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A pilonidal cyst is a lump on the skin that forms as a pockets of hair and skin. This lump (pilonidal cyst) is generally at the end of the coccyx so that it looks like it forms a lump over the buttocks.
The lump that you are complaining of certainly needs to be examined carefully by a doctor so that the doctor can examine the lump directly. with physical observation and direct examination the doctor can provide a diagnosis of the lump. At this time we cannot confirm the type of lump without doing a physical exam.
The area where the tailbone is located is a sensitive area. In this part, the nerves that are connected to the sacrum area (the sitting bones and surrounding organs) can give the sensation of wanting to pee when scratched. This is a natural thing.
However, the cyst or lump can become infected if you have a secondary infection with bacteria. Therefore we strongly do not recommend scratching the area which could lead to other unwanted complications.
Keep your buttocks clean, avoid scratching and apply calamine lotion if you feel itchy.
I hope this helps.