Pilonidal Cyst -- how long to drive again?
Discussion
Forgot to add this linke, in case it's any use http://www.pilonidal.org/education/livingwithit.ph...
Yeah difficult to predict if it will or won't flare up. Guess it all depends on how far you are gong. Remember if she needs even a drainage procedure, sitting down afterwards to travel home will be very difficult.
The web link looks like good solid advice. Support groups like that are often great resources.
By and large I agree with most of what is said.
Neil
The web link looks like good solid advice. Support groups like that are often great resources.
By and large I agree with most of what is said.
Neil
Neil
I first had a 'nest of hairs' about 9 years ago when I was 23. No pain but sitting on a wooden chair was uncomfortable. I went to the doctor who gave me antibiotics. it drained for a coupe of days and got better.
Since that tme I have tried to keep the area hair free. It has filled a couple of times only but drained naturally for a day or so before returning to normal. No blood or pain at all.
I spoke to my gp recently when I saw him about something else and his advice was to leave it alone. Would you agree? Thanks in advance for any advice you can give.
I first had a 'nest of hairs' about 9 years ago when I was 23. No pain but sitting on a wooden chair was uncomfortable. I went to the doctor who gave me antibiotics. it drained for a coupe of days and got better.
Since that tme I have tried to keep the area hair free. It has filled a couple of times only but drained naturally for a day or so before returning to normal. No blood or pain at all.
I spoke to my gp recently when I saw him about something else and his advice was to leave it alone. Would you agree? Thanks in advance for any advice you can give.
Definitely
If you are having no to minimal symptoms- leave it. Keeping the area hair free clean and dry I think is important the skin must be kept healthy. I have heard GI (soldiers) in the american army pair up to clear out each others pits while in the field - not sure if it is true or an urban myth though.
More recently shaving the area has had bad press as there is a theory that it damages the skin causing allowing infection in. Use of hair removal, depilatory, creams may be an option if they are not irritant to you. there is some research coming through supporting laser removal of hair.
However there is no clear evidence if it is the existence of the pits themselves that lead to infection or if hairs have to grow into/drop into them.
Neil
If you are having no to minimal symptoms- leave it. Keeping the area hair free clean and dry I think is important the skin must be kept healthy. I have heard GI (soldiers) in the american army pair up to clear out each others pits while in the field - not sure if it is true or an urban myth though.
More recently shaving the area has had bad press as there is a theory that it damages the skin causing allowing infection in. Use of hair removal, depilatory, creams may be an option if they are not irritant to you. there is some research coming through supporting laser removal of hair.
However there is no clear evidence if it is the existence of the pits themselves that lead to infection or if hairs have to grow into/drop into them.
Neil
covmutley said:
Neil
I first had a 'nest of hairs' about 9 years ago when I was 23. No pain but sitting on a wooden chair was uncomfortable. I went to the doctor who gave me antibiotics. it drained for a coupe of days and got better.
Since that tme I have tried to keep the area hair free. It has filled a couple of times only but drained naturally for a day or so before returning to normal. No blood or pain at all.
I spoke to my gp recently when I saw him about something else and his advice was to leave it alone. Would you agree? Thanks in advance for any advice you can give.
I first had a 'nest of hairs' about 9 years ago when I was 23. No pain but sitting on a wooden chair was uncomfortable. I went to the doctor who gave me antibiotics. it drained for a coupe of days and got better.
Since that tme I have tried to keep the area hair free. It has filled a couple of times only but drained naturally for a day or so before returning to normal. No blood or pain at all.
I spoke to my gp recently when I saw him about something else and his advice was to leave it alone. Would you agree? Thanks in advance for any advice you can give.
Thought I'd do a quick update on how SWMBO is getting on (and welcome any thoughts).
So she went back for her 2nd consultation and saw a different surgeon who said she really needed to have the limberg flap procedure. Unfortunately that hospital (Benenden) didn't do it and the surgeon only did so privateley, some distance away, so she was referred back to her GP to be referred to another NHS hospital. Iirc he didn't examine her. I say her GP, usually a locum, or nurse or whoever you can get is how it is locally, but that's another matter.
Some weeks on, frustrated at dealing with our disineterested and inept med centre she's been phoning around hospitals herself to see if they do it but so far hasn't progressed further than day one.
Any thoughts on what difference the limberg flap makes, and if worth puruing, how to get it done would be very welcome right now.
Thanks
So she went back for her 2nd consultation and saw a different surgeon who said she really needed to have the limberg flap procedure. Unfortunately that hospital (Benenden) didn't do it and the surgeon only did so privateley, some distance away, so she was referred back to her GP to be referred to another NHS hospital. Iirc he didn't examine her. I say her GP, usually a locum, or nurse or whoever you can get is how it is locally, but that's another matter.
Some weeks on, frustrated at dealing with our disineterested and inept med centre she's been phoning around hospitals herself to see if they do it but so far hasn't progressed further than day one.
Any thoughts on what difference the limberg flap makes, and if worth puruing, how to get it done would be very welcome right now.
Thanks
Sticks. said:
Thought I'd do a quick update on how SWMBO is getting on (and welcome any thoughts).
So she went back for her 2nd consultation and saw a different surgeon who said she really needed to have the limberg flap procedure. Unfortunately that hospital (Benenden) didn't do it and the surgeon only did so privateley, some distance away, so she was referred back to her GP to be referred to another NHS hospital. Iirc he didn't examine her. I say her GP, usually a locum, or nurse or whoever you can get is how it is locally, but that's another matter.
Some weeks on, frustrated at dealing with our disineterested and inept med centre she's been phoning around hospitals herself to see if they do it but so far hasn't progressed further than day one.
Any thoughts on what difference the limberg flap makes, and if worth puruing, how to get it done would be very welcome right now.
