Pelvic Floor Prolapse (Sagging) after Coccygectomy

At the time of surgery to remove the coccyx (coccygectomy), it is somewhat variable what the surgeon does. Sometimes the tailbone is partially removed, sometimes completely removed. Surgeons differ in their opinions as to how important it is or isn’t to try to re-attach the pelvic floor tendons that were previously attached to the […]

Tailbone wounds that will not heal

When there is skin breakdown of ulceration of the skin over the coccyx, it is worth looking for a cause. Sometimes people develop a bed-sore of the skin behind the sacrum and coccyx after spending too much time laying in bed. (The medical term for a bedsore is a “decubitus ulcer”.) Usually, a bedsore […]

No Surgical Hardware for Tailbone Pain

Sometimes patients ask me whether tailbone pain (coccyx pain) can be treated by placing surgical hardware into or onto the tailbone to stabilize any instability of the tailbone.

At first consideration, this is a reasonable thought.

Firstly, unstable joints of the tailbone are one of the most common causes of tailbone pain (and this diagnosis […]

Pain and Pelvic Floor Prolapse after Coccygectomy (Tailbone Removal)

Coccygectomy is surgical removal of the tailbone (essentially amputating the tailbone).

There are not great long-term studies about long-term complications of having the tailbone removed.

The short-term risks include infection at the surgical site, especially in the first few weeks or months after the surgery.

Infection: In some studies up to 20% of patients need […]

Tailbone Removal (Coccygectomy): Drains, Antibiotics

Surgical removal of the tailbone (coccyx) is medically known as coccygectomy.

In the United States the coccygectomy surgery would often be considered an outpatient surgery, meaning that you have the surgery in the morning and go home by that evening. But that may vary depending on how someone is doing in the recovery area after […]

Bone infection after tailbone removal surgery (coccygectomy)

One complication of surgical tailbone removal (coccygectomy) is that infection may occur at the surgical site.

Part of the reason for the relatively high likelihood of infection at this surgical site (compared with others) is that the coccygectomy site is so close to the anus.

Superficial infections can happen at the skin, which is called […]

Tailbone Pain Despite Surgery (Coccygectomy)

Many patients ask me what to do about tailbone pain that continues or returns despite the person having undergone surgical removal of the tailbone (coccygectomy).

Find the CAUSE of the ongoing tailbone pain after coccygectomy In general, it is important for the treating physician to start by searching for an underlying cause for the current […]

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