Pilinodal Sinus.......nice

I have this - I was going to have the op, but didn't because a) it can still come back after the op and b) the op can leave you off work for SIX MONTHS if you're unlucky.

I'm lucky in that it hasn't come back - it threatens to flare up when I'm under stress, but hasn't really kicked off yet.

If it comes back again properly I'll have them chop it out. I was told that it could be something to do with me riding motorbikes, it's often called 'jeep driver's arse' because jeep drivers in the war used to suffer with it often because of all the bumping around on the hard seat.

If it's not that bad, it's not always necessary (or worth it) to have the op but only you know how much it's bothering you :D
 
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Bar said:
I had a number of these and only after the third abcess did they rectify the situation.

Unfortunately the last abcess grew to the size of an egg and was incredibly painful - nothing I have had since or had before has compared to it.

It was an overnight op, involving having an epidural as well as a general. Epidurals are not kind for men and be warned it takes longer for the feeling to come back to some places than others.

After that it was approximately 6 weeks of wound packing - this is essential to heal the wound properly. They basically cut out all the area and then fold the skin over but they will leave a drain in. After that the nurse will come out (or when you can walk you can go to the surgery) and repack the wound.

I was advised to have a bath before she came round and tease the previous packing out. Its some sort of fibrous material that turns to a sort of gelatinous material. This packing allows the wound to heal from the ends of the tunnel without creating a cavity.

Happy to answer any questions on what its like :)
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Just curious, did they ever offer you VAC (vacuum assisted closure)? Sounds a little nutty if you read about it, but works a treat.

This is not medical advice, but its an interesting alternative to traditional packing.
 
I have also been under the knife for this, 6 months seems a bit mental for recovery....and the size of an egg!!!!! Don't scare the poor guy! :)

Here for advise if you want it, I went in 3 times under general, and twice with no local for a botched "lance", ended up alright in the end.

First time the cut and packed, grew back like a sea shell and got reinfected.

Second time they stitched leaving a "breather" hole top and bottom. Didn't work only aggrovated the problem really.

The last time I had it done cured it, they just cut out everything and left it open. I think I was off work (office based) for 6 weeks, daily district nurse visits ec for seaweed packing and dressing. Yummy.

Inbetween was random lancing's, usually by an army doctor, which really if they had done that to start with it would have probably been fine.

So there ya go, a few more of us than you think. I always try to keep an eye on it, especially hot days and long hauls of being sat down (flying etc). I am sure we will all gladly give you advise and horror stories to help you build a picture.

If you get in quick, exams in November should be fine, and all that recovery time lying around on your stomach SHOULD be used for study time :) you should ace the exams.

Oh and just as a sideline, you got a referal to where? I just walked into A&E the first time and waited, soon someone turned up with a knife :)
 
Thought I had a bruised coxis so left it a few weeks, went on a boys holiday to Spain, unfortunately it was there that it got so bad I eventually couldn't walk without unbareable pain.

Went to the doc, got a straight referral to a hospital (pooing my pants as you can imagine because I didn't know what the hell was being said half the time). No painkiller or anesthetic, I laid on a trolley bed which had 2 vertical metal bars connected to the ceiling and floor just in front of it and was told to focus everything into squeezing these bars to aid the pain while the crazy female doctor lanced it with a scalpel.

Couldn't swim for the rest of the hol, if I didn't have a fit nurse for the daily packing I would have gone insane, shame she saw my ring every single day though.
 
lozza23_uk said:
Oh and just as a sideline, you got a referal to where? I just walked into A&E the first time and waited, soon someone turned up with a knife :)
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The doctor didn't say, just that he'd refer me to secondary care :confused: he said they'd contact me to let me know the date etc.... come to think of it, he was a little vague, but I wasn't paying too much attention after he mentioned surgery was possible :(
 
Could just give him a ring tomorrow and see if he thinks you can just walk in to A&E. THey might book you in fr something.

If you keep aggrovating it, it will get worse.
 
what has been seen?

According to the info on wiki and a couple of other sites I couldn't not look at these can occur on the manhood......like omfg elephantmans wang :(

Hopefully you will get this fixed sooner rather than later :)
 
I've had this operation twice too. First time I had 7 stitches in which unfortunately didn't work due to an infection. The second time the wound was left open and packed. Although it seems nasty it really isn't that bad if you take care of yourself. I think a meter of packing was required to initially pack the wound, it was a pretty big hole. I managed a flight to Canada two weeks after my operation with my other half packing etc.

You can be back at work within a few weeks as long as you are not required to lift or do anything to strenuous (your an accountant so I can't imagine you doing much other than sitting :p).

All in all just go with it, it is not a particularly painful procedure and you’ll heal up in no time. My operation was around 4 years ago and I’ve had no problems since.
 
JonRohan said:
You can be back at work within a few weeks as long as you are not required to lift or do anything to strenuous (your an accountant so I can't imagine you doing much other than sitting :p).
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I resent that... I go for a walk to other departments every now and again just so I know what my company actually does :D
 
SpeedFreak said:
Well, I have now been diagnosed with one of these so this is not a request for medical advice. I know it is reasonably rare, but I'd imagine others on here have had experience with it. I have got a referral and it looks like surgery is pretty common. Who has gone through this? TBH I'm not looking forward to it, especially the time off work if it comes to it. I have three accounting exams in November and this could potentially delay my qualification by 6 months :(

P.S don't google it if you just have, or currently are eating :p

edit.. forgive the spelling, it should be Pilonidal
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:D High five my friend, welcome to the club.

I got one of those the September before last. Started as a little bump at the top of my bum crack, got bigger over a couple of days, eventually causing a lot of discomfort walking, sitting, generally doing anything.

I went to the hospital, the doc took one look at it and said 'yep that needs to be operated on', it was quite a large one apparently. Anyway, don't worry about the operation, it was done under anesthetic (such an awesome experience waking up being confused as hell :D). The following procedure may be different for you depending on the size, as mine was quite large they basically cut away the tissue, kind of scooped out all the mank, this leaves a hole which has to be 'packed' (sounds worse than it is, I couldn't actually feel it) with a little bandage, then covered up with a pad. A nurse will visit you at home for about a month to put in a new bandage and pad, if you get in the bath before they arrive then the old bandage drops out. Don't worry though, as already said in the thread, if yours is quite small then this may not be necessary and they might just be able to stitch up the hole. How long this goes on for will also depend on how fast you heal/how clean the area is kept.

My dad had one as well a number of years ago although his was next to his bum hole :p So was a bit more uncomfortable. They're apparently very common, especially with blokes, usually caused by an ingrowing hair, a lot of ladies have them now too (according to the nurse) due to wearing thongs etc..
 
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