Thanks
PM me So she went back for her 2nd consultation and saw a different surgeon who said she really needed to have the limberg flap procedure. Unfortunately that hospital (Benenden) didn't do it and the surgeon only did so privateley, some distance away, so she was referred back to her GP to be referred to another NHS hospital. Iirc he didn't examine her. I say her GP, usually a locum, or nurse or whoever you can get is how it is locally, but that's another matter.
Some weeks on, frustrated at dealing with our disineterested and inept med centre she's been phoning around hospitals herself to see if they do it but so far hasn't progressed further than day one.
Any thoughts on what difference the limberg flap makes, and if worth puruing, how to get it done would be very welcome right now.
Thanks
Neil
carreauchompeur said:
Jesus! 
Never had one but treated lots !!!
Laser hair removal for pilonidal sinus disease is proven. I have presented my research in Europe and the US on this very subject. Recurrence is reduced massively and if caught early enough the disease can be prevented.
I'm based in Beds and have lasered many a natal cleft.
With regards to a limberg flap.... It is simply a method of moving healthy, disease free tissue from one area to fill the defect created when the cyst is cut out. Quite straight forward and very effective. It also tends to reduce the depth of the cleft reducing the chances of recurrence.
Laser hair removal for pilonidal sinus disease is proven. I have presented my research in Europe and the US on this very subject. Recurrence is reduced massively and if caught early enough the disease can be prevented.
I'm based in Beds and have lasered many a natal cleft.
With regards to a limberg flap.... It is simply a method of moving healthy, disease free tissue from one area to fill the defect created when the cyst is cut out. Quite straight forward and very effective. It also tends to reduce the depth of the cleft reducing the chances of recurrence.
I was due to have surgery for this on Monday but after telling the anaesthetist I was petrified of being put to sleep; putting my gowns on and fretting in a waiting room for two hours - I was took into an office and told 'the machines had broken down' so I had to go home.
When I got home I started to ask myself why I needed to have a chunk of my bottom removed whilst unconscious for some cyst and did a lot of Googling. It appears the NHS have a specialist centre in Portsmouth for Pilonidal Sinus and they say on their website that wide excisions are prone to problems and they favour the Bascom's operation (local anaesthetic - day stay).
http://www.porthosp.nhs.uk/Portsmouth-Pilonidal-Ce...
I am planning to see my GP again and hopefully I will be referred (I live in Swindon).
Feeling a lot better right now!
When I got home I started to ask myself why I needed to have a chunk of my bottom removed whilst unconscious for some cyst and did a lot of Googling. It appears the NHS have a specialist centre in Portsmouth for Pilonidal Sinus and they say on their website that wide excisions are prone to problems and they favour the Bascom's operation (local anaesthetic - day stay).
http://www.porthosp.nhs.uk/Portsmouth-Pilonidal-Ce...
I am planning to see my GP again and hopefully I will be referred (I live in Swindon).
Feeling a lot better right now!
dba7108 said:
ive just had my 10th operation and 8 weeks later i can feel it coming back. Sick to death of these bloody things
Are you going back to doing things too quickly after surgery?I took almost 4 full months off work after my surgery to allow it to completely heal. 10 years later and (touch wood) never had a reoccurrence.
I fully sympathise with anyone who's been diagnosed with this. I had them when I was 18 and had surgery to remove them resulting in the long deep hole in my bum crack. Was kept in hospital for a week after.
Surprisingly wasn't that painful. The second time I had it repacked the nurse was being really apologetic about doing it as there was a load of clotted blood to pluck out, thanks to the previous nurse's efforts, but it really didn't hurt at all. Only when she'd finished and I got up off the treatment bench the blood bath I'd been laying in showed the true horror of what she'd been doing.
Took over a month to fully heal. Not sure it stopped my driving though as I still managed to get out for a few fishing trips with my mates.
Surprisingly wasn't that painful. The second time I had it repacked the nurse was being really apologetic about doing it as there was a load of clotted blood to pluck out, thanks to the previous nurse's efforts, but it really didn't hurt at all. Only when she'd finished and I got up off the treatment bench the blood bath I'd been laying in showed the true horror of what she'd been doing.
Took over a month to fully heal. Not sure it stopped my driving though as I still managed to get out for a few fishing trips with my mates.
C0ffin D0dger said:
I fully sympathise with anyone who's been diagnosed with this. I had them when I was 18 and had surgery to remove them resulting in the long deep hole in my bum crack. Was kept in hospital for a week after.
Surprisingly wasn't that painful. The second time I had it repacked the nurse was being really apologetic about doing it as there was a load of clotted blood to pluck out, thanks to the previous nurse's efforts, but it really didn't hurt at all. Only when she'd finished and I got up off the treatment bench the blood bath I'd been laying in showed the true horror of what she'd been doing.
Took over a month to fully heal. Not sure it stopped my driving though as I still managed to get out for a few fishing trips with my mates.
Good to hear, I have my appointment with the surgeon for mine on the 20th March. Mine started with an ingrown hair near the (umm) hole, I had a slight swelling coming and going for a couple of years. However in October last year it turned nasty very quickly, antibiotics weren't working and finally had a hole appear in my cheek that drained. This keeps healing over then bursting again every couple of days, wearing a suit is interesting and despite wearing pads end up leaking everywhere... Surprisingly wasn't that painful. The second time I had it repacked the nurse was being really apologetic about doing it as there was a load of clotted blood to pluck out, thanks to the previous nurse's efforts, but it really didn't hurt at all. Only when she'd finished and I got up off the treatment bench the blood bath I'd been laying in showed the true horror of what she'd been doing.
Took over a month to fully heal. Not sure it stopped my driving though as I still managed to get out for a few fishing trips with my mates.
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