Pilonidal Sinus

A Pilonidal sinus (PNS) is a small hole or tunnel in the skin. It may fill with fluid or pus, causing the formation of a cyst or abscess.

It occurs in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected. If it becomes infected, it may ooze pus and blood and have a foul odor.

A PNS is a condition that mostly affects men and is also common in young adults. It's also more common in people who sit a lot, like cab drivers

  • Pain when sitting or standing
  • Swelling of the cyst
  • Reddened, sore skin around the area
  • Pus or blood draining from the abscess, causing a foul odor
  • Hair protruding from the lesion
  • Formation of more than one sinus tract, or holes in the skin

How are Pilonidal Sinuses treated?

Initially conservative treatment is advised, by removing hair and dressing and antibiotics.

Surgical intervention by Lancing, Phenol injections and open surgeries, and flap reconstructions causing major discomfort and recurrences are reduced by using LASER treatment under local anaesthesia in a daycare setup. This has revolutionized the treatment of Pilonidal Sinus.