Hidradenitis Suppurativa Treatment | Pristyn Care

Risk Factors

Risk factors include:

• Obesity and excessive sweating
• Smoking
• Family history of HS
• Hormonal changes
• Diabetes and metabolic syndrome
• Immune dysregulation

Who Is at Risk

Young adults (post-puberty to age 40), women more often than men, those with obesity or a family history of HS, and smokers are at highest risk for perianal HS.

Diagnosis

Diagnosis involves:

• Clinical examination of lesions and sinus tracts
• Hurley staging assessment
• MRI to map extent of deep sinus tracts
• Biopsy to exclude other conditions
• Culture of discharge for secondary infection

Treatment for Perianal Hidradenitis Suppurativa

Pristyn Care provides wide local excision with primary closure or skin grafting for advanced perianal HS, along with medical adjuncts (biologics, antibiotics) for comprehensive disease control.

Procedure

Surgical procedure involves:

• Pre-operative MRI to map all sinus tracts
• Wide local excision under general anaesthesia
• Removal of all involved skin and subcutaneous tissue
• Primary closure, split-thickness skin graft, or flap reconstruction
• Wound care and drain placement as needed
• Medical therapy (biologics/antibiotics) post-surgery for disease control

After the Surgery

Post-operative care includes:

• Regular wound dressing changes
• Antibiotic therapy as prescribed
• Weight management and smoking cessation
• Sitz baths to keep the area clean
• Follow-up biologic therapy if indicated
• Scar management with silicone sheets

Possible Complications of HS Surgery

Potential complications:

• Wound dehiscence or delayed healing
• Graft failure in reconstruction cases
• Recurrence in adjacent areas
• Infection of the surgical site
• Scarring and contracture