The phrase “Remove Pilonidal cysts with laser» is briefly mentioned in many articles that are quick to clarify that this is the “new cure” for Pilonidal Cyst. They refer to surgical laser cutting instead of classical incision using a scalpel. But actual endoscopic LASER therapy has nothing to do with surgery – cutting laser.
It is literally a non-invasive, completely painless and very therapeutic effect of laser that contributes noticeably to the spectacular healing of Pilonidal Cyst disease.
As is known, therapeutic laser differ from the surgical laser, which means that, with a therapeutic laser only have the possibility of treating a pathological tissue while a surgical laser is used to remove the tissue from the rest of the organism.
On this rests the brand new revolutionary endoscopic treatment that uses the therapeutic laser FiLac and we will examine this treatment below.
Generally about Pilonidal cysts
A (or Coccyx Cyst) occurs along the latter end of the spine near the . The cyst is believed to develop from the penetration of hairs deep into the skin.
A cyst on coccyx can be infected and when it is infested it creates abscess requiring incision and drainage. Recurrences in a cyst are frequent and debridement may be in some cases a combination therapy for a final solution to the problem.
Etymology of Pilonidal Cyst
This disease, that is otherwise called Coccyx cyst, literally means “nest of hair.” The condition of the coccyx cyst was also known as “Jeep disease” because during the Second World War (1941-1945) many American soldiers (about 80,000) were suffering from this disease because they either drove their jeeps, trucks and fuel tankers for hours on bumpy damaged by war military roads, or sat on them for extended periods of time. After the war many invasive (surgical) Pilonidal cyst treatment were hold in military hospitals in the USA.
What exactly is Pilonidal Cyst?
Pilonidal cyst is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and damaged skin.
Describing it in more detail we can say that a coccyx cyst is -unfortunately for the sufferer- a chronic inflammation in the region of the coccyx generated by hair growth in the skin with strong signs of contamination.
A Pilonidal cyst can be diagnosed based on the symptoms and findings on physical examination.
Imaging tests or blood tests are necessary to determine a condition Pilonidal cyst.
Frequency of Appearance
The Pilonidal disease has shown that:
- The frequency in the population accounts for approximately 26 patients per 100,000 people.
- More men are affected (8 to 10) compared with women.
- The emergence of this disease group of patients mainly occurs between the ages of 15 and 30 years.
- A large amount of patients are hairy people or those who are classified as overweight.
- Excessive sweating in these individuals in combination with prolonged sitting, inactive life and poor hygiene can also help in developing a coccyx cyst
- The high-risk group includes people with a family history of that disease
- Finally, those working in professions that require prolonged periods of sedentary work that increase pressure on the coccyx and create local injury and then an inflammation.
Causes of Growth
What are the causes that can create a coccyx cyst to someone?
The scientific view of the primary causes of a Pilonidal cyst in general is:
- excessive pressure
- the repeated trauma in the coccyx region.
These root causes are believed to facilitate the reverse (inward) hair growth, predisposing individuals either developing a new coccyx cyst or stimulate existing cysts.
Symptoms and Risk Factors of Pilonidan Cyst
The symptoms of a coccyx cyst vary from person to person. However, if the cyst is infected, the following events occur:
- The patient observes some swelling at the last end of the spinal column which creates a sensitivity at the area while sitting.
- The situation becomes more and more annoying from day to day and the small and tolerable swelling becomes larger creating a swollen, hard and strong painful mass with inflammation and swelling (abscess).
- Swelling or abscess means (except severe pain), further outflow of fluid or purulent material from a cutaneous orifice or as otherwise called fistula which usually smell very bad. The effluent is perceived by the patient leaving signs on the underware.
- A Pilonidal cyst is a very painful condition for the sufferer with constant relapses. In some few cases patients may have almost no inflammation or symptoms and the only finding may be a “gap” or a “dimple” in the skin near the left of the buttocks.
