Physicians of Reddit, how can I prevent a pylonidal abscess from reappearing?

I had a pylonidal cyst surgery last year in May and postponed for another year my medical school admission exam. I healed pretty well, and the wound (not sure if the right term, sorry for that, but I am not an English native) closed 100%.

However, I'm afraid to sit at my desk to study or ride my bike because I'm afraid the cyst will reappear again.

So, what can I do to prevent it from reappearing?
Thanks a lot.

I'm a 25 years old Caucasian male. I weigh 240 lbs (but will start to drop down some kilograms right after my birthday) and don't have any other medical problems.

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Hec
4 Answers
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3 people found this helpful

The only thing you can do is keep the area clean and dry, and try to avoid prolonged irritation. I wouldn't worry yourself too much. You healed 100% so go enjoy your life.

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This was accessed by Uptodate: "An anal abscess usually originates from an infected anal crypt gland [1]. There are typically 8 to 10 anal crypt glands, arranged circumferentially within the anal canal at the level of the dentate line. The glands penetrate the internal sphincter and end in the intersphincteric plane. An anal abscess develops when an anal crypt gland becomes obstructed with inspissated debris, which permits bacterial growth and abscess formation. The suppuration follows the path of least resistance and the infected fluid collects in the space where the gland terminates. An anal fistula is a connection between two epithelial structures and connects the anal abscess from the infected anal crypt glands to the skin of the buttocks. There is no model to predict when an abscess will develop a fistula [2]."

[1]Rizzo JA, Naig AL, Johnson EK. Anorectal abscess and fistula-in-ano: evidence-based management. Surg Clin North Am 2010; 90:45.
[2]Anal abscess/fistula. American Society of Colon & Rectal Surgeons. 2008. www.fascrs.org/patients/conditions/anal_abscess_fistula/ (Accessed on April 25, 2011).

So it would seem the best ways to help prevent a recurrence would be to try to keep it from being inflamed. It might help to keep pressure off the area for extended time. It would also be a good idea to eat lots of fiber and drink water. You probably shouldn't worry about it too much though if it healed.

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1 people found this helpful

Thanks!

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1 people found this helpful

Thanks!

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