Treatment

Feel free to use our contact form. Here, you can provide your contact details, and we will get in touch with you within 24 hours. You can even upload a picture in this form, which will allow me to assess your situation and give you an initial evaluation. You can then decide whether you would like to come in for an examination first or have both the examination and the minor procedure done on the same day. This option is often chosen by patients traveling from further away.

If you suspect a pilonidal cyst or have already been diagnosed with one, it is important to consult a specialist with experience in treating this specific condition. Specialists in proctology, colorectal surgery, and general surgery are usually trained in diagnosing and treating pilonidal cysts. Dr. Bärtl is a recognized expert in the field of pilonidal cysts and has extensive experience in diagnosis and treatment. He offers a wide range of modern treatment options tailored to the individual case and the specific needs of each patient.

No, please don’t. With such extensive procedures (“butcher method”), the largest wounds usually occur – this can be prevented in almost all cases. I perform small incisions to drain the abscess, which leads to relief from symptoms within 1-2 days. A few weeks later, the minimally invasive surgery can be carried out, avoiding large-scale removal and, consequently, a large wound.

Due to my specialization, patients with pilonidal cysts have the opportunity to get an appointment at very short notice, often within a few days. The quickest way to get an appointment, often on the same day, is through the Jameda appointment portal. Alternatively, I have a contact form that will be answered within 24 hours. Current staffing shortages make the phone the most challenging option, so online appointment booking or the contact form are the fastest ways to reach us.

No – I offer so-called all-in-one appointments. These are not only intended for patients traveling from afar but are generally available to all patients. On our website, you will find all the information about pilonidal cyst treatment, so you can be well-informed in advance. In a single appointment, we can conduct the examination, discuss the results and surgical strategy together, and then proceed directly with the procedure. Of course, you also have the option to first come for a consultation in my office and then schedule a separate appointment for the surgery after the consultation.

The advantages are areduced trauma to the tissue, resulting in shorter wound healing time, less pain, and minimized downtime.

No, the local anesthesia is administered in a special mixture, so that you usually won’t experience any discomfort even during the anesthesia process. If desired, a numbing cream (e.g., Emla cream) can be applied before the treatment, ensuring that even the small pricks from the very thin needles are not felt. During the procedure itself, you will feel nothing.

Depending on the size of the cyst, the surgery lasts between 10 and 40 minutes. However, you should plan to spend about 1.5 hours at the practice, which includes preparation, examination, time for the anesthesia to take effect, and post-procedure observation.

No. I perform 99% of procedures under local anesthesia. This can be done painlessly, so there is no need to worry. You can bring headphones and listen to music or an engaging audiobook to help distract yourself and make the time pass more quickly.

I perform 99% of all pilonidal cyst surgeries on an outpatient basis and under local anesthesia, meaning everything is done in one day, and you can go home the same day. A hospital stay is not necessary, and general anesthesia is typically not required.

Most of my patients can travel home directly after the procedure. During the first 24 hours after such a procedure, the majority of patients experience minimal discomfort, making the journey home generally uncomplicated. In fact, the pressure from sitting can even reduce the likelihood of post-operative bleeding.

In contrast to the large and radical surgeries (butcher method), the recovery time with the gentle procedures I use for my patients is much shorter. The length of sick leave depends on the cyst and your profession. Typically, a sick leave of 3 to 14 days is sufficient.

No! With the many surgeries Dr. Bärtl has performed, there is a tailored solution for every situation, which usually leads to success. The discomfort during the procedure is minimal, and you can go home directly after the surgery without needing to stay overnight in a clinic. You also don’t need general anesthesia, as all procedures can be done under local anesthesia.

Since we reserve many slots for surgeries, we can usually accommodate our patients on short notice. In emergencies, you can contact us at any time.

Since the procedure is performed under local anesthesia, fasting is not necessary. In fact, eating and drinking before the surgery is encouraged to help keep your circulation stable after the procedure.

Follow-up appointments are available for all patients for check-ups and hair removal in the practice. For patients traveling long distances, aftercare is provided digitally, which works very well and is widely accepted.

No matter which surgical technique is used, the costs are covered by statutory health insurance. No additional payment is required from your side. This applies to both minimally invasive procedures and laser surgeries.

This cannot be definitively answered. Depending on the complexity of the pilonidal cyst and the type of materials used (e.g., whether a special laser probe is required), the costs range between €800 and €1,500.

Unfortunately, a cyst can indeed recur. Depending on the technique used, the likelihood of recurrence is between 10 and 15%. In our experience, additional measures such as post-surgery shaving or long-term laser hair removal can significantly reduce the risk of a recurrent pilonidal cyst in many cases.

First, take a deep breath. There are excellent options for managing recurring symptoms of a pilonidal cyst, even after major surgeries, through gentle procedures that promote healing. In the initial examination, I identify the cause of the recurrence. After this, a targeted, limited procedure is performed to address and resolve the underlying issue. This approach can give hope to patients who have undergone multiple extensive surgeries, helping them regain control over the problem.

No! There is usually a reason why the pilonidal cyst has recurred after a previous surgery. I will try to identify this cause during an examination. Once the cause is addressed, you have a very good chance of being successfully treated through a similar or modified procedure.

The healing time depends on the size and stage of the pilonidal cyst. The type of treatment also affects the duration and course of healing.