Why Is a Pilonidal Cyst Not Really a Cyst? - The Sternberg Clinic for Pilonidal Surgery

Why is a pilonidal cyst not really a cyst?

A cyst is an epithelial lined sac (like your skin or inside your cheek) that has been present since you were an embryo. Pilonidal disease is not pilonidal cyst disease because it’s an acquired condition. Pilonidal disease (AKA pilonidal cysts) are not congenital.

There’s no such thing as a pilonidal cyst!

While many doctors and patients commonly call the condition a ‘pilonidal cyst’, the term is a misnomer and indicates a misunderstanding of the disease.

Why isn’t it really a pilonidal cyst?

For the term ‘pilonidal cyst’ to be correct, there must be an infected glandular cyst present, which is lined by epithelium (like skin). However, cysts are not present in pilonidal disease and there is no such thing as a ‘pilonidal cyst’. People who develop pilonidal disease are not born with it (congenital theory), they acquire it, likely by trauma in someone who is prone to the condition.

Pilonidal Disease: An Explainer

If you are reading this website, you are probably looking for a better way to treat your pilonidal disease. Please our patient explainer. Read more.

So, what is pilonidal disease?

Those who properly understand pilonidal disease realize that it is really an abscess of the skin and subcutaneous tissue (the tissue under the skin) of the natal cleft.

WebMD, the Mayo Clinic, and Wikipedia all incorrectly use the term ‘pilonidal cyst’ rather than ‘pilonidal disease’ and refer to surgical procedures for this problem as pilonidal cyst surgery.

Why does the misconception that pilonidal disease is really pilonidal cyst disease create a problem?

Surgeons who operate on pilonidal disease believing that it is caused by a congenital cyst have the wrong game plan for the operation. Often, these surgeons excise a large amount of normal tissue in order to fully excise this ‘cyst’. They may leave the wound open or close it under tension and covering over dead space (empty space under the surface that typically fills with infected fluid). Often the open wounds don’t heal and the closed wounds open up, both creating a big problem.

Patient Testimonials: The Blog

Read success stories from surgery patients

‘The “Guru” of pilonidal disease’November 15, 2020
Dr. Sternberg saved my son from years of problems and potential surgeries! He is an amazing doctor and we feel so fortunate to have been referred to him. My 16-year-old son had pilonidal disease and was treated at Urgent CareContinue reading “‘The “Guru” of pilonidal disease’”
‘No pain, quick recovery, and a return to normal life’November 4, 2020
THANK YOU DR. STERNBERG!!! After suffering a hard fall, I developed a draining abscess in the upper left area of my buttocks. I first went to a Dermatologist, who performed a painful in-office surgery. After the surgery, the area worsened.Continue reading “‘No pain, quick recovery, and a return to normal life’”
‘I haven’t felt this great in a while’November 1, 2020
I just want to thank Dr Sternberg for being so great and to spread awareness for others who are also going through the same uncomfortable experience we call ‘pilonidal’. After having my first pilonidal surgery a couple years back IContinue reading “‘I haven’t felt this great in a while’”

Meet Your Surgeon, Dr. Jeffrey Sternberg

After many years performing major abdominal operations including open and laparoscopic resections for colon cancer, rectal cancer, Crohn’s disease, and Ulcerative colitis, I have chosen to concentrate my efforts in a few highly specialized areas of surgery where I feel I can make the greatest positive impact on patients.

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To learn more about treating your Pilonidal Disease with surgery and the Cleft Lift procedure, contact our office staff for information or to schedule an appointment.

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