Pilonidal sinus
A guide to pilonidal sinus surgery
What is a pilonidal sinus?
A pilonidal sinus is a small tunnel or cavity that develops in the skin at the top of the cleft between the buttocks. It can contain hairs and debris and may become inflamed or infected, sometimes leading to the formation of an abscess.
Symptoms can include pain, swelling and redness in the affected area, as well as discharge of pus or blood from a small opening in the skin. Some people experience repeated episodes of infection, while others may have few symptoms until an abscess develops.
A pilonidal sinus that is not causing problems may not require treatment. If it becomes infected or causes persistent or recurring symptoms, Mr Tewari can assess the area and discuss the most appropriate treatment options with you.
How is a pilonidal sinus treated?
Treatment will depend on whether the pilonidal sinus is infected and how frequently it causes problems. If an abscess has developed, it may need to be drained to relieve pain and remove the infection. Antibiotics may sometimes be prescribed if there is infection in the surrounding skin.
For a pilonidal sinus that repeatedly becomes infected or continues to cause symptoms, surgery may be recommended. This usually involves removing or opening the sinus tract and any affected tissue. There are different surgical techniques available, and the most appropriate approach will depend on the size and complexity of the sinus.
Mr Tewari will assess the affected area and discuss the available treatment options with you before recommending an approach based on your individual circumstances.
What can I expect after pilonidal sinus surgery?
Most people can go home on the same day following pilonidal sinus surgery. Some pain and discomfort around the wound is normal afterwards, and you may be advised to take regular pain relief while the area heals.
How the wound is cared for will depend on the type of surgery performed. Some wounds are closed with stitches, while others are left open to heal gradually and may require regular dressing changes. You will be given advice about keeping the area clean, caring for the wound and gradually returning to your normal activities.
Recovery time varies depending on the procedure and the extent of the sinus. Mr Tewari will explain what to expect following your surgery and provide appropriate aftercare and follow-up advice.
Book an appointment
If you believe you need surgery on a pilonidal sinus or you have been referred to us by your doctor, please contact us to book an appointment.