Early recurrence is usually due to failure to identify one or more sinuses at the time of incision and drainage. Later recurrence (more than six months after surgery) is usually due to tension in the midline cleft and a secondary infection caused by further build-up of hair or other debris (Khanzada and Samad, 2007).
How do you prevent pilonidal sinus recurrence?
How can pilonidal cysts be prevented?
- Regularly washing and drying your buttocks (to keep the area clean).
- Losing weight (if you are currently overweight) to lower your risk.
- Avoiding sitting for too long (if your job allows) to keep pressure off the area.
- Shaving the hair around your buttocks (once a week or more).
Can pilonidal sinus come back?
Unfortunately, pilonidal cysts do come back after surgery. Studies show recurrence rates are as high as 30 percent. The cysts may return because the area gets infected again or hair grows near the incision scar. People who have recurrent pilonidal cysts often develop chronic wounds and draining sinuses.
