Skin and Soft Tissue: Excision of Cyst, Fossa, Granuloma, Pilonidal Sinus
We provide clinic-based excision of common skin and soft tissue conditions, including cysts, fossa/fistula, granulomas, and pilonidal sinus. Procedures are performed under local anaesthetic with appropriate aftercare and follow-up.
Turnaround time
Results available 5 days after arrival in lab. Doctor's report sent the day after results available (if required)
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Details about Skin and Soft Tissue: Excision of Cyst, Fossa, Granuloma, Pilonidal Sinus
What are Skin & Soft Tissue Excision Procedures?
Skin and soft tissue excisions are minor surgical procedures performed to remove abnormal, infected, painful, or recurrent tissue. Common indications include cysts, granulomas, fistula/fossa lesions, and pilonidal sinus disease.
Procedures are typically carried out under local anaesthetic in a clinic setting. Where appropriate, removed tissue is sent for histology to confirm diagnosis and exclude underlying pathology.
Why might I need an excision?
Some skin and soft tissue conditions do not resolve with medication alone or tend to recur if not fully removed. Surgical excision provides definitive treatment, symptom relief, and reduces the risk of infection or complications.
You may need assessment or excision if you have:
- A painful, enlarging, or infected skin cyst
- Recurrent discharge or infection from a sinus or fossa
- A persistent or bleeding granuloma
- Recurrent or painful pilonidal sinus
- Swelling, redness, or discomfort affecting daily activities
- Failure to respond to conservative treatment
Procedures we offer
Excision of Cyst
Skin cysts (e.g. epidermoid or sebaceous cysts) are benign but may become painful or infected.
What it involves:
- Local anaesthetic
- Complete removal of the cyst and capsule
- Closure with sutures
- Reduced risk of recurrence when fully excised
Excision of Fossa / Fistula
Fossa or fistula-type lesions can cause chronic discharge or infection.
What it involves:
- Careful identification of the tract
- Complete excision of affected tissue
- Wound closure or healing plan based on location
- Follow-up to ensure proper healing
Excision of Granuloma
Granulomas are small areas of chronic inflammation that may bleed, discharge, or fail to heal.
What it involves:
- Local anaesthetic
- Targeted removal of abnormal tissue
- Histology where indicated
- Rapid symptom resolution
Excision of Pilonidal Sinus
Pilonidal sinus disease commonly affects the upper buttock cleft and can be recurrent and painful.
What it involves:
- Removal of the sinus tract and infected tissue
- Careful wound management to reduce recurrence
- Advice on hygiene, hair management, and aftercare
Early treatment reduces infection risk and improves long-term outcomes.
Benefits of clinic-based excision
- Definitive treatment
Removes the source of infection or recurrence. - Local anaesthetic only
No general anaesthetic required. - Short procedure time
Most procedures completed in one visit. - Reduced recurrence risk
Complete excision improves long-term outcomes. - Histology when needed
Confirms diagnosis and excludes concerning pathology. - Minimal downtime
Quick return to normal activities in most cases. - Clear aftercare guidance
Supports optimal wound healing. - Follow-up included
Wound review and suture removal if required.
Step-by-step – How the procedure works
- Clinical assessment and consent
- Local anaesthetic administered
- Surgical excision performed
- Wound closed or dressed appropriately
- Aftercare instructions provided
- Follow-up arranged if needed
All procedures are performed in clinic. Home visits are not available for surgical excisions.
Recovery & results
After excision
- Mild discomfort or swelling for a few days
- Sutures removed depending on site and technique
- Most patients resume normal activity quickly
Histology (if applicable)
- Confirms diagnosis
- Excludes malignancy or other pathology
- Results typically available within 1–2 weeks
How It Works
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Where possible, attend your blood test between 7am and 12pm. Please wait until any short-term illness or infection has fully resolved before testing. Avoid intense exercise for 24–48 hours beforehand, as this can affect certain markers.
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If you have any questions or special circumstances, our team is happy to advise before your appointment.