Pilonidal Recurrance -10 years later

A quick history...
10 years ago I had my first operation for a pilonidal cyst. It was horrible. I had a lot of sinus tracks and the surgeon had to cut almost the entire way down my butt crack, 4 inches deep, and about 3 inches wide to remove it all. I was then stitched and took a month off to heal (I was only 14 at the time). Three months later, I had my second surgery for it, as it was not healing and they found more tracks. Three months after that... another. A total of 3 pilonidal operations within 9 months during my freshman year of HS. The last two surgeries I was left open to heal, and the very last one I was packed with nugauze that had been soaked in iodaform. A year later, I was finialy completely closed and healed. I really had a difficult road. It took so long to heal and I was in pain all the time. I walked around with an open wound that you could literally fit your fist in.

A few years ago I had a scare with it again. I felt a stinging pain in my rear and my mom checked and said she saw a hole, much like the first one. It never bled or drained anything, it was just a hole. So we went to the Dr again and she cleaned it, gave me some Augmentin to help, and it was fine within a week.

For the past month or so, I've had some stinging if I sit too long or when I was washing in the shower. Two days ago, as I was dryiing after my shower, I noticed blood on my towel. I had my mom check for me, and sure enough, a hole. Bleeding. Not a lot, but there was blood.

So for these past few days I have been doing my old regime. Cleaning 3x's a day with hydrogen peroxide, covering it with gauze, and keeping it as clean as possible.

Even though it is a small hole... I know this pain. I know this feeling. Although it was ten years ago, I remember it like it was yesterday. This feels EXACTLY like it.

I currently do not have health insurance, but I'm going to call my surgeon today to at least get some advice.

See, I though I was always very educated about it. So I've been sitting in school googling and found some great articles down on pilonidal in the past few years. Apparently a lot has changed since my experience.

Anyone out there have any experience with recurrant Pilonidal cysts? How did they treat it? Surgery? Please respond...
 
a friend at work has had this problem a few times....
she had regular surgery a couple times, and the last time she had something called a "z-plasty". She's not totally convinced that worked either. I'm sorry you're dealing with this, and at such a young age also.....
she still has a hole and it still drains and this is years later.
it seems to be a chronic problem. I hope you have better luck.
 
Thank you for your reply.
When I was first going through this I had a consult with a plastic surgeon about having a Z Plasty. He thought it was too soon to do it. I'm thinking now might be that time.
I wish your friend a speedy recovery... trust me, I know what this is like.

I look forward to hearing more replies from fellow pilonidal people out there!
 
one more thing I want to mention, not sure if you have kids or are planning on having them. my friend said hers worsened with one of her pregnancies, and shortly after having the baby, she needed the surgery again.
I'm sorry, I hate to be the bearer of bad news....I wish I had something positive to say, although I will tell you, my friend leads a regular life, and just kinda views it as a pain in the butt! literally!
I hope you can get rid of the darn thing once and for all.
someone else at work (a guy) had the same problem and his was from a snowboarding accident, he landed on his tailbone. I think his was ok after the surgery, but I'm not totally sure. it seems women have worse luck with these things than men do.
 
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