Acute Abscess — I&D
Immediate drainage for acute painful abscess.
Anorectal
Pilonidal Cyst & Sinus — Treatment in Bradenton
Pilonidal disease causes pain, infection, and chronic drainage at the tailbone. Without proper surgical treatment, recurrence is extremely common. Dr. Toomey performs cleft lift for definitive repair.
Request an Appointment →Common Signs & Symptoms
- !Pain and swelling at the tailbone
- !Acute abscess with severe pain
- !Chronic draining sinus
- !Recurring infections at the same site
- !Hair visible in sinus opening
What Causes This?
- •Hair follicle penetrating the skin at the natal cleft
- •Sitting occupation or activities that increase friction
- •Young men most commonly affected
Treatment Approaches
Cleft Lift (Bascom)
Definitive repair — moves the scar off the midline, dramatically reducing recurrence.
Karydakis Flap
Another effective midline-off technique for low-recurrence repair.
Frequently Asked Questions
Why does pilonidal keep coming back after surgery?▾
Simple excision with midline closure has high recurrence. Cleft lift and Karydakis procedures avoid midline healing — recurrence < 5% vs. > 30% for simple excision.
Related Topics
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