Although the Pilonidal cyst is not a life threatening disease, it is one of the most difficult to be completely cure because the modern classical medicine finds it difficult to give a definitive treatment. Here is why:
The antibiotics and anti-inflammatory formulations do not particularly affect the coccyx cyst.
Draining the fluid from the cyst does not mean immunity from infection in the ulcer.
The ulcer that is created does not heal easily because of the location and texture.
Fistulas created in the region are also very difficult in healing.
A surgical resection of this kind has risks of failure or relapse.
Patients who have surgery unless they have symptoms postoperative pain, slow healing and prolonged edema also require much recovery time with the patient lying prone (face down) position.
How does a Pilonidal Cyst Treatment work?
Finally the tedious and time consuming process of healing of Pilonidal cyst can be done using a new surgical method, the endoscopic sublimation of the cyst using laser.
Till now the cyst was removed at whole using either a scalpel or by RF or laser. But there was a sizable scar left that needed several days to months to heal, after almost daily surgical debridements.
The new innovative endoscopic method with laser puts an end to this difficult process.
Through a hole in the skin that is usually present in each coccyx cyst after an inflammation,(Fistula Bladder) a tiny endoscope enters (about 3 millimeters). The endoscope is able to see inside the Fistula and hence the cyst.
This way you can clean the inside of the cyst from material that is usually hair or tufts.
When the cyst is cleaned from any material and all inflammatory tissues, an optical fiber Laser uses the same microscopic hole of the skin to emit its energy and light intensity to a specific depth.
Photo-coagulation following inside the cyst results in sublimation of the capsule inside the coccyx cyst. The aseptically inflammation promoted by photo-coagulation with LASER result to a perfect healing of Pilonidal Cyst in about a week.
The procedure last about 15 minutes to half an hour and is performed under local anesthesia. The patient, after just an hour, is ready to return to everyday life, at work, he can sit and there is no need to change patches.
The pain is almost nonexistent.
Precautions After a Laser Treatment for Coccyx Cyst
The patient is completely relieved and does not have any pain
Not required by the patient painful continuous changes with some patches because the wound dries and heals safely. The would will start healing immediately after treatment. The placement of a simple single gauze is sufficient in order for the ulcer to be oxygenated.
The patient after removing the gauze can easily make a hot shower without having the fear that soap or bubble bath will fall on the wound.
The patient may also take any medication such as antibiotics possibly given to him by his personal physician. It has indeed been shown that the activity of the pharmaceutical preparation is now very effective since it is absorbed completely by the patient’s body, unlike other times.
How Long does the Healing Last?
The total time of the treatment in order to heal the tissue depends upon the extent of disease, severity of symptoms, and the presence of contamination. Surely, it requires a period of several days.
What is the Risk of Recurrence?
In the treatment of complete healing and restoration of Pilonidal Cyst there is no serious risk of recurrence. Recurrences are rare.
This is because the treatment and healing of a coccyx cyst with Laser FiLac completely eliminates the inflammatory component which is responsible for the gradual erosion of the region.
According to the above treatment with Laser FiLac is clearly better compared with some medications, classical or other surgical procedures wherein the recurrence of bladder coccyx is however generally known that recurs in 40% – 50% of patients.
Although we know that a complete laser treatment does not provide ground for relapses good hygiene in sacrococcygeal region is important to help prevent the growth of a Pilonidal coccyx and its recurrence.
Hairy people should keep the area clean and dry. There are cases where some hairy patients waxes the area fearing of recurrence.
Overweight people can help reduce the chance of recurrence of coccyx cyst keeping their body weight to normal levels.
Prevention for the patient may also mean trying to avoid prolonged sitting or excessive repetitive stress in the region of the coccyx and as mentioned above, the improvement of hygiene practices.
Advantages of Non-invasive Laser Therapy for Pilonidal Cyst
Although a laser treatment depends on the extent of disease, severity of symptoms, and the presence of infection, however, the rapid evolution of technology offers a definitive solution to the problem of Pilonidal cyst as in many others. As mentioned above it is a painless non-invasive treatment that includes a session of 15 minutes and the patient can return to daily activities at the same time.