Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care pain control warning signs Outlook Complications Underlying Cause

Pilonidal Abscess Treatment

Treatment for a pilonidal abscess may include warm baths, antibiotics, narcotic pain medications, and nonsteroidal anti-inflammatory medications. A pilonidal cyst may also require incision and drainage.

Treatment for a pilonidal abscess may include:

Incision and drainage includes:
  • The skin is sterilized using rubbing alcohol or an antibacterial soap.
  • A local anesthetic is injected into the tissues surrounding the abscess.
  • An incision is made with a scalpel.
  • Pus is drained from the abscess.
  • The abscess cavity is flushed clean.
  • In some cases, a rubber drain or a strip of sterile gauze is packed inside the abscess cavity.
  • The gauze or drain placed inside the abscess cavity is usually removed 24-36 hours later.

Pilonidal Abscess Questions For Doctor

The following are some important questions to ask before and after the treatment of pilonidal abscess.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • What else can I do to reduce my risk for another pilonidal abscess?
  • Will I need to see my doctor for a checkup?

Pilonidal Abscess Specialist

Physicians from the following specialties evaluate and treat pilonidal abscesses:

Continue to Pilonidal Abscess Home Care

Last Updated: Dec 22, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Pilonidal Abscess References
  1. Comparison between three therapeutic modalities for non-complicated pilonidal sinus disease. Surgeon. 2005 Apr;3(2):73-7. [15861940]
  2. Gupta PJ. A randomized study between excision and marsupialization and radiofrequency sinus excision in sacro-coccygeal pilonidal disease. Curr Surg. 2004 May-Jun;61(3):307-12. [15165772]
  3. Landa N, Aller O, Landa-Gundin N, Torrontegui J, Azpiazu JL. Successful treatment of recurrent pilonidal sinus with laser epilation. Dermatol Surg. 2005 Jun;31(6):726-8. [15996432]
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