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Home > Pilonidal Sinus Treatment

Pilonidal Sinus Treatment

You must get pilonidal sinus surgery immediately as it is a painful anorectal condition that needs surgical intervention. We ensure an efficient patient journey with qualified surgeons, medical care coordinators, paperwork and insurance assistance, and post-surgery care.

You must get pilonidal sinus surgery immediately as it is a painful anorectal ...condition that needs surgical intervention. We ensure an efficient patient journey with qualified surgeons, medical care coordinators, paperwork and insurance assistance, and post-surgery care. Read More

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    Dr. Vipin Nagpal - Pilonidal Sinus Treatment Specialist in Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi, over 31 Years Experience

    Dr. Vipin Nagpal

    MBBS, MS-General Surgery
    31 Yrs.Exp.

    4.5/5

    31 Years Experience

    location iconPristyn Care Elantis Hospital, Lajpat Nagar, Delhi
    Call Us
    080-6542-3711
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    Dr. Rakesh Shivhare - Pilonidal Sinus Treatment Specialist in Opp.Badwani Plaza, Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003, over 30 Years Experience

    Dr. Rakesh Shivhare

    MBBS, MS(GI & General Surgeon)
    30 Yrs.Exp.

    5.0/5

    30 Years Experience

    location iconOpp.Badwani Plaza, Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003
    Call Us
    080-6542-3720
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    Dr. Apoorv Shrivastava - Pilonidal Sinus Treatment Specialist in Pristyn Care Eminent Hospital 6/1 Opp. Barwani Plaza, Manorama Ganj, Old Palasia, Indore - 452018, over 25 Years Experience

    Dr. Apoorv Shrivastava

    MBBS, DNB-General Surgery
    25 Yrs.Exp.

    4.5/5

    25 Years Experience

    location iconPristyn Care Eminent Hospital 6/1 Opp. Barwani Plaza, Manorama Ganj, Old Palasia, Indore - 452018
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    080-6542-3720
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    Dr. Daipayan Ghosh - Pilonidal Sinus Treatment Specialist in Pristyn Care Sheetla Hospital, Sector 8, Gurgaon, over 23 Years Experience

    Dr. Daipayan Ghosh

    MBBS, DNB-General Surgery
    23 Yrs.Exp.

    4.5/5

    23 Years Experience

    location iconPristyn Care Sheetla Hospital, Sector 8, Gurgaon
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    080-6542-3711

What is Pilonidal Sinus?

A pilonidal sinus (PNS) is a small cyst or tunnel that develops at the top of the buttocks, close to the tailbone. It usually appears when dead skin, hair, and debris get trapped in the skin, causing inflammation and infection. Young adults and people with a lot of body hair are more likely to develop this medical condition. A pilonidal cyst can cause pain, swelling, and the development of pus-filled abscesses if left untreated. Surgery is necessary to avoid complications in recurrent cases.

Pilonidal-SinusPilonidal-Sinus
Treatment InformationDetails

Disease name

Pilonidal Sinus

Surgery name

Endoscopic

Duration

15 to 20 Minutes

Treated by

General Surgeon
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Symptoms

Other than a tiny, dimple-like depression on your skin’s surface, you might not notice any symptoms initially. But if the depression gets infected, it will soon turn into a pilonidal abscess(a swollen, inflamed tissue where pus gathers) or a cyst (a closed sac filled with fluid).

The following are the symptoms of an infection:

  • pain when sitting or standing
  • enlargement of the cyst
  • reddish, painful skin surrounding the area
  • pus or blood flowing from the abscess, causing an unpleasant odor
  • hair protruding from the lesion
  • Formation of several sinus tracts or holes in the skin
  • Sometimes the patients may also experience a low-grade fever, though it is far less often

 

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Pilonidal Sinus Causes

When loose hair, debris, or dead skin gets trapped beneath the epidermis, it can cause inflammation and infection and lead to the formation of a pilonidal sinus (PNS). The likelihood of developing this medical condition is increased by several factors mentioned below:

  • Ingrown Hair

Ingrown hair is one of the most common pilonidal sinus cause. Instead of shedding naturally, loose or broken hair from the surrounding skin may penetrate the skin.  This is perceived by the body as a foreign object, which sets off an inflammatory reaction that may lead to an abscess or cyst.

  • Friction and Extended Pressure

Through persistent pressure and friction on the lower back and tailbone region, hair and debris may be pushed into the skin. Prolonged sitting, cycling, and long-distance driving increase the chance of developing pilonidal sinuses.  This condition is more common in people who have a sedentary lifestyle or work in professions that involve prolonged sitting.

  • Excessive Sweating and Poor Hygiene

The area surrounding the tailbone is more prone to infection if it is damp and dirty, which might also promote bacterial growth. Excessive sweating can exacerbate the problem by trapping germs and dead skin cells in the afflicted area, particularly in people with thick body hair. 

  • Changes in Hormones

Due to hormonal changes during puberty, pilonidal sinus is more common in young adults, especially boys. Increased sweat production and oil production can increase the skin’s susceptibility to infection and hair penetration.

  • Genetic Predisposition and Family History

Pilonidal sinus may be genetically predisposed in certain individuals.  Susceptibility may be increased by factors that run in families, such as thicker body hair, deep natal clefts (buttock crease), or excessive sweat gland activity.

  • Excess body hair and obesity

Due to skin folds and extra strain on the tailbone region, being overweight can increase the risk.  People who have thick, curly, or coarse hair are also more vulnerable since their hair is more likely to get stuck in the skin.

