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Pilonodal Sinus

A Pilonidal Sinus (PNS) is a small hole or tunnel in the skin, usually located at the cleft of the buttocks near the tailbone (sacrococcygeal region). It often contains hair, dirt, and skin debris and can become infected, forming a painful abscess or pus-filled cyst.

Pilonidal sinus is more common in young adults, especially men, and people who sit for long periods or have coarse body hair.

Best Doctors for Pilonidal Sinus Surgery

Dr. S.C. Sharma

Department Head - Proctology

Best General Surgeon in Gurgaon

Dr. Subhash Chandra Sharma is a highly experienced General Surgeon practicing in T.R.U.E Hospitals, Gurgaon, with over 47 years of expertise in the field. Dr. Sharma completed his MBBS in 1978 and MS in General Surgery in 1981, both from Aligarh Muslim University.

He offers a wide range of surgical services, including sebaceous cyst excision, incisional hernia repair, bariatric (gastric bypass) surgery, endosurgery, and various abdominal procedures.

I believe in personalized care, listening closely to each patient, understanding their unique needs, and partnering with them to create the most effective treatment plan.

Available at: T.R.U.E. Hospitals, Gurgaon
Timing: Mon–Sun | ⏰ 24×7 Open

Pilonidal Sinus Surgery – Risks, Benefits & Treatment Options

A pilonidal sinus is a painful and recurring condition that often requires surgical intervention for long-term relief. Delaying treatment can lead to chronic infection, discomfort, and complications. At T.R.U.E Hospitals, we offer advanced surgical solutions, led by experienced surgeons and supported by dedicated care coordinators. From consultation to post-operative care, we ensure a smooth, efficient, and patient-centric experience, with assistance for insurance and paperwork every step of the way.

How Is Pilonidal Sinus Diagnosed?

A pilonidal sinus is typically diagnosed by a proctologist or a general surgeon through a combination of physical examination and diagnostic tests. Here’s how the diagnosis process typically works:

1. Physical Examination

  • Swelling or redness
  • Tenderness or pain
  • Pus discharge or an opening in the skin.

    • 2. Imaging Tests

    In cases where the sinus tract is deep or recurrent, your doctor may recommend imaging tests such as ultrasound or MRI. These help determine the extent of the sinus and rule out other complications or hidden tracts.

    3. Biopsy (Rare Cases)

    If there's any suspicion of unusual tissue or complications, a biopsy may be performed. This involves sending a small tissue sample for lab analysis to rule out other conditions.

    Surgical Treatment Options for Pilonidal Sinus

    Because pilonidal sinus tends to recur and can lead to ongoing infections, surgery is often the most effective solution. The main goal of surgery is to remove the sinus tract completely, promote healing, and prevent recurrence.

    1. Lancing (Incision & Drainage

    This is typically the first step in treating an infected pilonidal sinus with an abscess. The surgeon makes a small cut to drain pus and relieve pressure. While this offers immediate relief, it may not prevent future occurrences if the sinus tract remains.

    2. Open Surgery (Conventional Approach)

    A small incision is made to drain the infected material, and the wound is either packed with gauze or left open to heal naturally. Antibiotics may be prescribed to prevent further infection.

    3. Laser Pilonidal Sinus Treatment (Minimally Invasive)

    Laser surgery is a modern, minimally invasive technique that treats the sinus tract using targeted laser energy. It requires only tiny incisions and no extensive tissue removal.

    At T.R.U.E Hospitals, we combine surgical expertise with personalized care to provide effective and lasting treatment for pilonidal sinus. Whether you need conventional surgery or are a candidate for laser treatment, our team is here to help you heal comfortably and confidently.

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    FAQ About Pilonidal Sinus Treatment

    Can pilonidal sinus come back after surgery?

    Yes, recurrence is possible, especially if proper hygiene and hair removal are not maintained. Advanced surgical or laser techniques reduce this risk.

    How long is the recovery after pilonidal sinus surgery?

    • Basic I&D: 3–5 days

    • Excision surgery: 2–4 weeks

    • Laser treatment: 7–10 days
      Recovery depends on the technique used and wound care compliance.

    Is pilonidal sinus surgery painful?

    With modern techniques or laser treatment, the procedure is minimally painful, and most patients recover comfortably with medication and proper wound care.

    Can pilonidal sinus heal on its own?

    In rare cases, it may dry up temporarily, but the sinus tract remains and typically recurs. Surgery is usually required for a permanent cure.

    Is pilonidal sinus dangerous?

    Not usually life-threatening, but it can lead to chronic infections, recurrent abscesses, and severe discomfort if left untreated.