Post-Operative Instructions
Pilonidal Cystectomy

What can I eat?

You may eat anything, but use common sense. It is important to have easy, daily bowel movements.

How can I have an easy Bowel Movement everyday?

Use 1 teaspoon of Metamucil in 12 ounces of water once a day for one month.

What can I do to relieve the pain?

Use 1 teaspoon of Metamucil in 12 ounces of water once a day for one month.

  1. Pain Medication:
    • You will be given a prescription for strong pain medication. Take these pills as directed
    • In addition to these pills, take Advil: 2 pills - 4 times a day. This will lessen the swelling, and decrease the pain.
  2. Shower:
    Take a shower, a few times a day. You can let the water run down from your back onto the wound. This will feel good. If your dressings are 'sticking' to the wound, the water will loosen them with less discomfort.
  3. Take metamucil or citrucel
    One teaspoon with 8-12 oz of water, twice a day.
  4. Some bleeding may occur
    Most patients will experience some bleeding and the passage of what looks like mucous. do not be alarmed. this is the sloughing of the internal hemorrhoid that was Rubber Banded.

How do I care for the wound?

  1. Remove the gauze dressing, and take your first Shower at p.m.. today.
  2. The wound is a open cavity. Don't worry, it will heal much faster than you think. Open a 4 by 4 gauze, and gently place it into the wound, covering every nook and cranny. Gently place another gauze on top of this one, with paper tape to hold it in place. Apply a new dressing times a day, after your shower.
  3. You may use a peri-pad (or liner) to wear thereafter to protect your clothing.
  4. Use Tucks or nonalcoholic baby wipes to cleanse after a bowel movement.
  5. Don't be concerned about a small amount of bleeding or drainage from the wound. This may occur for weeks, until the wound heals.

List of what you'll need:

  1. Prescription pain pills
  2. Advil
  3. 4" by 4" gauze dressings
  4. Paper tape
  5. Peri-pads
  6. Non-alcoholic baby wipes
  7. Metamucil
IMPORTANT TIP: The ideal bowel movement comes the moment you sit, without pain, straining or bleeding. It's completed within seconds, and is easy to clean.
MEDITOONS™ ARE DESIGNED TO BE USED IN CONSULTATION WITH YOUR PHYSICIAN. THEY ARE NOT DESIGNED TO ENCOURAGE SELF-DIAGNOSIS OR TREATMENT. PLEASE CHECK WITH A PHYSICIAN PROMPTLY IF YOU SUSPECT YOU ARE ILL.
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