What is Pilonidal Sinus?

Pilonidal sinus is a small hole or channel under the skin and has pus or inflamed fluid accumulation, which may also contain blood. This happens in the cleft, at the lower back or the top of the buttocks. Pilonidal cyst or the sinus may also have hair or dirt accumulation, which may cause severe pain and foul-smelling pus or bloody discharge.

People with regular sitting jobs are at a high risk of developing pilonidal sinus or cyst. It is more common in men, as compared to women. It happens when the hair at the top of the cleft (of the buttocks) gets pushed inside the body, causing dirt to push inside. The condition gets very painful at this stage. In a lot of cases, pilonidal sinus develops from an abscess.

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    Overview

    Causes

    Wearing Tight Clothes

    Hair Puncture

    Hormonal changes

    Sitting for long hours

    Obesity

    Symptoms

    Pus or blood draining from the abscess, causing a foul odor

    Blood from the opening of the skin

    Pain when sitting or standing

    Pain while sitting

    Hair Protruding from the lesion

    Treatment

    Diagnosis

    A proctologist will firstly diagnose the pilonidal sinus by a physical examination. While examining, the doctor may ask you the following questions too.

    • Have you or anyone in your family had the problem before?
    • When did you first notice the symptoms?
    • Do you feel pain while passing stool?
    • Are you taking any medicines for your symptoms right now?

    Surgery

    Surgery is important to drain the pilonidal sinus. Surgery is also recommended if the pilonidal sinus causes pain and infection. At Pristyn Care, pilonidal sinus is treated by laser surgery, In this process, the surgeon makes an ablation in the sinus tract using a laser fiber. The incisions are 1 cm in length at maximum. The tract helps in efficient drainage of the sinus tract and facilitates fast healing of the wound.