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Pilonidal Sinus

What is Pilonidal Sinus?

A pilonidal sinus is a small tunnel or hole that develops in the skin, typically located at the top of the cleft between the buttocks, near the tailbone. It often contains hair, dirt, and debris, which can lead to infection and the formation of an abscess. While a pilonidal sinus may not always cause symptoms, it can become painful and swollen when infected, resulting in discomfort, redness, and sometimes pus discharge.

The condition is most common among individuals who sit for long periods — such as drivers or office workers — and those with excessive hair growth in the lower back region. The pilonidal sinus forms when loose or ingrown hairs penetrate the skin due to friction and pressure, causing inflammation and infection.

At Phoenix Proctocare, we provide advanced and painless pilonidal sinus treatment in Kerala using modern laser and minimally invasive techniques. Our expert proctologists ensure faster healing, minimal scarring, and long-term relief. Recognized as one of the best fissure and fistula treatment hospitals in Kerala, Phoenix also offers comprehensive care for piles treatment in Kerala and related anorectal conditions.

  • PROCEDURE NAME : Pilonidal sinus
  • SURGERY TYPE: 1
  • HOSPITALIZATION: 1
  • SURGERY DURATION: 1
  • ANAESTHESIA: 1
  • FULL RECOVERY: 1

TREATMENTS


Diagnosis

At Phoenix Proctocare, the diagnosis of a pilonidal sinus is simple, precise, and painless. In most cases, our experienced proctologists can identify the condition through a thorough physical examination of the area at the top of the buttocks. The pilonidal cyst often appears as a small opening, swelling, or pimple-like bump that may discharge pus or a foul-smelling fluid if infected

During the diagnostic process, our doctors carefully assess the size and severity of the sinus and review the patient’s medical history to understand any recurring infections or related symptoms. In rare or complex cases, advanced imaging techniques such as MRI or CT scans may be recommended to detect deeper sinus tracts or abscess formations beneath the skin.

As one of the best fissure and fistula treatment hospitals in Kerala, Phoenix Proctocare uses modern diagnostic tools to ensure accurate results and tailor the most effective treatment plan for every patient. We also specialize in fissure treatment in Kerala, fistula treatment in Kerala, and piles treatment in Kerala, providing comprehensive anorectal care with expert guidance from the best piles doctors in Kerala.

Surgery

At Phoenix Proctocare, we offer advanced and painless solutions for pilonidal sinus treatment in Kerala, including both medical and surgical options based on the severity of the condition.

When a pilonidal sinus is diagnosed early and shows only mild symptoms, our doctors may prescribe antibiotics to manage infection and reduce pain or swelling. In such cases, patients are also advised to maintain proper hygiene, remove excess hair around the affected area, and attend regular follow-ups to prevent recurrence. However, while antibiotics help relieve infection, they do not eliminate the sinus tract completely.

For chronic or severe cases, surgical treatment may be necessary. Our expert proctologists at Phoenix perform a range of minimally invasive and effective procedures designed to ensure lasting relief and faster recovery.

  • Lancing Procedure:

    Performed under local anesthesia, this procedure involves opening the cyst with a small incision to drain pus and debris. The wound is then cleaned and dressed, allowing it to heal naturally.

  • Wide Excision and Open Healing:

    In this method, the entire sinus tract is surgically removed to reduce the chance of recurrence. Though it takes longer to heal, it offers a permanent solution for complex or recurring cases.

  • Flap Surgery:

    For patients with multiple tracts, a flap of healthy skin is used to close the wound after removing the infected area. While effective, this technique may require extra care during the healing process.

  • Laser Pilonidal Sinus Treatment (OREOL Laser):

    At Phoenix Proctocare, we specialize in laser treatment for pilonidal sinus, one of the most advanced and painless procedures available. The laser precisely removes the infected tissue, seals the tract, and promotes rapid healing with minimal scarring. This modern approach ensures faster recovery, less discomfort, and almost no downtime, making it one of the best alternatives for treating pilonidal sinus effectively.

Symptoms


  • Discomfort while sitting
  • Painful bowel movements
  • Swelling & Itching
  • Excessive Bleeding