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Coccyx cyst: symptoms, photos, methods of treatment and operation

Coccyx coccyx physicians refer to diseases, from which it is impossible to completely get rid without surgical intervention. Usually, the disease is diagnosed in people under the age of 30. In addition, clinical statistics show that men suffer from this disease 3 times more often than women.

What is the coccyx cyst?

In the scientific world, the prevailing opinion is that the coccyx cyst is an innate pathology caused by a violation of the laying of skin layers (see photo). Some scientists call this formation a rudiment, referring to the evolutionary theory: in this area, the ancestors of man had a tail.

The cyst is manifested in the area of ​​the interannual sulcus in the form of a specific "incision", which has the characteristics of the outer epithelial layer (sebaceous glands, hair follicles, etc.). Sometimes the pathological formation is located in the thickness of the skin and has no access to the surface (dermoid sinus).


Causes of inflammation of the coccyx cyst

Coccyx cyst, photo

Coccyx cyst, photo

The resulting cavity accumulates dead skin particles, glandular secretions, hair. Stagnation in the capsule of the cyst of organic compounds will inevitably provoke the process of decay, which the bacteria will not fail to use. Perhaps the settling of microbes is only a matter of time.

By itself, such an education does not bother a person, although it is pathological, but still a part of the body. Problems appear precisely with inflammation of the coccyx cyst. What factors create the prerequisites for this process?

  1. Infection with pathogenic microbes (directly cause inflammation and suppuration).
  2. Overcooling (reduces the protection of the body as a whole).
  3. Physical trauma, contusion of the coccyx (even a small scratch can cause inflammation).
  4. Low immunity (the inability of protective cells to independently inhibit the vital activity of microbes).
  5. Non-compliance with hygiene (proximity to the anus plays an important role).
  6. A sedentary lifestyle (sedentary work, etc.).

Symptoms of the coccyx cyst depending on the shape


photo of coccyx cyst - pilonidal form

Under the coccyx cyst, doctors mean a group of diseases. In fact, they all develop because of the pathology of the location of epithelial tissue, but there are differences that affect the symptoms of the appearance of the coccyx cyst.

1. Coccygeal passage:

  • "Incision" of the epithelium 4-7 mm long and even longer;
  • Exudation of exudate;
  • redness of the skin around this area.

2. Dermoid coccyx cyst:

  • capsule is formed in the thickness of the dermis;
  • There is no opening leading to the surface of the skin;
  • palpation demonstrates swelling;
  • at the fistula stage usually breaks through.

3. Pylonidal coccyx cyst:

  • one or more holes (1-2 mm);
  • hair grows directly from pathological education;
  • departure of exudate.

4. Fistula:

  • the mature stage of each form of the disease;
  • pain syndrome;
  • severe suppuration due to bacterial infection;
  • it's difficult to sit or lie on your back;
  • elevated temperature;
  • severe hematoma and redness of the skin.

The tailbone cyst can not disturb for decades and a person simply does not know about his pathology. However, when an infection occurs, there is an exacerbation, which is highly desirable to be treated immediately: there is a risk of complications.

Complications of the cyst

With simple inflammation, the condition of the sick doctor is regarded as satisfactory. Those. the patient feels unwell and unpleasant sensations in the coccyx, however they are quite tolerant and uncritical.

If the capsule contains pathogenic microbes, a fistula is formed soon. The danger of the disease is chronic: periodic relief will be replaced by exacerbation, an increase in temperature to 38-39 ° C, and severe pain.

In addition, the dermoid cyst (without a surface opening) is capable of provoking and the formation of a malignant tumor. Although there are few such cases in clinical practice, there is still evidence.

Sometimes the complication of the disease is eczema - a pathological immune reaction, expressed in the formation of constantly wet small "wells" on the skin.

Treatment of coccyx cyst and operation, photo

operation to remove the coccyx cyst

If a coccyx cyst is found in a person, treatment is prescribed radical surgery. He is undergoing remission, but sometimes the patient complains of so much pain that doctors do not delay the operation.

So, the therapy is performed in 2 ways:

  1. Get rid of acute inflammation, and then remove the cyst.
  2. Cut the capsule even with severe exacerbation.

Cope with suppuration and hyperemia with broad-spectrum antibiotics and anti-inflammatory agents. However, with the tailbone cyst, treatment without surgery is only an auxiliary method (the preparations eliminate the acute form).

After 1-2 weeks the situation is normalized, which will make it possible to conduct a safe surgical procedure. And why is it undesirable to implement it immediately? Because there is a risk of spreading the infection: the capsule will have to be cut out entirely, capturing and healthy tissues.

The operation to remove the coccyx cyst is performed under general anesthesia. Usually it ends traditionally - stitching the edges of the wound. But often the surgeon cuts out too much of the affected tissue, which makes it difficult to use threads. In this course of events, the wound is left open and medicinal products are used for healing (photo above).

Recurrence of the coccyx cyst occurs in 10-40% of cases even after radical excision. If the doctor has stitched, the full recovery usually occurs after 6 weeks.

And in order for the operation to really benefit and not cause a repeated exacerbation, after removing the cyst it is recommended to strictly observe a number of requirements:

  1. The first 3 weeks categorically forbidden to sit (even to cope sitting a natural need), and to lie on your back should be very cautious.
  2. You can not lift weights and exercise for 1 month.
  3. Be sure to take antibacterial drugs.
  4. An interannual groove is allowed to be washed after removal of the threads, but only hygienic means.
  5. For 6 months, regularly perform epilation in the field of surgical intervention.
  6. The doctor is visited at least once every 2 weeks to control the healing process of the wound.
  7. Vitamin complexes are introduced into the diet.


The tailbone cyst is a painful but not fatal pathology. Therapy should not be shelved, because then the ailment will take a chronic form, which will regularly worsen with exacerbations.

As an effective treatment, doctors recommend surgical intervention. But nevertheless there is a risk of relapse of the coccyx cyst after the operation, therefore the patient must take responsible steps to rehabilitate activities.


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