Healthcare providers provide complete instructions for pilonidal cyst drainage aftercare. There are things you can do to heal your pilonidal cyst incision and drainage. A pilonidal cyst is a fluid-filled sac that develops at the tailbone just above the buttocks. It is an ingrown hair that occurs due to friction and rubbing of skin against skin, clothes or prolonged sitting. 

The problem increases when the infection spreads. The cyst becomes painful and requires surgical intervention to drain the pus. 

How to take care of pilonidal cyst wound after drainage at home?

  • Wear loose-fitting clothes. 
  • Keep your incision covered with clean, dry dressings. 
  • Remove your dressing if it gets dirty or wet. 
  • Sit down slowly. Avoid pressure, friction, or trauma to your tailbone. Do not sit down for long periods of time and change positions frequently. 
  • Do not use skin cleansers, alcohol, iodine, or soaps with antibacterial chemicals. They can damage the wound tissue and slow your healing. 
  • Shave around your wound at least once a week to prevent infection. Take help from a family member if needed. 
  • Eat a balanced diet, high in protein and fiber. Protein helps in healing of wounds. Fiber will help ease any constipation associated with your pain medication and help to avoid straining. 
  • Drink plenty of fluids a day (8-10 glasses of water) 
  • Quit smoking. 
  • Wash your hands thoroughly before and after touching the wound or dressing.
  • Add soap and wash for 15 to 30 seconds, cleaning your nails. 
  • Rinse and dry well with a clean towel.
  • Keep check of the wound for any drainage, pain or swelling.
  • Do not reuse any dressings.
  • When removing the dressing, carefully remove it. If it sticks then wet the area to gently pull the dressing.

Shower after pilonidal cyst drainage

You can shower the day after surgery. You can just place a dry dressing on the area after your shower. There is no problem in getting the area wet, but do not soak the wound. Still, ask your surgeon or healthcare provider. But remember, no swimming or baths for a few weeks after the procedure.  It is OK to soak in a tub of water to reduce swelling and pain, but discuss it with your doctor first. 

Medication after pilonidal cyst incision and drainage

  • Take your medicines as needed or as prescribed by your doctor.
  • If you have any unusual symptoms such as rashes, itchiness or diarrhea, please contact the doctor before it gets complicated. 

Some post-drainage concerns may be: 

Bleeding or drainage:

This may not be after effect in laser surgery for pilonidal cyst but other procedures may cause drainage post-treatment. If the bandage becomes stained, remove the dressing and replace it with new gauze and monitor the bleeding. If it is excessive bleeding then immediately contact the doctor. 


If you notice body temperature for more than 48 hours, do not ignore it. Talk to your doctor. 

Unbearable pain:

Some procedures are extremely painful whereas others are not. If there is discharge, pain, chill and fever, contact your healthcare provider. 

Diet and activity restrictions


Avoid oily, junk and spicy food as they may cause constipation and discomfort in the perineal area. A lot of water and fiberous diet is recommended during aftercare. 

Sexual Activity:

No sexual activity until the wound is healed. Ask your doctor during the follow-ups if you can get indulged in sexual intercourse. 

Physical activity:

Avoid streneous and rigorous activities for the first few weeks such as lifting heavy weight, gyming or any activity that stretches your anorectal area. 

Take Away

Above all, if you are suffering from a pilonidal cyst and you decide to go for surgery, opt for laser surgery. Laser surgery is a minimally invasive procedure where the post-surgery complications are almost negligible. There are no cuts, stitches and wounds. Aftercare in case of laser surgery is not much needed. There are a few instructions that you need to follow and there is no dressing required. You can contact Pristyn Care specialist to know more about the treatment and its benefits. You can also consult online or write down to us and our medical coordinator will get back to you. 

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