Dr. Kamathe Piles Hospital

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Cashless Facility Available, Mediclaim Reimbursement Available, Video Rectoscopy Available, Laser Treatment Available . Branches - Pune , Mumbai.

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+91-8888866185
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Pilonidal Sinus Treatment

About Pilonidal Sinus Treatment

The best treatment for pilonidal sinus can only be found at Dr. Kamthe’s Piles Clinic. The most advanced laser clinic in Pune is Dr. Kamthe’s Piles Clinic. A wide range of other diseases are expertly managed by expert doctors in our hospital, in addition to the pilonidal sinus. Under the direction of one of top surgeons, he finished a certified laser training program.

What is Pilonidal sinus?

A disease known as a pilonidal sinus occurs when a tiny tunnel forms in the area of the buttocks, or in the clefts of the anal area. Hairs, dirt, and debris are stored in the pilonidal sinus. They hurt, and in more serious situations, the infection oozes pus, blood, and an unpleasant stench. The disorder is more common in men, young adults, and people who spend a lot of time sitting down, like drivers. Generally, pilonidal sinus is found in youngsters at the age 22-40.

There are three classes as:

  • Acute Pilonidal abscess
  • Chronic Pilonidal disease
  • Complex or recurrent Pilonidal illness

Preventive Measures

  • Regular washing the area on a daily basis with a soft soap
  • Keep the anal area clean and dry
  • Ensure that there were no hairs present around the sinus
  • Avoid prolonged sitting

What are the causes?

Although the precise cause of the illness is unknown, the following factors could be to blame:

  • Hormonal changes
  • Extra hair growth
  • Tight fitting clothes and irritations caused by them
  • Long-term sitting pushes the hairs to sit back below the skin.

The body considers this hair as the external object and develops antibodies for that. The antibody reaction ends with cyst and person gets many sinuses aligned to the skin.

Pilonidal Sinus Symptoms

The disease’s main signs and symptoms are little, dimple-like clefts that form on the skin’s surface. Following infection, they may develop a pus-filled abscess or a cyst.

  • Prolonged sitting or standing gives pain
  • Inflammation around the cyst
  • Redness surrounding the skin
  • Pus and blood flow with the faulty smell from the ulcer
  • Development of one or more sinus tunnels in the skin
  • The patient may have a fever

Pilonidal Sinus Treatments

Pre and Post-Surgery Instructions

  • Clean the wound and again pack with dressing regularly
  • Take a shower by removing the dressings from injury
  • Visit the physician a couple of times to check the wound healing
  • Take proper rest, get enough sleep
  • Start walking that improves the blood circulation
  • Take the regular shower and pat dry the incision area with a towel.
  • Avoid resting for a long time or sitting on solid surfaces
  • Drink plenty of liquids
  • Avoid constipation and strain while bowel actions

Myths about Pilonidal Sinus

  • A pilonidal cyst is an inherent disorder
  • The disease doesn’t need any treatment it heals on its own
  • Incorrect sanitation generates this disease
  • Pilonidal sinus is incurable
  • It requires complicated surgery
  • It reoccurs often

Advantages of Laser Treatment for Pilonidal Sinus Over Conventional Surgical Methods

Main Feature Laser Surgical Procedure
Patient Hospital Stay
Day care
3-7 Days
Pain (Post-Operative)
Depend upon varies case to case
High
Recovery Time
Depend upon varies case to case
7 - 15 Days
Recurrence
Low
High
Complication
Low
High

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FAQ's

Hair and skin debris are found in the pilonidal sinus or cyst. It may cause an infection behind the skin, in which case surgery is advised. It is not a significant or hazardous issue.



  • If the pilonidal sinus is not infected, surgery is not necessary. Certain precautions can be taken at home to aid in its recuperation. Among these precautions are: 
  • keeping the area clean and dry.
  • Avoid sitting for long periods.
  • Hairs in the area should be removed.
  • If there is pus flow from the cyst, surgery is advised.

Pilonidal sinuses or cysts are caused by thick body hair, particularly coarse and curly hair. It is more common in men, although it can also affect women.



LPP (Laser Pilonidoplasty) is a Pilonidal Sinus Advanced Laser Procedure. The primary benefit of LPP is speedier healing with little pain and recurrence rate.



Pilonidal sinus is both treatable and preventive. If the cyst is contaminated, a sophisticated laser therapy can cure it.



The majority of Pilonidal sinus procedures are performed under general anesthesia. So, other than a pinprick, you won’t feel much. After that, it’s exactly like falling asleep.



Soon after your operation, you may feel some discomfort and pain as the effect of the anaesthetic medicine wears off. However, painkillers should solve your problem. You can start having sips of water after a couple of hours, and an hour thereafter, a regular full diet can be started.



You can begin walking the next day. There is no need to alter your restroom habits. You will most likely require time off from work, however this will depend on how you are feeling and the type of work you do. After laser surgery, you can return to work on the third day. If you have had a flap operation or have stitches, you can return to the office after two weeks. Strenuous labor should be avoided for the first two weeks in any case. You can begin light to moderate activity as soon as you feel ready. If you have sutures, you must avoid activities that will disrupt the stitches for up to 4 weeks.



  • Whatever type of operation you have (open or closed), it is critical to maintain the wound site clean. We will instruct you on how to proceed, which may include the following guidelines:
  • If you have an open wound, take a bath at least once every day. Avoid taking a bath if your wound is stitched, as it may be recommended to keep it dry for the first few days.
  • When bathing an open wound, avoid using soap because it may irritate the skin. Use plain water instead.
  • Dry the area with a gentle cloth or towel. Do not rub, just dab to dry.
  • Do not use talcum powder.
  • Wear loose-fitting cotton underpants.
  • Eat high-fiber foods to soften your stools, so you don’t have to strain during defection, which may cause unnecessary straining in the wound area.

  • Following your operation, you may want assistance if you have:
  • Excessive pain that is not alleviated by pain relievers.
  • The wound turns red and bloated.
  • Fever more than 38 C (100.4 F)
  • The wound is oozing blood, pus, or fluid.
  • The wound has a foul odor.

The problem of recurrence is constantly present since the cause of Pilonidal sinus is excessive thick hair that splits and becomes entrenched in the skin. The recurrence can be greatly reduced by employing temporary procedures such as razors, hair removal lotions, and so on. However, it is exceedingly inconvenient for patients to do this daily, especially in such an inaccessible place of the body. Permanent hair reduction with lasers (Diode, Nd-YAG) is thus recommended to minimize hair growth and thickness in the area.



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