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Pilonidal Sinus Treatment: A Comprehensive Guide

10:31 PM Mar 06, 2023 IST | pallavvjain
pilonidal sinus treatment  a comprehensive guide

At some point in life, you might hear about a pilonidal sinus or cyst. It is a common skin condition that often occurs in the area between the buttocks. The problem is characterized by a small hole or tunnel that connects the skin to the underlying tissues. People with pilonidal sinuses often experience pain, swelling, and drainage of pus from the affected area.

In this article, we will cover everything you need to know about pilonidal sinus treatment. From understanding the causes of the problem to exploring the various treatment options available, we will leave no stone unturned in helping you manage this condition.


What causes pilonidal sinuses?

While the exact cause of pilonidal sinuses is not clear, it is believed to be associated with hair growth and friction in the affected area. People with a lot of hair in the buttock region, those who sit for long hours, and those with poor hygiene are at a higher risk of developing pilonidal sinuses. Additionally, people with a family history of the problem or a history of previous injury in the area are also at risk.

What are the symptoms of pilonidal sinuses?

The symptoms of pilonidal sinuses vary from person to person. Some people might have no symptoms at all, while others experience severe pain and discomfort. The common symptoms of the problem include:


  1. A small hole or tunnel in the skin between the buttocks
  2. Pain and swelling in the affected area
  3. Redness and warmth around the hole
  4. Drainage of pus or blood from the hole
  5. Foul smell from the drainage
  6. Itching and irritation in the area
  7. Fever and chills in severe cases

How is pilonidal sinus diagnosed?

Diagnosing a pilonidal sinus involves a physical examination of the affected area. Your doctor might ask you questions about your symptoms, medical history, and lifestyle habits. They might also conduct tests to rule out other conditions that might cause similar symptoms.

In some cases, your doctor might perform an ultrasound or MRI to get a clear picture of the extent of the problem. This will help them determine the best treatment approach for you.


What are the treatment options for pilonidal sinuses?

Here are some of the most common treatment options for Pilonidal Sinus:

  1. Antibiotics:

If your Pilonidal Sinus is infected, your doctor may prescribe antibiotics to help clear up the infection.


  1. Incision and Drainage:

In some cases, your doctor may need to make a small incision in the skin to drain any pus or fluid that has accumulated in the affected area.

  1. Laser Hair Removal:

Laser hair removal can be an effective way to prevent hair from accumulating in the affected area, which can help prevent the formation of a Pilonidal Sinus.

  1. Surgery:

If your Pilonidal Sinus is severe or recurrent, your doctor may recommend surgery. There are several surgical options available, including:

  1. Excision: This involves removing the entire affected area, including the sinus and any surrounding tissue.
  2. Flap Closure: This involves using nearby skin to cover the affected area after the sinus has been removed.
  3. Bascom Procedure: This involves removing the sinus and any surrounding tissue, and then reshaping the area to prevent a recurrence.

Kindly book your appointment with the best doctor for Pilonidal Sinus Treatment in Delhi

How to prevent pilonidal sinuses?

While pilonidal sinuses are not entirely preventable, there are some measures you can take to reduce your risk of developing the problem. These include:

  1. Keeping the affected area clean and dry
  2. Avoiding prolonged sitting or pressure on the buttocks
  3. Shaving or waxing the hair in the affected


Q: Is Pilonidal Sinus contagious?

A: No, Pilonidal Sinus is not contagious.

Q: Can Pilonidal Sinus go away on its own?

A: No, Pilonidal Sinus typically requires medical treatment to heal.

Q: How long does it take to recover from Pilonidal Sinus surgery?

A: Recovery time can vary depending on the type of surgery you have and the severity of your condition. In general, it can take several weeks to fully recover from Pilonidal Sinus surgery.

Q: Can Pilonidal Sinus come back after surgery?

A: Unfortunately, there is a risk that Pilonidal Sinus can come back after surgery. However, the risk can be reduced by following your doctor’s post-surgery instructions and taking good care of the affected area.

Q: What can I do to prevent Pilonidal Sinus?

A: To reduce your risk of developing Pilonidal Sinus, you can take the following steps:

  1. Practice good hygiene, including keeping the affected area clean and dry.
  2. Avoid prolonged sitting or driving, as this can put pressure on the affected area.
  3. Lose weight if you’re overweight or obese, as this can increase your risk of developing Pilonidal Sinus.
  4. Avoid wearing tight clothing that can rub against the affected area.


Pilonidal Sinus can be a painful and uncomfortable condition, but there are many effective treatment options available. If you’re experiencing symptoms of Pilonidal Sinus, it’s important to seek medical attention right away.

Your doctor can recommend the best treatment option for you based on the severity of your condition and your overall health. With proper treatment and care, most people with Pilonidal Sinus can make a full recovery and prevent a recurrence.

By taking steps to prevent Pilonidal Sinus, such as practicing good hygiene and avoiding prolonged sitting or driving, you can reduce your risk of developing this condition in the first place.

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Pallav Jain

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Pallav Jain is co-founder of Ground Report and an independent journalist and visual storyteller based in Madhya Pradesh. He did his PG Diploma in Radio and TV journalism from IIMC 2015-16.

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