Growths Between the Anus and Coccyx: What You Need to Know - Surgery

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A mass located between the anus and the coccyx?


Hello Doctor: I have a symptom that appears as a protruding lump of tissue located between the anus and the coccyx (near the coccyx) for several years.
When standing, it is clearly visible as a piece of tissue wedged between the two buttocks.
It is not painful and does not itch.
How should I handle this? Should I just leave it alone?

Ting Ting, 10~19 year old female. Ask Date: 2017/09/05

Dr. Yu Mingchang reply Surgery


Hello: Eat more vegetables and fruits.
When you have time, check out the colorectal department at Changhua Hospital, Ministry of Health and Welfare, which cares about you.

Reply Date: 2017/09/05

More Info


When it comes to understanding growths between the anus and coccyx, it is essential to consider several factors, including the nature of the growth, its symptoms, and potential treatment options. Based on your description, it sounds like you have a protruding mass located in the perianal area, which has been present for several years without causing pain or itching.
Firstly, it is important to recognize that growths in this area can vary widely in their nature. They may include benign conditions such as skin tags, hemorrhoids, or cysts, or they could be more serious conditions that require medical attention. Skin tags are small, benign growths that can occur in various areas of the body, including the anal region. They are typically harmless and do not require treatment unless they become bothersome or irritated. Hemorrhoids, on the other hand, are swollen blood vessels in the rectal area that can cause discomfort, bleeding, or itching, although they may also be asymptomatic. Cysts, such as pilonidal cysts, can develop near the coccyx and may become infected or inflamed.

Given that your growth is not causing any discomfort, it may not require immediate intervention. However, it is crucial to monitor the growth for any changes in size, shape, or symptoms. If you notice any changes, or if the growth begins to cause discomfort, it would be advisable to seek medical evaluation. A healthcare professional can perform a physical examination and may recommend imaging studies if necessary to determine the nature of the growth.

In terms of management, if the growth is determined to be benign and asymptomatic, many healthcare providers may recommend a watchful waiting approach. This means that you would continue to monitor the growth without any active treatment. However, if the growth is bothersome or if there is a concern about its nature, surgical removal may be considered. This is typically a straightforward outpatient procedure, especially for skin tags or cysts.

It is also important to maintain good hygiene in the anal area to prevent any potential irritation or infection, especially if the growth is in close proximity to the anus. Regular cleaning with mild soap and water, and ensuring that the area is dry, can help minimize any risk of complications.

In conclusion, while your growth between the anus and coccyx may not currently be causing any issues, it is essential to remain vigilant and consult a healthcare professional if any changes occur. Regular monitoring and good hygiene practices are key components of managing such growths. If you have any concerns or questions, do not hesitate to reach out to a healthcare provider for personalized advice and guidance.

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