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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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USFDA-Approved Procedure

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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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  • Complete paperwork assistance
Why Pristyn Care?
  • Private room for patients with attendant stay & meal
  • Affordable/lowest cost treatment
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The diagnosis of Pilonidal sinus require a physical exam & doctor may ask few questions about the symptoms, what supplements or medications you take and from how long you had this problem.


The treatment of Pilonidal Sinus depends on the nature and the type of cyst. You can easily find the best clinics, treatments, centres, and doctors in Hyderabad.

At the early stage, preventive treatment can be done which mainly includes a healthy and hygienic lifestyle. You should not ignore any early symptoms. If you even notice a single symptom, visit a doctor as early as possible and get yourself examined.

If you feel slight pain and irritation in the Sinus, doctors will prescribe you a broad spectrum antibiotic which is used to stop and prevent bacterial infections in the Sinus. However, this treatment may not heal the sinus, but it will give you relief from the discomfort caused by the infection.

This procedure is applied when Pilonidal Sinus/Cysts get filled with mucus or pus. First of all, a local anesthetic will be given to you, then the doctor will open the cyst and will clean away hair, blood and pus present in the cyst. The doctor will pack the wound with a sterile dressing to get it healed. The wound usually heals in the time span of 4–10 weeks.

In this treatment, the doctor will first give you a local anesthetic. Followed by injection of chemical compounds containing phenol which is used as an antiseptic. This procedure will have to be done several times or until the cyst gets hard and closed. However, Phenol injection treatment has a very high recurrence rate.

Laser surgery is regarded as the most effective treatment for Pilonidal Sinus. In this least invasive treatment, a particular laser fiber is used to send high-intensity light energy into the Sinus which destroys the wound and collapses the infected tract. Before this, the patient is provided with local anesthesia to remove the pit and hair strands in the cyst. This is done through a small incision. In many cases, no incision is performed at all; the laser treatment alone is used to heal the cyst. Laser surgery treatment can also be carried out if there is more than one cyst or Sinus tract.

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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.


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A dedicated Care 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.


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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

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.

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Frequently Asked Questions

What is the cost of pilonidal sinus surgery in Hyderabad?

Individuals suffering from pilonidal sinus surgery can avail surgical treatment in Hyderabad at a price range between Rs. 53,000 to Rs. 67,000. This price range is dependent on various factors like the consultation fee, type of hospital, and severity of pilonidal sinus surgery.

Does pilonidal sinus spread?

Pilonidal sinus or pilonidal cyst is a non-contagious skin condition, so, it can’t spread. In case you show symptoms of pilonidal sinus, we suggest you have a consultation with the best doctors and get treated as early as possible.

Will pilonidal sinus go away?

Based on various medical studies, it is believed that non-symptomatic pilonidal sinus can disappear on its own. But, in the case of chronic pilonidal sinus, symptoms may come and go over time. In order to avoid any risks, it is recommended to get diagnosed by an expert doctor and get treated for your pilonidal sinus.

What can happen if the pilonidal sinus is left untreated?

Few people may ignore the severity of pilonidal sinus and may leave it untreated. Leaving pilonidal sinus untreated can cause some complications that can affect your overall health condition. A few of those complications are:

  • abscesses [pockets of infection]
  • recurrent anal infections
  • sinus cavities [empty space beneath the skin]
How long will it take to complete laser pilonidal sinus surgery?

Anorectal surgeons and proctologists can easily perform laser pilonidal sinus surgery. On average, one can take 15 to 45 minutes to complete the laser surgery for pilonidal sinus surgery. However, this is subject to change based on:

  • The expertise of the surgeon
  • Health condition of the patient
  • The severity of the disease
Which is the best hospital to get treated for pilonidal sinus in Hyderabad?

Pristyn Care is one of the best and safest hospitals in Hyderabad, where you can undergo risk-free surgical procedures to get cured of your pilonidal sinus. We offer laser surgery at an affordable cost. We offer various benefits to our patients, which include a free cab facility, a dedicated care buddy, free follow-up session after the surgery, free diet consultation and many more.

What are the hospitals in Hyderabad that are partnered with Pristyn Care?

Below is the list of hospitals that are associated with Pristyn Care in Hyderabad to provide the best surgical experience to patients.

  • Endoviz Hospital
  • Safe Hospital
  • Deccan Hospital
  • Sri Sigma Hospital
  • Citizen Hospital
  • Omni Hospital
  • Sunshine Hospital
Who are the best doctors to treat pilonidal sinus in Hyderabad?

Dr. Kamineni Rajeshwar, Dr. Prudhvinath and Dr. Shashidhara Rao are among the list of best doctors in Hyderabad who can easily cure pilonidal sinus. They reside at Pristyn Care and offer well-customized treatment methods based on the health condition of each patient. If you wish to have a consultation with any of these doctors, you can book an appointment by calling the phone number or filling in the form that is on this page.

Is there any ayurvedic treatment for pilonidal sinus?

The primary treatment for pilonidal sinus in ayurveda is Ksharsutra. This is a special medicated procedure to treat anorectal conditions by using herbal powders and strong alkali. But ayurvedic treatments are not capable of curing the disease from its root and also takes a very long time to show effective results. The only treatment that provides permanent relief from the condition is surgical treatment.

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 can I find the best doctor for pilonidal sinus near me?

To find the best proctologist in Hyderabad who can help you with the best treatment for pilonidal sinus, you need to do a thorough research first. Take references, find out more about the doctor you want to check your condition with. Check for reviews and ratings and see what people are talking about them. Check out the doctor’s educational background and professional experience to evaluate if you can get the necessary treatment or not.

I live in Hyderabad. Can I consult any anorectal specialist online for the condition of pilonidal sinus?

If you are looking for an anorectal specialist in Hyderabad who can provide you treatment for pilonidal sinus, you can contact Pristyn Care. Pristyn Care houses some of the best anorectal specialists in Hyderabad who have years of experience in treating pilonidal sinus with a high success rate.

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.

How to treat pilonidal sinus with homeopathy?

Homeopathy intends to treat pilonidal sinus from the root, but takes a significantly long time to show effective results. Homeopathy treats the condition as a whole, but one needs to continue the medication for a really long time. If your pilonidal sinus is rapidly growing or in case your condition is severe, homeopathy is not not a plausible treatment line for you. In that case, you should consult with a proctology expert and undergo surgical treatment which is likely to cure your condition within the shortest time.

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.

Is pilonidal sinus serious?

While the cyst alone is not very serious, once infected, the condition can be serious. Once the pilonidal sinus gets infected, it forms an abscess, causes pain and discharges smelly discharge. In that case, one should always consult with the doctor and not resort to any other treatment.

I live in Hyderabad. Where can I find a pilonidal sinus specialist who can provide me online consultation?

You can connect with Pristyn Care in Hyderabad in case you are looking for online consultation for pilonidal sinus treatment. Our surgeons provide both online and in-person consultation for every disease treatment. If are looking for online pilonidal sinus consultation, you can either call us or fill the appointment form and speak to our expert doctors.

According to certain reports and surveys, more than 1 million cases of Pilonidal Sinus are reported every year all over the country. Different age groups affected are:

  • Babies (0-2yrs) – very rare
  • Toddlers (3-5yrs) – rare
  • Children (6-13yrs) – rare
  • Teenager (14-19yrs) – rare
  • Young Adults (20-40yrs) – common
  • Adults (41-60yrs) – common
  • Senior (60+ yrs.) – common

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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