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More about Pilonidal Sinus

Pilonidal sinus is also known as pilonidal cyst, it is a small hole or tunnel under the skin that may possibly fill with fluid or pus. This commonly happens in the cleft, usually at the lower back or the top of the buttocks. A pilonidal sinus is mainly affecting men as compared to women and is also normal in young adults. It’s also more common in people who have a sitting job, like cab drivers. Moreover, a pilonidal cyst usually contains dirt, hair, and debris. It may cause severe pain and can often convert in infection. It may ooze pus and blood and have a foul odor, if it becomes infected.

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Overview

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Treatment

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Diagnosis

A proctologist will primarily diagnose the pilonidal sinus by a physical inspection. While examining, the surgeon needs to know the following questions.

  • Have you or anyone in your family had problem of pilonidal sinus before?
  • When did you first see the symptoms?
  • Do you feel pain or fever while passing stool?
  • Are you taking any medications for your symptoms right now?
  • What kind of medications or supplements do you take?

 

Key Treatments of Pilonidal Sinus

Conservative treatment: If your diagnosed is complete early, you aren’t feeling severe pain, and there’s no sign of inflammation, it’s expected that your proctologist will prescribe a broad-spectrum antibiotic that treats a wide range of bacteria. In addition, this won’t heal the sinus tract, but it will help you from the infection and discomfort. Your surgeon will suggest you to get a follow-up check, regularly remove hair or shave the site, and pay particular attention to hygiene.

Lancing treatment: This treatment relieves symptoms from an abscess, or a collection of pus inside the sinus. Your proctologist will give you a normal anesthetic before this procedure. Moreover, they will use a scalpel to open the abscess after the procedure. They will clean away any blood. hair, and pus from inside the abscess. Your surgeon will pack the wound with sterile dressing and allow it to heal from the inside out. The wound mainly heals within four weeks, and many patients don’t require any further treatment.

Surgery: Your doctor will recommend a surgical procedure in case you have a recurring Pilonidal sinus or if you have more than one sinus tract. Surgery is essential to drain the pilonidal sinus. You will first be given a general anesthetic. Afterward, the proctologist will open the lesions, removing all of the debris and pus. After these procedures is complete, the doctor will stitch the wounds closed. Then, your surgeon will explain how to change the dressings and will recommend shaving the site to prevent hair from increasing into the wound.

Phenol injection: Your doctor will first give you a general anesthetic for phenol injection treatment. After that, they will inject phenol which is a chemical compound used as an antiseptic, into the cyst. This procedure may require to be repeated two three times. In the end, this treatment will cause the lesion to harden and close. This treatment also has an excessive recurrence rate.

Frequently Asked Question

Depending on the seriousness of the disorder and the type of treatment, a pilonidal sinus will generally clear up within 4 to 10 weeks

Pilonidal sinus is a cyst or a small hole that can occur near the tailbone that is located just above the natal cleft. The cyst covers pus and is inflamed. The cyst also contains debris, hair, dirt, and some blood. The sinus causes itching and excruciating pain.

A pilonidal sinus can heal on its own in some cases. Nonetheless, then it can recur and cause other infections also. Therefore, it is recommended to undergo laser surgeries that provide permanent assistance and it is completely painless.

Yes, it is completely preventive. It can be prevented by keeping the area neat and clean, losing weight if required or not sitting long without any break. But once grew, it can be treated with surgeries, especially laser-based.

Pilonidal sinus can be diagnosed with the physical check of the affected area. Additionally, there are other tests that can be done if there are complications or if the surgeon finds that there are some other causes.

Recovery time depends upon the patient's condition and it mainly varies between 12- 25 days.

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Pilonidal Sinus Management

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