Pilonidal Sinus
A pilonidal sinus is a small cyst or tunnel near the tailbone containing hair and debris. Laser pilonidoplasty (LPP) offers a minimally invasive cure with quick healing.
Overview
A pilonidal sinus forms in the natal cleft (the crease between the buttocks) when loose hairs penetrate the skin and become embedded, triggering a foreign-body reaction and infection. It's most common in young adults, especially men, and those who sit for long periods. If infected, it forms a painful abscess.
Laser pilonidoplasty (LPP) destroys the sinus tract with laser energy through a tiny incision, without the need for wide excision or open wounds. Recovery is dramatically faster than traditional surgery — most patients return to normal activities within days, not weeks.
Causes
- Ingrown or loose hairs penetrating the skin
- Prolonged sitting and friction
- Excessive sweating and poor hygiene
- Obesity
- Family history
- Thick, coarse body hair
Symptoms
- Small pit or dimple near the top of the buttock crease
- Pain, swelling, and redness at the tailbone area
- Pus or blood discharge from the opening
- Fever if an abscess forms
- Pain when sitting or bending
Diagnosis
- Physical examination — identifying characteristic midline pits
- Probing the sinus tract to determine depth and direction
- Ultrasound or MRI — for recurrent or complex cases
Treatment Options
Laser Pilonidoplasty (LPP)
Radial laser fibre inserted through a small opening ablates the sinus tract. Minimal wound, same-day discharge.
EPSiT (Endoscopic Pilonidal Sinus Treatment)
A tiny endoscope visualises and clears the sinus cavity under direct vision.
Wide excision with primary closure
Surgical removal of the entire sinus with stitches. Longer recovery.
Laser hair removal
Permanent hair reduction in the area to prevent recurrence after surgery.
Frequently Asked Questions
Can pilonidal sinus recur after laser treatment?
Recurrence after LPP is under 5%, compared to 10-20% with traditional surgery. Laser hair removal around the area further reduces risk.
How long is recovery from laser pilonidoplasty?
Most patients return to work in 2-4 days. The tiny wound heals completely in 2-3 weeks with minimal dressing requirements.
Ready to Discuss Your Treatment?
Our pilonidal sinus specialists in Kondapur are here to help. Most consultations available within 24 hours.