“This article explores the mortality rate associated with pilonidal cysts offering up to date empathetic information for those affected. We address concerns about the condition’s severity and guide readers toward effective treatment options.”
When you have a pilonidal cyst, you probably have a lot of questions and of course the first one is how bad it is. A question we often get is What is the death rate for pilonidal cysts? We want to make sure you know that a pilonidal cyst is not a life threatening condition. Most pilonidal cysts are not cancerous and with the right care which may include surgery to remove pilonidal cyst people can totally recover.
Understanding Pilonidal Cysts and Their Risks
A pilonidal cyst is a sac like structure that forms at the top of the crease of the buttocks, near the tailbone. It often contains hair, skin debris and other foreign materials. While often asymptomatic initially it can become infected leading to pain or swelling and pus drainage.
The primary risks associated with pilonidal cysts stem from complications if left untreated or if they become severely infected. The complications are serious rarely lead to mortality.
Potential Complications (Rarely Fatal)
When the pilonidal cyst becomes infected it can also lead to several issues. These includes:
- Abscess Formation: While an infected pilonidal cyst doctor can develop into a painful abscess, a localized collection of pus. While uncomfortable and requiring drainage, an abscess itself is not typically fatal.
- Cellulitis: The infection can spread to the surrounding skin and tissues causing cellulitis. This skin infection requires antibiotic treatment. In very rare and severe cases if not treated promptly widespread infection could lead to sepsis. Sepsis is a life threatening condition where the body response to infection damages its own tissues and organs. However this is an extremely uncommon outcome for pilonidal cysts.
- Fistula Formation: Chronic or recurrent pilonidal cysts can sometimes form a fistula which is an abnormal tunnel or passageway connecting the cyst to the skin surface. This can lead to persistent drainage and discomfort.
- Squamous Cell Carcinoma Skin Cancer: This is perhaps the most serious albeit exceptionally rare complication. While Long standing chronic or recurrent pilonidal disease can in a very small percentage of cases estimated around 0 1% undergo malignant transformation into squamous cell carcinoma a type of skin cancer. This is typically occurs in cases of neglected or extremely chronic cysts. Even in the early detection and treatment of the cancer significantly improves prognosis.
It is crucial to emphasize that these severe complications are rare. With modern medical care even when complications arise they are generally manageable.
When to Seek Medical Attention

Getting a help in early is the greatest approach to avoid problems and make sure rehabilitation goes well. You should contact us or a doctor right away if you think you have a pilonidal cyst or if one you already have starts to hurt get bigger change color or ooze pus or blood.
If your pilonidal cyst hurts swells becomes red or drains pus you should see a doctor. Quick action stops problems from happening and makes sure that treatment for pain or infection works.
What Doctor Treats Pilonidal Cyst?
A general surgeon is usually the one who treats doctor for pilonidal cyst. They are experts taken to heal after surgery to remove a pilonidal cyst and are very good at diagnosing and treating pilonidal illness. A colorectal surgeon may also be involved in some circumstances especially when the case is more complicated or happens again. If you want to know what kind of doctor treats pilonidal cysts your primary care doctor can definitely point you in the correct direction.
Your primary care doctor can often provide you a first diagnosis and treatment for pilonidal cysts such as draining a small abscess. If you need long term care or have difficulties that keep coming back though it is usually preferable to consult a specialist. When treating pilonidal cysts general surgeons usually cut them up and drain them or take them out completely. A colorectal surgeon also known as a proctologist is a good choice for more severe or long lasting cases because they know a lot about disorders in the tailbone area.
Treatment Options and Their Safety

There are many ways to treat pilonidal cysts, from less invasive to more invasive.
- Incision and Drainage: For an infected cyst or abscess a doctor will often perform an incision and drainage procedure. This involves making a small cut to drain the pus and relieve pressure. This is an outpatient procedure and is very safe.
- Surgical Excision: If you keep getting cysts or have chronic pilonidal disease, your doctor may suggest surgery to completely remove the pilonidal cyst. There are various ways to do surgery and the surgeon will talk to you which one is best for you. There are always certain dangers that come with surgery like bleeding, infection, or the problem coming in back. However these risks are usually well managed and not life threatening. The purpose of surgery is to remove the damaged tissue and let it heal which greatly lowers the likelihood of future issues.
Our focus is always on your safety and well being. We thoroughly assess your individual case to determine the most appropriate and safest course of action.
Conclusion
Again the death rate for pilonidal cysts is quite low, almost zero when you think about the cyst itself. Complications that could kill you are quite rare and usually only happen when infections are left untreated for a long time or are poorly neglected. The most important things to do to avoid complications and make sure of a full recovery are to get a diagnosis early and get the right medical care. Please do not hesitate to talk to a Pilonidal Expert if you have any questions.