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What is Pilonidal Sinus?

A pilonidal cyst is a small hole formed near the tailbone. The cyst may also contain dirt and hair, which when infected, causes severe pain, inflammation, and itching. People who have to sit for long hours or do not maintain proper hygiene are more to Pilonidal sinus.

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Overview

Pilonidal Sinus
Names of pilonidal sinus in different languages:
  • Pilonidal sinus in Hindi - पाइलोनिडल साइनस
  • Pilonidal sinus in Telugu: పైలో నైడల్ సైనస్
  • Pilonidal sinus in Tamil: பைலோனிடல் சைனஸ்
  • Pilonidal sinus in Bengali - পাইলনডাইল সাইনাস
Home remedies for pilonidal sinus:
  • Take sitz baths
  • Take vitamin c and zinc supplements
  • Use essential oils to soothe the area
  • Apply castor oil to prevent inflammation in the area
  • Stay physically active to improve blood flow
Risk factors for pilonidal sinus:
  • Male sex
  • Sedentary and inactive lifestyle
  • Long hours of sitting
  • Excess body hair
  • Obesity
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Treatment

Diagnosis

The experts at Pristyn Care will conduct a thorough diagnosis to detect the underlying cause of pilonidal sinus. The doctor will do a physical examination to evaluate the severity of the pilonidal sinus. There is a possibility the doctor will ask about your profession to detect the cause of pilonidal sinus. The doctor may ask about your current medication if you are taking any, to initiate further treatment to cure pilonidal sinus.

Procedure

The doctor will choose the technique depending on the results of the diagnosis. The doctor may initiate the treatment with antibiotics. If you are not showing any improvement through medication, the doctor will advise the surgical intervention to cure pilonidal sinus. A few of the techniques used to treat pilonidal sinus:

Laser Treatment: The doctor will make a small incision with a laser to drain the puss out of the pilonidal sinus. This is a minimally invasive surgery performed under anesthesia that makes the treatment painless.

Marsupialization: A sharp cut will be made to drain the cyst and to remove ingrown hair present in the area. The doctor will sew the edges after making the cut to the wound’s edges to eliminate the chances of recurrence of pilonidal sinus.

Frequently Asked Questions

What does pilonidal sinus surgery cost in Chandigarh?

One can undergo pilonidal sinus surgery in Chandigarh at a cost ranging between Rs. 45,000 to Rs. 55,000. This price range varies from one person to another due to several factors. A few of those factors are the cost of medications, charges of diagnostic tests, doctor fee, and the type and location of the hospital.

Can pilonidal sinus cause sepsis?

It is not 100% sure whether pilonidal sinus can cause sepsis or not. But based on a few medical studies, it is evident that chronic [untreated or prolonged] pilonidal sinus disease can cause troublesome sepsis in some young and physically active patients. To clear more of your doubts, you can contact our expert doctors.

Which is the best way to get treated for pilonidal sinus?

Many methods are used to treat pilonidal sinus, and a few of them are:

  • Excision and drainage
  • Flap procedure
  • Non-surgical treatment [dietary and lifestyle changes]
  • Laser surgery

Out of several treatment methods, laser surgery is considered one of the best ways to treat pilonidal sinus without any severe complications.

What are the benefits of laser pilonidal sinus surgery?

Laser surgery to cure pilonidal sinus surgery involves many benefits, and a few of them are:

  • High levels of precision
  • Less damage to the surrounding healthy tissues
  • Less or minimal pain
  • No cuts or scars
  • Minimal or less bleeding
Will I suffer from pain during laser pilonidal sinus surgery?

No, you won’t suffer from pain during laser pilonidal sinus surgery. This is because you will be administered with either local or general anesthesia before undergoing the surgery. Local anesthesia will numb the surgical area, and the general anesthesia will make you fall asleep throughout the procedure. But, after completion of the surgery, you may feel mild pain and a little discomfort, which subsides over time.

How long will it take to complete laser pilonidal sinus surgery?

Surgeons usually take 30 to 45 minutes to complete laser pilonidal sinus surgery. But this duration is completely dependent on the expertise of the surgeon, the severity of the pilonidal sinus, and the health condition of the patient.

Which is the best cream for pilonidal sinus?

Metronidazole is one of the best and highly effective creams for pilonidal sinus management. The cream helps in clearing up the abscess and also prevents bacteria from multiplying.

How to cure pilonidal sinus in 3 days?

Surgery is the only effective treatment that can provide relief from the condition of pilonidal sinus. Medicines and non-surgical treatment approaches for pilonidal sinus do not provide effective results and also take a long time to show results. Laser surgical treatment for pilonidal sinus is an advanced, highly effective and the safest treatment that can cure pilonidal sinus in less than 3 days.

Can pilonidal sinus cause infection?

Yes, if not treated on time, pilonidal sinus can often become infected. Once infected, the sinus may start oozing pus, blood and release foul odor. An infected pilonidal abscess can be extremely painful. The infected pilonidal tract be either surgically removed or treated.

Is pilonidal sinus operation safe?

