Category: General surgery

A pilonidal sinus (PNS) is a small tunnel or cyst that forms near the tailbone at the top of the buttocks. This condition often develops due to ingrown hairs, friction, or prolonged sitting, leading to infection and discomfort. If left untreated, a pilonidal sinus can become painful, swollen, and filled with pus, requiring medical intervention. In severe cases, pilonidal sinus surgery is the most effective treatment to prevent recurrence and complications.

What Causes a Pilonidal Sinus?

A pilonidal sinus is primarily caused by hair penetration into the skin, leading to inflammation and infection. Several factors contribute to its development, including:

• Excessive hair growth in the buttock area
• Prolonged sitting or sedentary lifestyle
• Obesity or poor hygiene
• Repeated friction and sweating
• Family history of pilonidal disease

Symptoms of Pilonidal Sinus

The symptoms of a pilonidal sinus vary depending on the severity of the infection. Some common signs include:

• Pain and swelling near the tailbone
• Redness and warmth around the affected area
• Pus or blood drainage from an opening in the skin
• Foul-smelling discharge
• Fever and fatigue (in severe cases)

If these symptoms persist, seeking medical attention is crucial to prevent further infection and complications.

Diagnosis of Pilonidal Sinus

A pilonidal sinus is diagnosed through a physical examination by a specialist. In cases of deep infection, imaging tests like ultrasound or MRI may be recommended to assess the extent of the condition.

Treatment Options for Pilonidal Sinus

The treatment approach for a pilonidal sinus depends on the severity of the condition.

1. Conservative Treatment (For Mild Cases)

• Antibiotics to control infection
• Warm compresses to reduce swelling
• Regular hair removal in the affected area to prevent recurrence

2. Drainage and Incision

For an infected pilonidal cyst, doctors may perform a small incision to drain pus and relieve pain. However, this is a temporary solution, and recurrence is common.

3. Pilonidal Sinus Surgery (Definitive Treatment)

For recurrent or severe pilonidal sinuses, surgical removal is the most effective treatment. There are different types of surgeries:

A. Excision and Open Healing

• The sinus is completely removed, and the wound is left open to heal naturally.
• Healing takes longer but reduces recurrence risk.

B. Excision with Primary Closure

• The sinus is removed, and the wound is stitched closed.
• Healing is faster, but the recurrence rate may be higher.

C. Laser Surgery

• A minimally invasive approach using laser technology.
• Faster recovery and lower recurrence risk.

D. Flap Surgery (For Complex Cases)

• Involves reconstructive techniques to cover the surgical site.
• Recommended for patients with multiple or chronic sinuses.

Post-Surgery Recovery and Care

After pilonidal sinus surgery, proper wound care and hygiene are essential for smooth healing and to prevent recurrence. Key post-surgery care tips include:

• Keep the surgical area clean and dry
• Avoid prolonged sitting for extended periods
• Regular hair removal (shaving or laser hair removal)
• Follow up with your doctor for wound inspection

Conclusion

A pilonidal sinus can cause significant pain and discomfort, affecting your daily activities. If conservative treatments fail to provide relief, pilonidal sinus surgery is the best option for permanent resolution.

At Pilonidal Sinus Surgery Hospital in Chembur, we offer advanced surgical treatments, including laser and minimally invasive procedures, to ensure faster recovery and minimal recurrence. Our expert surgeons provide personalized care to help you regain comfort and confidence.