PILONIDAL SINUS TREATMENT

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Pilonidal Sinus Treatment

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.

The signs of an infection include:

  • 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
Pilonidal Sinus

How are pilonidal sinuses treated?

Conservative treatment
If your case is diagnosed early on, you aren’t experiencing severe pain, and there’s no sign of inflammation, it’s likely that doctor will prescribe a broad-spectrum antibiotic ( that treats a wide range of bacteria). It’s important to realize that this won’t heal the sinus tract, but it will give you relief from the infection and discomfort.

Lancing
This procedure alleviates symptoms from an abscess, or a collection of pus inside the sinus. They will use a scalpel to open the abscess and clean away any hair, blood, and pus from inside the abscess. Doctor will pack the wound with sterile dressing and allow it to heal from the inside out. The wound usually heals within four weeks, and many people don’t require any further treatment.

Phenol injection
For this type of treatment, Doctor will then inject phenol, a chemical compound used as an antiseptic, into the cyst. This procedure may need to be repeated several times. Eventually, this treatment will cause the lesion to harden and close.

Surgery
If you have a recurring PNS or if you have more than one sinus tract, surgical procedure is recommended. The surgeon will open the lesions, removing all of the pus and debris. Once this process is complete, the surgeon will stitch the wounds closed.