Pilonidal Sinus – Causes, Symptoms & Modern Treatment in Thane
A pilonidal sinus is a small cyst or tunnel that forms near the tailbone, often containing hair, skin debris, and bacteria. It can cause pain, swelling, and recurrent infections. If untreated, it may lead to abscess formation or chronic sinus disease. Early evaluation and treatment prevent complications and ensure quick recovery.
🔍 What Is a Pilonidal Sinus?
- Most commonly occurs near the cleft of the buttocks
- Can be congenital (present from birth) or acquired (develops over time due to friction or hair penetration)
- Chronic infection can lead to multiple sinus tracts
⚠️ Causes & Risk Factors
- Ingrown hairs – hair penetration into skin triggers inflammation
- Prolonged sitting – pressure and friction in the sacrococcygeal area
- Obesity – increases skin folds and friction
- Poor hygiene – increases infection risk
- Trauma or irritation – repeated injury to the tailbone area
- Family history – may predispose some individuals
🩺 Symptoms of Pilonidal Sinus
- Pain or tenderness near tailbone
- Swelling or lump that may be red and warm
- Pus or blood discharge
- Foul odor from discharge
- Recurrent abscesses
- Fever (if infection is severe)
Chronic sinus may remain asymptomatic until infection occurs.
🧪 Diagnosis of Pilonidal Sinus
- Physical Examination – visual and palpation assessment of sinus
- Ultrasound – to map sinus tract
- MRI / Fistulogram – in complex or recurrent cases
- Blood Tests – if infection suspected (CBC, CRP)
💊 Treatment Options
1️⃣ Conservative Management (Early/Minor Cases)
- Hygiene and hair removal
- Warm compresses to reduce inflammation
- Antibiotics for infection
2️⃣ Procedures & Surgery (Definitive Treatment)
- Incision & Drainage – for acute abscess
- Excision & Primary Closure – removes sinus, closes wound immediately
- Excision & Secondary Healing – wound heals naturally to reduce recurrence
- Flap Surgery – for recurrent or complex sinus (e.g., Limberg flap)
- Laser Hair Removal – adjunct therapy to prevent recurrence
3️⃣ Post-Surgery Care
- Keep area clean and dry
- Avoid prolonged sitting initially
- Regular follow-up for wound healing
- Hair removal to prevent recurrence
⚠️ When to See a Doctor Immediately
- Sudden severe pain or swelling
- High fever or chills
- Spreading redness or warmth
- Persistent pus or foul discharge
- Recurrence after previous surgery
Prompt treatment prevents chronic infection and reduces recurrence risk.
👨⚕️ Why Consult Dr. Ankur Bhanushali?
- Expertise in pilonidal sinus surgery
- Advanced minimally invasive and flap techniques
- Accurate mapping of sinus using ultrasound and imaging
- Emergency care for abscess drainage
- Personalized post-operative care for faster recovery
🏥 FULL CLINIC & HOSPITAL DETAILS
Dr. Ankur Surgical Clinic
Shop No 4, Laxmi Krupa, Edulji Road, Charai, Thane West – 400602
📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
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Aayush Multispecialty Hospital
👨⚕️ Dr. Ankur Bhanushali – General & Laparoscopic Surgeon
1st Floor, Marigold Apartment, Almeda Road, Panch Pakhdi, Thane West – 400602
🌐 https://drankurbhanushali.com
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📞 +91 86910 33033
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