <span class=\"dp-accordion-text\">\n                                Karydakis Flap Procedure                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-r-yto9w-2\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-r-yto9w-2\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>Eccentric ellipsoidal incision (A), removal of the cyst and all pores up to the sacrococcygeal fascia, mobilization of a flap on one side (B) and closure of the wound, thus making the intergluteal fold shallower (C) with placement of a closed drain (recurrence 1%). Main complication is the hematoma.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                        \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-r-yto9w-3\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-r-yto9w-3\">\n                            <span class=\"dp-accordion-text\">\n                                Cleft closure (Bascom procedure)                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-r-yto9w-3\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-r-yto9w-3\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>This is the closed method with an eccentric incision. We close it by creating a skin flap. There is a subcutaneous drainage.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                        \n                <div class=\"dp-accordion-panel dp-border-bottom--brown\">\n                    \n                    <h3 \n                        id=\"acc-h-r-yto9w-4\" \n                        class=\"dp-accordion-title dp-font--body\">\n                        <button \n                            class=\"dp-accordion-trigger dp-clickable-parent dp-h4\" \n                            aria-expanded=\"false\" \n                            aria-controls=\"acc-p-r-yto9w-4\">\n                            <span class=\"dp-accordion-text\">\n                                Local flap                            <\/span>\n                        <\/button>\n                    <\/h3>\n\n                    <div \n                        id=\"acc-p-r-yto9w-4\" \n                        class=\"dp-accordion-content\" \n                        role=\"region\" \n                        aria-labelledby=\"acc-h-r-yto9w-4\" \n                        aria-hidden=\"true\">\n                        <div>\n                            <p>They are divided into full thickness z-flap, rhomboid flap, V-Y flap.<\/p>\n                        <\/div>\n                    <\/div>\n                \n                <\/div>\n                        \n                        \n                        \n            <\/div>\n\n        <\/div>\n    \n    <\/div>\n\n        <\/div>\n    \n<\/section>\n\n\n\n<section class=\"dp-section\">\n    <div class=\"dp-inner-wrap\">\n                \n        <div class=\"dp-gap--m dp-grid--5-4 dp-grid--l-1\">\n            <div>\n                            \n                                <h2 class=\"dp-margin-bottom--s\">\n                    Recurrence                <\/h2>\n                                            \n                <div class=\"dp-owl--s\">\n                    <div><p>Recurrence is mainly due to infection and incomplete initial technique. Some similar surgery can be performed, but special treatment may be required for deep wounds that fail to close, such as flap transposition of a gluteus maximus flap.<\/p>\n<p>Injection of fibrin glue and the use of VAC (Vacuum assisted closure, a pressure device for treating postoperative infections) seems to reduce recurrence and postoperative hospitalization time, while the use of drains or antibiotics does not affect the progression of the disease.<\/p>\n<p>Prevention of coccygeal cyst consists of following all hygiene rules and removing hair from the back, lumbar and buttocks area. In all cases of pilonidal cyst, laser hair removal of the area is recommended for permanent hair reduction.<\/p>\n<\/div>\n                \n                                    <\/div>\n            <\/div>\n\n                    \n                                    <div class=\"dp-row-align--s dp-order--first dp-order--l-last\">\n                <figure \n                    class=\"dp-aspect--16-9 dp-aspect--m-4-3\">\n                                            <img decoding=\"async\" \n                        class=\"dp-media-fit dp-img-focus--50-50 dp-img-focus--m-50-50\" \n                        src=\"https:\/\/www.cosmeticdermamedicine.gr\/wp-content\/uploads\/kysti-kokkygos-image-1.jpg\" \n                        alt=\"\">\n                                    <\/figure>\n            <\/div>\n            \n                    <\/div>\n    <\/div>\n<\/section>\n","protected":false},"featured_media":6887,"template":"","service-type":[16],"class_list":["post-616","services","type-services","status-publish","has-post-thumbnail","hentry","service-type-plastic-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.cosmeticdermamedicine.gr\/en\/wp-json\/wp\/v2\/services\/616","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cosmeticdermamedicine.gr\/en\/wp-json\/wp\/v2\/services"}],"about":[{"href":"https:\/\/www.cosmeticdermamedicine.gr\/en\/wp-json\/wp\/v2\/types\/services"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cosmeticdermamedicine.gr\/en\/wp-json\/wp\/v2\/media\/6887"}],"wp:attachment":[{"href":"https:\/\/www.cosmeticdermamedicine.gr\/en\/wp-json\/wp\/v2\/media?parent=616"}],"wp:term":[{"taxonomy":"service-type","embeddable":true,"href":"https:\/\/www.cosmeticdermamedicine.gr\/en\/wp-json\/wp\/v2\/service-type?post=616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}