Pilonidal Cysts Specialist

Ronald Ambe, MD -  - Proctologist

Ronald Ambe, MD

Proctologist & Colorectal Surgeon located in Kingwood, TX

Cysts occur all over your body and can contain a range of substances, from fluid to skin cells. A pilonidal cyst is a fluid-filled cyst found at the base of your spine. Though draining pilonidal cysts may alleviate symptoms, it may not prevent a recurrence. At Texas Surgical Care in Kingwood, Texas, Ronald Ambe, MD, a board-certified colon and rectal surgeon, develops individualized treatment plans for pilonidal cysts to alleviate symptoms and prevent a recurrence. To schedule an evaluation, call the office or book online today.

Pilonidal Cysts Q & A

What are pilonidal cysts?

Pilonidal cysts are a type of skin condition that develops in the crease of your buttocks near your tailbone. The cysts most often develop between puberty and age 40 and are more common in men than women. 

Though pilonidal cysts are generally harmless, if the cyst becomes infected, it turns into an abscess that may lead to foul-smelling drainage and pain. 

Once your abscess has disappeared, you may develop a pilonidal cavity, or sinus cavity, that runs from just below your skin to the surface of your skin. 

Though your pilonidal cavity may close on its own, the opening may increase your risk of recurrent infections that may require surgical intervention. 

What causes pilonidal cysts?

Though the exact cause of pilonidal cysts is still being investigated, most of these cysts develop from loose hairs that get embedded under the skin. 

The friction and pressure placed on the hair from sitting and clothing force the hair deep into your skin. Your body views the embedded hair as a foreign entity, triggering your immune system to create the cyst. 

You may be at greater risk of developing a pilonidal cyst if you have a lot of body hair, you’re overweight or obese, or you spend a lot of time sitting. 

What are the symptoms of pilonidal cysts?

Pilonidal cyst symptoms vary depending on whether you’ve developed an infection or not. Symptoms of pilonidal cysts include:

  • Pimple-like growth
  • Clear, cloudy, or bloody drainage
  • Pain at the site of the cyst
  • Foul-smelling discharge
  • Surrounding skin appears red


If you’re experiencing these symptoms, contact Texas Surgical Care for an evaluation. It’s especially important to get treatment if you suspect your pilonidal cyst is infected. 

How are pilonidal cysts treated?

At Texas Surgical Care, Dr. Ambe develops individualized treatment plans for pilonidal cysts based on the severity of your skin condition, the types of treatment attempted in the past, and your overall health. 

His interventions may range from shaving away excess hair to prevent a recurrence to surgical excision of the cyst and sinus cavity. 

The goal of your treatment is to help you gain control over your symptoms, decrease the risk of recurrence, and facilitate healing.

To schedule a consultation at Texas Surgical Care to discuss treatment options for your pilonidal cyst, call the office or request an appointment online today.