Pilonidal Sinus Treatment
Introduction
A pilonidal sinus is a small tunnel or tract that is formed in the skin near the tailbone (sacrum) at the top of the buttocks. It often contains hair, debris (dead tissue), and skin fragments (shredded skin). This condition is more common in young adults and males, and is usually the result of ingrown hairs or prolonged pressure and friction in the area—such as from sitting for extended periods. Without treatment, the sinus can become infected, forming a painful abscess that discharges pus and may lead to chronic discomfort.
Causes
The main cause of pilonidal sinus is hair penetration into the skin, blocked hair follicles, and infection due to sweat or poor hygiene.
Risk factors include:
- Obesity
- Hirsutism (male pattern hair growth over body)
- Prolonged sitting
- Smoking
- Family history
Symptoms and Diagnosis
Common symptoms of a pilonidal sinus include pain, swelling, redness, and foul (bad) smelling drainage of pus or blood from a small opening near the tailbone. The area may be tender (painful) to touch. In some cases, fever and fatigue may accompany the infection.
Diagnosis is typically made through physical examination by a healthcare professional. Imaging such as ultrasound or MRI may be used to assess the extent of the sinus tract.
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Treatment
Non-surgical treatment is possible for mild or early-stage cases. This may include
- Maintaining good hygiene
- Shaving or laser hair removal
- Antibiotics if infection is present
Surgical treatment is often necessary. Common procedures include:
1. Incision and drainage of abscess (pus collection)
2. Excision of the sinus tract followed by
- Closure by secondary intension
- Primary closure
- Closure by flap technique
3. Pilonidal laser surgery
Post-surgery Care
It is essential to ensure complete healing and prevent recurrence. This includes
- Regular wound cleaning
- Proper hygiene
- Avoiding prolonged sitting
- Keeping the area hair-free
Conclusion
Timely diagnosis and appropriate treatment of pilonidal sinus can prevent complications and reduce the risk of recurrence.
Consult “Vizag Surgicare” for effective pilonidal sinus management and personalized care by experienced specialists.
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phone number
Mobile No 1 : +91-77029 50513
Mobile No 2 : +91-9848638615
Mobile No 3 : +91-9849239213
our address
First Floor, Mohan Medical Shop, Seethammadhara (NE), Visakhapatnam-530013
email address
info@vizagsurgicare.com