At Pristyn Care Hospitals, our team of experts focuses on identifying the root cause of pilonidal sinus and providing the best treatment options for Pilonidal Sinus to ensure long-term relief and prevent recurrence.

Pilonidal Sinus Treatment

  • Conservative treatment

In the mild cases with no serious infection, the doctors may advise non-surgical methods, including applying warm compresses, practicing good hygiene, and removing the hair in the afflicted area. Your doctor may recommend antibiotics if you have an infection.

  • Abscess Drainage

If the pilonidal sinus has developed an abscess, your doctor may perform a minor operation to drain the accumulated pus. This relieves pain and swelling on buttocks right away, but additional care might be required to stop it from developing again.

  • Minimally invasive surgery 

Surgery is usually the best course of action for severe or recurrent cases. Laser pilonidal cyst treatment and sinus tract excision are examples of minimally invasive techniques that can remove the infected tissue with less discomfort and a quicker recovery.

  • Excision and flap surgery 

During complex or chronic cases, the entire sinus tract needs to be removed surgically. For faster healing and reducing the chances of recurrence, your doctor may use the flap-based reconstruction techniques to close the wound. 

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Is pilonidal sinus dangerous?

Pilonidal sinuses are not dangerous in themselves. However, if left untreated, they may lead to several complications, such as abscess, severe pain, recurrent infections, and fistula formation. If left untreated, the condition may get more infected and can cause a painful, swollen lump requiring drainage. It may also cause discomfort and disruptions in daily life, and may lead to severe issues, including an abnormal tunnel(fistula) connecting to the anal canal. Recurrent pilonidal cyst infections can be painful and may lead to an extremely rare complication, called squamous cell carcinoma of the skin.

Risk factors

Although pilonidal sinus can affect anyone, several factors mentioned below increase the possibility of developing the infection.

  • People with prolonged sitting or inactivity experience continuous pressure on the tailbone area, and the friction can push hair into the skin, causing the formation of a pilonidal sinus. 
  • Individuals with excessive body hair & coarse hair type, especially in the lower back area, are prone to developing pilonidal sinus.
  • Excessive sweating and people with poor hygiene struggle with the moist environment that increases the risk of infection and promotes bacterial growth.  
  • Individuals struggling with obesity and high BMI are prone to bacterial growth in the skin folds. 
  • Increased hormonal activity during puberty and adulthood causes the development of bacterial infections 
  • Tight and fitted clothing creates constant friction in the lower back and buttock area, which increases the chances of hair being embedded into the skin
  • People with thick body hair, excessive oil production, buttock crease due to genetic predisposition are prone to developing a pilonidal sinus.

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Frequently Asked Questions

What is a Pilonidal Cyst?

Pilonidal cysts are a sac of skin containing hair and skin debris that develops in the crease of the buttocks near the tailbone. Usually, they are caused by the ingrown hairs that may develop into an infection and abscess, causing symptoms such as pain, swelling, redness, and pus drainage.

Is it good if a pilonidal cyst pops?

It is not advised to pop a pilonidal cyst intentionally as it can spread infection. And if you happen to do it accidentally, clean the area gently and absorb the drainage properly using pads. Consult the doctor for proper treatment and to prevent further worsening of the infection. 

What is a periodontal cyst?

A periodontal cyst is a rare, non-inflammatory cyst that develops along the side of a vital tooth’s root.  Usually, they are well-defined spots in the canine and premolar regions and are discovered during a routine dental X-ray.

Is surgery always needed for perianal sinus?

The surgery is not always needed for a perianal sinus, especially when they are small and not infected. Several lifestyle changes, such as maintaining good hygiene, a regular hair removal routine, and taking regular short breaks to prevent prolonged sitting, will help.

How do you treat a pilonidal cyst on your tailbone?

Mild cases of pilonidal cyst on the tailbone can be treated at home by keeping the area clean, taking warm baths, and other such methods. For severe or recurring cases, surgical methods, such as flap surgery, laser treatment, etc., are required.

What is the Bascom procedure for pilonidal sinus?

It is a specialized surgical procedure to reshape the natal cleft and remove the diseased tissue. Unlike traditional methods, the bascom procedure avoids deep midline excisions and is highly effective in preventing the recurrence of pilonidal sinus. 

How painful is pilonidal sinus surgery procedure?

Depending on the type of procedure, the degree of pain varies in the pilonidal sinus surgery. The patient may experience pain and discomfort for the first few days after the pilonidal sinus procedure, which gradually subsides within a week.  

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MEDICALLY REVIEWED CONTENT

Dr. Pankaj Sareen
🔍REVIEWED BY
Dr. Pankaj Sareen
MBBS, MS - General Surgery
24 yrs experience
Pristyn Care Team
✍️WRITTEN BY
Pristyn Care Team
Healthcare Expert
Updated On · June 02, 2026

What Our Patients Say

Based on 470 Recommendations | Rated 5.0 Out of 5
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    Tushar

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    Overall the services was good

    City : Kochi
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    Abhishhek

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    29 Apr, 2026
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    thumbs upRecommends

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    I was doing my desk job from 25 years and this pilonidal sinus has been started from there and it was really painful but now after that all pain is reducing slowly, a big thanks to the Team Pristyn Care

    City : Raipur
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    27 Apr, 2026
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    Pain near tailbone reduced after surgery and healing was smooth.

    City : Bhubaneswar
    Treated by : Dr. Ravi Sharma
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    Baithne uthne me bahut dikkat thi par ab kaafi aaram hai

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    The services was good and everybody was helpful there.

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    28 Mar, 2026
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    thumbs upRecommends

    5/5

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    Pain and discharge reduced after surgery.

    City : Chennai

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