Perianal Abscess
What is Pilonidal Sinus?
A Pilonidal Sinus (PNS) is a small cyst or abscess that occurs in the natal cleft (the top of the buttocks), just above the tailbone. It often contains hair, dirt, and debris, and can lead to severe discomfort if infected.
- Typically affects young adults, especially males
- Can cause pain, swelling, pus discharge, and foul odor
- May lead to multiple sinus tracts or pits on the skin
What is Pilonidal Sinus?
The exact cause isn’t fully known, but common contributing factors include:
- Hormonal changes (especially during puberty)
- Ingrown or coarse body hair
- Constant friction or pressure from prolonged sitting
- Poor hygiene
Risk Factors:
- More common in males
- Prolonged sitting (Drivers, IT professionals, Students)
- Obesity
- Wearing tight clothing
- Thick or curly body hair
- Deep buttock cleft and poor hygiene habits
Symptoms of Pilonidal Sinus:
- One or more small openings (sinus tracts)
- Red, painful, swollen area near the tailbone
- Discharge of pus or blood (often foul-smelling)
- Pain while sitting or standing
- Visible hair in the sinus opening
Best Pilonidal Sinus Treatment in Surat – At Star Surat Piles & Colorectal Clinic
We provide comprehensive and advanced treatment options for PNS, including non-surgical and surgical procedures.
Non-Surgical Treatment (Initial Stages Only)
- Painkillers for discomfort
- Anti-inflammatory medications to reduce swelling
- Antibiotics in case of small abscess formation
“Medications only relieve symptoms – they do not remove the sinus tract permanentl”
Advanced Surgical Options:
Laser Pilonidal Sinus Surgery (LHP) – Latest and Minimally Invasive
Offered at Star Surat Piles & Colorectal Clinic, this is one of the best Pilonidal Sinus treatments in Surat.
Procedure Highlights:
- A small cut is made
- Pus, debris, and hair are cleaned
- The sinus tract is sealed using LASOTRONIX 1470 nm laser technology
Procedure Highlights:
- Minimal pain and scarring
- Daycare procedure
- Very few dressings required
- Early return to work
- Patient can sit and walk the same day
Plastic Surgery Techniques (for complex or recurrent cases):
1. Limberg Flap / Gluteal Flap Surgery
- Entire infected area is excised
- A rotated flap from nearby skin and fat is used to fill the cavity
2. Z-Plasty
- Triangular flaps from both sides of the cleft are repositioned across the midline
- Converts a straight scar into a Z-shaped closure to reduce recurrence
Other Surgical Procedures:
- Excision with Primary Closure
- Excision and Secondary Healing
- Excision with Marsupialization
- Cleft Lift / Modified Karydakis Procedure
Why Choose Star Surat Piles & Colorectal Clinic for Pilonidal Sinus?
- Specialized in Colorectal and Laser Surgeries
- Experienced surgeons using cutting-edge LASOTRONIX 1470 nm laser
- Tailored care plans for early healing and minimal recurrence/li>
- One of the most trusted centers for PNS treatment in Surat