Pilonidal Sinus Treatment – Permanent Cure with Laser Surgery

Pilonidal sinus is a small tunnel or cyst in the skin, usually near the tailbone, that may become infected and filled with pus. Our advanced laser surgery offers a quick, painless, and permanent solution with minimal downtime.

Minimally Invasive

Advanced techniques with minimal pain

Modern Technology

State-of-the-art equipment

Expert Doctors

Specialized in treatment

Quick Recovery

Return to normal activities fast

Also Known As:

पाइलोनिडल साइनस (Hindi)पायलोनिडल सिस्ट (Marathi)

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What is Pilonidal Sinus?

A pilonidal sinus is a small hole or tunnel in the skin, often at the top of the buttocks, which may fill with pus or fluid and become infected, forming a cyst or abscess. It is commonly caused by ingrown hair, friction, or prolonged sitting.

Condition illustration

Trigger Foods to Avoid in a Diet

Oily and Fatty Foods

Increase skin oil production and worsen inflammation

Processed Foods

Lack fiber and promote sedentary lifestyle weight gain

Sugary Items

Can lead to bacterial overgrowth and infection

Low-Fiber Foods

Contribute to constipation, indirectly increasing strain

Excess Dairy

May lead to skin breakouts in sensitive individuals

Red Meat

Can contribute to inflammation and poor digestion

Symptoms for Pilonidal Sinus

Swelling or Lump

Near the tailbone that may be painful

Discharge

Pus or blood may ooze from the sinus

Pain while Sitting

Especially on hard surfaces or during prolonged periods

Fever

Indicates infection or abscess formation

Foul Smell

Due to pus discharge from infected sinus

Itching or Redness

Around the affected area

Common Causes of Pilonidal Sinus

Ingrown Hair

Hair grows back into the skin causing infection and abscess

Friction or Sweating

Common in people who sit for long hours

Poor Hygiene

Build-up of sweat, bacteria, or debris in the area

Tight Clothing

Causes excessive friction around the tailbone

Genetic Predisposition

Runs in families, especially those with coarse hair

Sedentary Lifestyle

Increases risk due to lack of movement

Risk Factors for Pilonidal Sinus

Male Gender

More common in men than women

Young Age (15-35)

Most common in this age group

Excess Body Hair

Increases chances of hair embedding into skin

Prolonged Sitting

Truck drivers, office workers at higher risk

Poor Hygiene

May increase bacterial growth and infection

Obesity

Causes more friction and sweating in the tailbone area

Complications if Pilonidal Sinus Left Untreated

Recurring Infections

Chronic sinus may develop with repeated abscesses

Abscess Formation

Painful collection of pus requiring drainage

Sinus Tract Formation

Abnormal channels under the skin

Cellulitis

Infection spreads to nearby skin layers

Scarring

Multiple surgeries or healing may lead to scar tissue

Rare Skin Cancer

Long-standing untreated sinus may develop carcinoma

Diagnosis

Diagnosis of pilonidal sinus is clinical, based on physical exam and patient history. In recurrent or complex cases, imaging may be used.

Diagnostic Methods

  • Visual and physical examination of the tailbone area
  • Assessment of pus or discharge
  • MRI or Ultrasound for deep sinus tracts
  • Differential diagnosis to rule out abscesses or cysts
Diagnostic procedure

Surgical Treatment Options

Our advanced surgical procedures provide effective, long-term relief

Recommended

Laser Pilonidal Sinus Surgery

Minimally invasive laser treatment to remove infected tissue and seal sinus tracts

Bloodless and painless procedure
Quick recovery and minimal scarring
Outpatient surgery

Recovery Time

2-5 days

Anesthesia

Local or spinal

Excision and Primary Closure

Traditional open surgery to remove sinus followed by stitching

Suitable for complex or multiple sinuses
Lower recurrence with proper wound care

Recovery Time

2-3 weeks

Anesthesia

Spinal or general

Bascom Cleft Lift Procedure

A flap surgery technique where the sinus is excised and the wound is closed off-center to reduce recurrence.

Lower recurrence rate compared to traditional methods
Faster healing with less discomfort
Preserves natural shape of the cleft

Recovery Time

1-2 weeks

Anesthesia

Spinal or general

Preventive Measures

Antibiotics

Help control infection but do not cure the sinus itself

Sitz Baths

Reduce swelling and promote drainage of infected sinus

Hair Removal

Laser or shaving to prevent hair from entering sinus

Proper Hygiene

Keeping the area clean and dry to prevent recurrence

Pilonidal Sinus Types and Surgical Procedures

Simple Pilonidal Sinus

Description: Single tract with mild symptoms

Surgical Procedure: Laser treatment or minor excision is sufficient

Complex Pilonidal Disease

Description: Multiple tracts or recurrent infections

Surgical Procedure: Advanced surgical removal or laser ablation is needed

Acute Pilonidal Abscess

Description: Painful, pus-filled swelling requiring urgent care

Surgical Procedure: Incision and drainage followed by elective laser surgery

Chronic Pilonidal Sinus

Description: Persistent sinus with or without active infection

Surgical Procedure: Laser or excision based on tract complexity

Recurrent Pilonidal Sinus

Description: Sinus returns after previous surgery

Surgical Procedure: Laser revision surgery to minimize tissue damage

At Total Surgicare, our specialist proctologists determine the best surgical approach based on the specific type and location of your pilonidal sinus, ensuring optimal outcomes with minimal disruption to sphincter function.

Why choose Total Surgicare for Pilonidal Sinus Surgery?

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Latest Laser Technology for Fast Relief

We offer scarless laser surgery for pilonidal sinus with minimal pain, quick discharge, and high success rate.

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Experienced Surgeons & Same-Day Discharge

Our specialists provide effective, personalized treatment with a focus on fast recovery and patient comfort.