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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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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.


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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:
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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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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.
Although pilonidal sinus can affect anyone, several factors mentioned below increase the possibility of developing the infection.
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.
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.
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.
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.
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.
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.
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.
charan
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Recently my Son undergone Philodinal Sinus surgery which was coordinated by Pristyn care. Doctor Mr. Raja was very friendly and treatment and care taken was excellent. Post surgery dressing also done by doctor only for almost two weeks. Pristyn care took responsibilty of selection of hospital, Doctor, admission, discharge and cashless medical claim. Really satisfied with the service rendered.
Irshad, 25 Yrs
Recommends
Recommends
The pristyn care coordination staff are very supportive and helpful, highly recommended
Danish Khan, 31 Yrs
Recommends
Recommends
Great experience, minimal time and no post surgery complications
Priya Sharma, 26 Yrs
Recommends
Recommends
I was suffering from the pilondial sinus it hurts me alot while siting and walking but after the treatment with the help of dr soumitra manwatkar she helped me with the surgery and the treatment and the help she provide me after the treatment, she was very helpful and kind.
Sneha, 32 Yrs
Recommends
Recommends
This thing is killing me from inside andd the treatment was done by the Doctor Soumitra manwatkar and the tretament was very easy and seamless without any major pain the hospital and the OT experience was good. But before the treatment i was feeling very underconfident and in pain unable to wear the clothes comfortabily but after treatment i am very relaxed thnx to doctor and pristyncare.
Mohit Chawla, 41 Yrs
Recommends
Recommends
Pain was so unbearable it is on my back which stops me to doing my daily chores, but after the treatment with the help of the doctor vipul parmar and the hospital and the staff i was satisfied with the treatment and everything.
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