One of the common skin defects is the coccygeal passage. It is not fully simplified tail muscles. Such an ailment is a small and very narrow tube that is located between the buttocks. In no way is it connected with either the coccyx or the sacrum, but ends simply blindly.
Such a defect is also called a coccygeal fistula. It is more common among the male population of the planet. Although there is an ailment in women. Many scientists believe that this flaw is inherent. However, there are those who are sure that the coccygeal passage is an acquired defect.
For a long time, the patient may not complain at all of the disease or even not notice it. However, during the course of life, discharge from point holes appears. In connection with injuries and blockage of the lumen, inflammatory processes can occur that lead to the complete destruction of the coccygeal passage. Pus even tends to break through to the surface, thereby forming an additional fistula. It is worth noting that several of them can be formed at once.
If there is a delay in discharge from the course, then the patient feels in this area some interference during movement. When an acute inflammatory process occurs, painful sensations, high fever, and even swelling may appear. If the inflammation is chronic, then the patient’s condition does not change, and only slight purulent departments are observed.
Coccygeal passage. Diagnostics
Often, the appearance of the disease is similar to diseases such as:
Therefore, it is necessary to undergo laboratory tests to establish an accurate diagnosis. Firstly, a sounding of the course is prescribed. Secondly, when revealing the direction of the opening to the sacrum, they also carry out radiography.
Coccygeal passage. Treatment
It is possible to recover from the disease exclusively by surgery. Moreover, the operation is shown not only to everyone who has an uncomplicated form of the disease, but also to everyone with the inflammatory process of the course. The main goal of radical intervention is the complete removal of absolutely all the tissues that form the course.
In the presence of a serious inflammatory process in the area where the coccygeal passage is located, treatment with antibiotics is prescribed first. Only after an operation is prescribed. It is carried out exclusively under general anesthesia. The course of surgery depends entirely on the form of the disease.
Uncomplicated variant of the disease. When there is no purulent inflammation, a planned operation is performed. Before surgery, the doctor always injects a dye. It stains the tissue of the coccygeal passage. This helps to see all the pathological parts that need to be excised. This stage of the disease is the most suitable moment for the operation. Indeed, in this case there is no contamination of the wound. Yes, and it turns out it is not so big, which means it will heal much faster and better.
It is very important to properly and accurately suture the wound after the intervention. This is done using special seams. After the operation , bed rest should be observed for a week so that there is no load on the seams. They are removed only on the 10th day.
Coccygeal passage with acute inflammation. It is best when the treatment in this case takes place in 2 stages: first getting rid of the inflammatory process, and then the operation. However, if pus does not go beyond the coccygeal passage, it makes sense to immediately operate. With an abscess, it is opened, all pus is removed and treated with special dressings with effective antibiotics. Only after this a surgical operation is performed.
In any case, if a radical method of treating the coccygeal passage is undertaken, the outcome is favorable. It does not matter what stage of the disease was.