Hard Lumps on the Buttocks: Causes, Treatment, and Surgery

Q: Hard Lumps on the Buttocks: Causes, Treatment, and Surgery

Hello Mr. <br>Chen： There are several possible causes for the lump in your buttock; based on your description, two possibilities arise： 1. <br>Pilonidal cyst： This occurs when hair follicle tissue becomes trapped beneath the skin in the buttock area during embryonic development,

I have a hard lump on my buttocks?

Hello Dr.
Ke, I have a hard lump on my buttocks that is not raised; it can only be felt by touch.
It started as a small patch and usually doesn't hurt, but sometimes it becomes swollen and painful, so I ignored it.
However, it has gradually grown larger over the past two years, and it is now about 15 centimeters long.
I feel it's not good, so I went to see a doctor at a clinic.
He told me that the lump is drilling into the tunnel in my buttocks, which is why it has been growing and that I need surgery.
I would like to ask: 1.
Is my condition considered hemorrhoids? 2.
How much does the surgery cost? 3.
Does the surgery have to be performed in a large hospital, or can it be done in a clinic? 4.
Will I be able to walk immediately after the surgery? I have quite a few questions, thank you, Dr.
Ke.

Mr. Chen, 20~29 year old female. Ask Date: 2004/06/30

Dr. Ke Fangxu reply Surgery

Hello Mr.
Chen: There are several possible causes for the lump in your buttock; based on your description, two possibilities arise: 1.
Pilonidal cyst: This occurs when hair follicle tissue becomes trapped beneath the skin in the buttock area during embryonic development, leading to bacterial infection.
It is commonly seen in individuals with dense body hair and typically occurs just behind the anus.
2.
Anal abscess or fistula: This is a bacterial infection of the tissue near the anus, often accompanied by redness, swelling, pain, or purulent discharge.
Generally, it does not cause a lump as large as 15 centimeters.
Therefore, Mr.
Chen, your issue is not hemorrhoids, and the exact nature of the problem can only be determined through examination.
Surgical procedures are usually covered by health insurance, but hospitalization may be required.

Reply Date: 2004/06/30

More Info

Understanding hard lumps on the buttocks can be concerning, especially when they grow over time and cause discomfort. Based on your description, it seems you have developed a significant mass that has been present for two years and has increased in size to about fifteen centimeters. Here’s a comprehensive response to your questions regarding this condition.

1. Is my condition hemorrhoids?
From your description, it does not sound like hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus, which typically present as painful lumps that may bleed and are usually located around the anal area. The hard lump you describe on your buttocks, especially one that has grown over time and is not painful most of the time, suggests it could be a different type of growth, such as a lipoma (a benign fatty tumor), a cyst, or another type of soft tissue mass. It is essential to have a healthcare professional evaluate the lump to determine its exact nature.

2. What is the cost of surgery?
The cost of surgery can vary significantly depending on several factors, including the type of facility (hospital vs. outpatient clinic), the complexity of the procedure, the surgeon's fees, and your insurance coverage. In the United States, outpatient procedures can range from a few hundred to several thousand dollars. If the lump is causing significant issues or is suspected to be malignant, insurance may cover a portion of the costs. It’s best to consult with your healthcare provider and insurance company for a more accurate estimate.

3. Does the surgery need to be done in a large hospital, or can it be done in a clinic?
The location of the surgery depends on the nature of the lump and the complexity of the procedure. If the lump is benign and the procedure is straightforward, it may be performed in an outpatient clinic. However, if there are concerns about the lump being malignant or if the surgery requires more extensive intervention, it may be advisable to have it done in a larger hospital where more resources and specialists are available. Always consult with your surgeon to determine the best setting for your specific case.

4. Will I be able to walk immediately after the surgery?
Recovery time after surgery can vary based on the type of procedure performed. If the surgery is minor and done under local anesthesia, you may be able to walk shortly after the procedure. However, if general anesthesia is used or if the surgery is more invasive, you may need some time to recover before walking comfortably. Your surgeon will provide specific post-operative instructions, including when you can resume normal activities.

In conclusion, it is crucial to have a thorough evaluation by a healthcare professional to determine the exact nature of the lump on your buttocks. They may recommend imaging studies, such as an ultrasound or MRI, to assess the lump further. Depending on the findings, they can guide you on the appropriate treatment options, including the necessity and timing of surgery. Always prioritize your health and seek medical advice when dealing with changes in your body, especially those that persist or worsen over time.

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