I always feel for these patients as pilonidal cysts are quite frustrating and tend to get recurrently infected and also tend to recur after removal. Unlike epidermal cysts or pilar cysts, this doesn't have a defined thick membrane, but is rather an inflammed/infected track that will need to be removed. As this video demonstrates, that space can be quite large and can therefore hold a lot of infected material. This one was quite tense and the patient must have been quite uncomfortable, likely for days, before I saw him. This is a delicate and sensitive area and I am grateful that he allowed us to tape this video.
