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What is Pilonidal Sinus?

Pilonidal sinus is a small hole or channel under the skin and has pus or inflamed fluid accumulation, which may also contain blood. This happens in the cleft, at the lower back or the top of the buttocks. Pilonidal cyst or the sinus may also have hair or dirt accumulation, which may cause severe pain and foul-smelling pus or bloody discharge.

People with regular sitting jobs are at a high risk of developing pilonidal sinus or cyst. It is more common in men, as compared to women. It happens when the hair at the top of the cleft (of the buttocks) gets pushed inside the body, causing dirt to push inside. The condition gets very painful at this stage. In a lot of cases, pilonidal sinus develops from an abscess.



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Abscess formation


Systemic infection throughout the body


Rare chances of skin cancer within the cyst


Wearing Tight Clothes

Hair Puncture

Hormonal changes

Sitting for long hours



Pus or blood draining from the abscess, causing a foul odor

Blood from the opening of the skin

pain when sitting or standing

Pain while sitting

Hair Protruding from the lesion



A proctologist will firstly diagnose the pilonidal sinus by a physical examination. Pilonidal cyst looks like a lump, swelling, or abscess at the top(cleft) of the buttocks, towards the lower back. That is the draining or bleeding area, known as the sinus. The cyst is located at the top of the buttocks, and at times, the doctor may suggest blood tests for proper diagnosis. There is no requirement of imaging tests in cases of pilonidal sinus.


An infected pilonidal sinus can lead to a lot of pain and intense discomfort during everyday activities. Surgery can help resolve this condition, so it’s important to select a treatment method with a proven success rate, such as laser ablation.

Pilonidal sinus laser treatment at Care expert has a high success rate with no risk of recurrence. By choosing this minimally invasive laser treatment, the patient has good hope that this pain-free laser surgery will be the only treatment he will ever need for pilonidal sinus. Laser surgery is a bloodless, pain-free and quick treatment for pilonidal sinus. The laser procedure intends to clean out the infected area and remove the pit so that infection does not occur again.

Why Pristyn Care ?

Pristyn Care is COVID-19 safe

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

Assisted Surgery Experience

Assisted Surgery Experience

A dedicated Medical Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

Medical Expertise With Technology

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

Post Surgery Care

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Pristyn Care in Numbers

60K+Happy Patients

Frequently Asked Questions

How do I know I have Pilonidal Sinus?

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Where does Pilonidal Sinus develop?

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Can a pilonidal sinus heal on its own?

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Is Pilonidal Sinus preventive?

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Can the drainage of pus out from the cyst be done at home?

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How pilonidal sinus is diagnosed?

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Is it safe to undergo surgery for Pilonidal Sinus?

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What is the recovery time of laser surgery for the Pilonidal Sinus?

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Overview of Pilonidal Sinus

Pilonidal sinus is a cyst or small hole formed near the tailbone (just above the natal cleft). The other terms for pilonidal sinus are cyst and abscess The cyst gets filled with pus and becomes inflamed. Along with the pus, the cyst also contains hair, debris, dirt, and some blood. Usually, it also leads to malodorous discharge. It causes itching and ...

excruciating pain. In mild cases, the sinus tends to heal on its own, but mostly, minor surgery is needed. The common reason for pilonidal sinus is unhygienic conditions and long hours of sitting. Shopkeepers and cab drivers who require to sit for long hours at a stretch are more prone to developing a pilonidal sinus.

Quick Facts on Pilonidal Sinus

  • When Pilonidal sinus is left untreated, it may lead to multiple cysts and tracts of the sinus.

  • In severe and rare cases, the chances of developing skin cancer in the cyst are higher.

  • People with excessive, coarse body hair and who sweat a lot are more likely to develop a pilonidal sinus.

  • Males are more likely to develop a pilonidal sinus.

  • Deep natal cleft makes a person more prone to the pilonidal cyst.

Surgical Laser Treatment for Pilonidal Sinus

If the symptoms of pilonidal sinus keep getting severe with time and all the remedies fail, then reach out to your nearest doctor. The modern laser-assisted technique to get rid of pilonidal sinus is more effective than any other remedies. If your condition has reached a stage where surgery is needed, we advise you to immediately reach out to the best pilonidal sinus doctor for the advanced surgical treatment instead of open surgery. Do not delay the treatment, to avoid any complications. The benefits of laser surgery include no diet restrictions, no repeated visits to the hospital. One of the advantages of these surgeries is that they can be done in all age groups as the risk is minimal.

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