Coccygeal Cyst: The Treatment
A global pioneer in coccygeal cyst treatment
Coccygeal cyst treatment with laser, first developed worldwide in 2012 and applied for the last 10 years in Greece by Dr. Alkiviadis Pappas, has now become widely spread throughout Europe. In fact, the announcements of the recent Pan-European Conference of Coloproctology, in which Dr. Alkiviadis Pappas also participated, classify it as a first-choice treatment.
Coccygeal cyst treatment with laser not only has the most comparative advantages, but can also be applied to all cysts, regardless of size and condition. Therefore, it becomes the first choice for the treatment of all cases (without exception) of coccygeal cysts.
What to expect from laser treatment of coccygeal cysts?
From 2012 to 2022, Dr. Alkiviadis has treated over 1200 cases of coccygeal cysts. The quantity and diversity of these cases helped him to further develop the method of laser treatment of coccygeal cysts (which he has named SiLaC), further increasing the success rate (>98%).
Dr. Alkiviadis Pappas had also presented this method at the international conference of Proctology in 2016, as well as to his colleagues from Germany who participated in a special workshop, which was organized at the Psychiko Hospital in 2018. While its first results have been published in the prestigious international medical journal Colorectal Disease.
This innovative treatment for the coccygeal cyst (endoscopic laser therapy – SiLaC), is performed by applying thermal energy (via optical fiber) to the inner walls of the coccygeal cyst – without resection, that is. In this way, a controlled photothermal process with a strong antiseptic effect is induced.
The diffusion of thermal energy from the specific laser wavelength of 1470 nm does not exceed 1.5 millimeters into the tissues from the application surface, limiting its action to the cyst wall and protecting the normal tissues around the cyst.
This results in rapid healing and convergence of the coccygeal cyst, and the definitive treatment of the condition, minimizing postoperative pain and discomfort of patients, allowing them to return to their daily lives immediately.
This is the main advantage of laser compared to other forms of energy, diathermy, radiofrequency, etc.
Note: An important clarification in this is that laser treatment for the coccygeal cyst has nothing to do with EPSIT treatment, which uses radiofrequency or diathermy. They are two completely different treatments, which should not be confused.
Advantages of the SiLaC technique:
The treatment is performed with local anesthesia and is painless, bloodless and short, lasting up to 20 minutes, at most.
There are no complications at all, while the recurrence rate is limited to 2.6%.
The hospitalization time is almost zero, with a healing time of 34 days, and no recovery costs.
The area bears absolutely no trauma. Thus, the patient is spared from the painful and laborious postoperative care with frequent changes, but also from the risk of exposure to infections or other complications.
The patient can immediately return to his normal activities. At the same time, the postoperative image of the area quickly returns to that which existed before the appearance of the coccygeal cyst.
The treatment is definitive and is accompanied by an excellent aesthetic result.
Cases of recurrence are very rare, certainly much less than with the classic laser application technique. Furthermore, the application of the new laser technique in cases of multiple recurrences after surgical removal offers a definitive result.
The application of the laser to the wider area of the tailbone almost eliminates the possibility of the creation of a new cyst or recurrence in this area.
Conclusion: Coccygeal cyst laser treatment, based on the results of treatment applied by Dr. Alkiviadis Pappas in 1200 cases of coccygeal cyst, is the safest, most painless and effective option for treating all forms of coccygeal cysts, to the extent that it approaches the ideal treatment.
In which cases of coccygeal cyst can laser treatment be applied?
Coccygeal cyst laser treatment is applied to all cases of coccygeal cyst, regardless of size. So, in each case you can receive the specific treatment and not one that is presented as similar, with the excuse that it is better suited for specific cysts.