Yes, pilonidal sinus operation is a very common anorectal surgery. It is safe and if performed under the supervision of a trained and experienced anorectal doctor, surgical approach can be highly effective in treating pilonidal sinus. Laser surgery is the most effective and safe surgical approach for pilonidal sinus treatment.

What is the permanent solution for pilonidal sinus?

Most anorectal surgeons consider surgery to be the permanent and most effective treatment of pilonidal sinus. While other lines of treatment can provide temporary relief or manage the severity of the condition, permanent cure can only be achieved through surgical treatment.

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Tips to Prevent Pilonidal Sinus From Occurring

As reported by doctors, there are few good practices you can follow to prevent pilonidal sinus from occurring:

  • Try maintaining regular body weight to lower the chances of pilonidal sinus.
  • Avoid sitting for a long duration and take a walk in between to take off the pressure from the area.
  • Trim your hair regularly around your buttocks to avoid ingrown hair.
  • Keep the site clean to maintain hygiene to avoid any infection.

What to expect during recovery after pilonidal sinus surgery?

Pilonidal sinus surgery is a minor procedure that usually lasts 30-50 minutes, depending on the extent of the condition. The patient resumes the normal activities within 2-3 weeks of surgery. However, the complete recovery may take a month. There are a few guidelines given by doctors for smoother and faster recovery:

  • Keep the surgery wound clean and dry to avoid any infection
  • Try using a soft pillow to sit on to avoid any pressure in the area.
  • Avoid wearing tight or body-hugging clothes to avoid any complications at the surgical site.

Advanced Treatment for Pilonidal Sinus in Chandigarh

We want to provide a seamless surgical experience for patients of the pilonidal sinus in Chandigarh. We take care of our patients with the most advanced laser-based treatments at Pristyn Care Laser Clinic. Expert surgeons at Pristyn Care perform surgery with high-precision and technologically advanced equipment. The patients get better faster compared to traditional surgeries as it involves fewer cuts. Also, the treatments deliver long-lasting results and are performed by the best doctors at Pristyn Care in Chandigarh. Our treatments heal faster and you can continue your routine after 2-3 days with certain precautions.

Why undergoing pilonidal sinus treatment is a better option?

According to a study group in Chandigarh, Pilonidal sinus is most common in the 15-30 age group and rare cases in people above the age of 40 years. Nearly 2-5% of the population in Chandigarh is affected by this disease. Also, males are afflicted about 3 times more than females. The reason is that pilonidal sinus occurs in the lower part of the back region and usually affects young, hairy, overweight males who sweat a lot and may sit for long hours. If you are experiencing symptoms of Anal Fistula or taking treatments already, but not getting desired results, schedule an appointment with the best doctor in Chandigarh.

Different surgical treatments for pilonidal sinus

Here are the different surgical treatments for pilonidal sinus treatment:

  • Laser pilonidal sinus treatment- Laser surgery for pilonidal sinus is the most effective treatment for pilonidal sinus. During the procedure, the proctologist uses a high-intensity laser beam to close off the sinus tract. The doctor removes the entire pit of the pilonidal sinus so that the infection does not recur. It is an easier and higher precision procedure to perform as compared to the earlier mentioned types of open surgery. The treatment procedure requires only one day of dressing as there are no wounds left behind to heal. The laser energy also promotes the faster healing of the site of the surgery. Thus, it takes a very short time to completely recover from laser surgery for the pilonidal sinus.
  • Incision and drainage- Incision and drainage is an open surgical procedure recommended mostly when the cyst becomes infected. It is performed with local anesthesia to make the affected area numb. The surgeon makes an incision in the cyst to drain the infectious fluid and pus. The doctor packs the hole with gauze and leaves it open to heal. It can take up to 4-6 weeks to heal the cyst completely.
  • Pilonidal cystectomy- Pilonidal cystectomy is the surgical removal of the entire pilonidal cyst. The treatment is performed after administering general/regional anesthesia. The surgeon makes a cut to remove the affected skin along with underlying hair follicles, tissues, and dead cells. If required, the doctor packs the area with surgical gauze. In cases where the infection is severe, the doctor places a tube to drain the fluid from the cyst. The tube is removed when the entire fluid is drained from the cyst.

Are there any risks and complications involved during pilonidal sinus surgery?

If performed under the guidance and supervision of a trained proctologist, surgical treatment for pilonidal sinus will not cause any risks or complications. But, like any other surgery, there might be some complications, although not severe. Some of them are:

  • Trauma and bleeding to the site – If the surgery is not performed efficiently, there can be a chance of the anal tissues getting injured. Trauma and injury to the anal tissues can even lead to bleeding. If the surgery is performed by an experienced surgeon, the chances of any injury can be cut down drastically.
  • Infection – Like any other surgery, infection is a common side effect/ complication in case of pilonidal sinus surgery too. Infection can lead to nausea and vomiting in the person. Infection, however, is not a very serious problem and can be treated with medicines. The chances of infection in case of open surgery is much higher than in laser surgery.
  • Squamous cell carcinoma – A type of skin cancer that occurs due to uncontrolled growth of the squamous cells. The condition is not very common but not unheard of. To prevent such complications, it is extremely important that the surgery is performed by an experienced and trained surgeon.
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