What is Pilonidal sinus ?
  • The term pilonidal is derived from the Latin pilus (hair) and nidus (nest).
  • Pilonidal sinus disease is a disease of the inter-gluteal region*, characterised by the formation of a sinus in the cleft of the buttocks.
  • A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft).
  • It may fill with fluid or pus, causing the formation of a cyst or abscess. A pilonidal Cyst usually contains hair, dirt and debris
What causes pilonidal sinus?
  •  Ingrown hair
  • Friction from clothes
  •  Spending a long time sitting.
  • Congenital, it probably began as a defect that existed when you were born
  • Acquired, it may be the enlargement of a simple hair follicle infection or the result of a hair penetrating the skin and causing an infection.
  • Another theory is that pilonidal cysts appear after a trauma to that region of your body
What Is The Risk factors of pilonidal sinus ?
  • Dr Ashish BhanotWearing Tight Clothes
  • Hairs Puncture
  • Hormonal changes
  • Rubbing the skin hardly creating the opening for the hair fall area Sitting for long hours
  • Personal or family history of similar problems such as acne, boils, carbuncles, folliculitis, and sebaceous cysts
  • Large amounts of hair in the region
  • Tailbone injury
  •  Horseback riding, cycling
  •  Prolonged sitting
  • Obesity
What Are The Symptoms Of Pilonidal Sinus ?
  • Pain, redness, and swelling at the bottom of the spine
  • Pus or blood draining out of it
  • Bad smell from the pus
  • Tenderness to the touch
  • Fever
  • They can vary in size. Yours may be a small dimple or cover a large, painful area.
Treatments of Pilonidal sinus
  1. Uninfected pilonidal sinus:- A pilonidal sinus that's not infected Treatment is not needed if there are no signs of infection. A "watch and wait" approach will be recommended. It's very important to keep the area between your buttocks clean by showering or bathing regularly.
Do not shave the affected area unless a GP advises you to.
  1. Infected pilonidal sinus:- Treatments of infected pilonidal sinus
Treatment for an infected pilonidal sinus will depend on:
  • Your symptoms
  • The size of the sinus
  • Whether it's your first sinus or it keeps coming back A pilonidal sinus abscess will need treatment with:-
  1. antibiotics,
  2. painkillers, such as paracetamol and anti-inflammatories to help reduce pain and swelling.
  3. The pus inside will also probably need to be
There are a number of treatment options for a pilonidal sinus that keeps coming back and that's painful, bleeding or leaking discharge. Your doctor will discuss these with you. In most cases you'll be offered.
  1. Surgical treatment:-
Incision and drainage Hospital procedure for an uncomplicated abscess. A small hole is made in the abscess so the pus can be drained.
  • A Under general anaesthetic or local anaesthetic, depending on the size of the abscess
  • A Hospital stay (you can leave the same day)
  • A Regular (daily) dressing changes
  • A Recovery time is 4 to 6 weeks
  Wide excision and open healing Surgery for a large or repeatedly infected sinus:- The sinus is cut out and some surrounding skin removed.
  • A The wound is left open to heal naturally.
  • A General anaesthetic/regional
  • A Hospital stay (you can usually leave the same day)
  • A  Regular (daily) dressing changes
  • A  Lowest risk of sinus coming back
  • A  Recovery time is 6 to 12 weeks
  Surgery to remove sinus (wound closed)   Excision and wound closure, often with flattening of the groove between the buttocks Surgery for a large or repeatedly infected sinus. The sinus is removed and an oval-shaped flap of skin cut out on either side of it. The 2 sides are stitched together.
  • A general anaesthetic/regional
  • A  hospital stay (you can usually leave the same day)
  • A stitches removed about 10 days after the operation
  • A quicker recovery time than wide excision and open healing
  • A higher risk of infection (the wound may need to be opened and dressings changed regularly)
What Is Procedure to clean sinus and encourage healing ?
Endoscopic ablation for a pilonidal sinus Hair and infected tissue are removed, and the sinus cleaned with a special solution. Heat is used to seal the sinus.
  • Spinal or local anaesthetic
  • Hospital stay (you can usually leave the same day)
  • Less invasive than surgery as no cut needed
  • Good success rate with low risk of complications
  • Recovery time is about a month to completely heal (but can be quicker)
Dos and Don'ts after your operation
  • Keep the affected area clean
  • A wear comfortable, loose-fitting cotton underwear
  • A eat plenty of fibre to make going to the toilet easier and avoid straining
  •  Do not lift heavy objects or do strenuous exercise for the first week or so
  • Do not ride a bike for 6 to 8 weeks
  • Do not go swimming until your wound has completely healed
How soon you can return to work ?
How soon you can return to work depends on:
  •  the procedure you had
  • How quickly you recover
  • The type of job you do
Most people are able to return to work within 2 weeks of surgery. Your surgeon will be able to give you more advice about your recovery.
How do you sit after pilonidal sinus surgery?
  • Rest when you feel tired. ...
  • Ã Try to walk each day. ...
  • Ã Shower as usual. ...
  • Ã Ask your doctor when you can drive again.
  • Ã Avoid sitting for a long time or sitting on hard surfaces until your incision has healed.
  • Ã Most people are able to return to work within 2 to 4 weeks after surgery.
Can a pilonidal sinus get bigger?
Pilonidal Disease occurs most frequently in those with deep natal cleft (aka: your crack), as most of us gain weight, out butts get bigger and the cleft gets deeper.
Can pilonidal sinus cause back pain?
Yes, if the pilonidal cyst becomes infected, the patient may feel pain over the lower spine. Signs and symptoms include pain over the lower spine, skin redness, warmth and swelling with drainage of pus; a few patients may develop fevers.
Will pilonidal sinus closed its own?
If left untreated a pilonidal sinus that has broken open may close back over on its own and the swelling may go down. In the most cases this area will Re-Swell, become very painful, and leak once again
How common is Pilonidal sinus?
Pilonidal sinuses are most common in young adults and are rarely seen in children or people over 40 years old. They happen slightly more often in men than women and seem to occur more often in people with a lot of body hair.
Why is the top of my bum crack sore?
Pilonidal cyst facts A painful abscess can form if the cyst and the overlying skin become infected. Pilonidal cysts are caused by groups of hairs and debris trapped in the pores of the skin in the upper cleft of the buttock, forming an abscess if the abscess ruptures, there may be discharge of blood or pus.
How do you prevent perianal abscess from coming back?
In addition to adequate drainage, one should endeavor to prevent acute recurrence of an abscess by either excising the overlying skin, inserting a drainage catheter, or placing a loose seton. Most perianal abscesses can be treated in the office setting.
Can you sit after pilonidal cyst surgery?
Keep the area dry and clean. Ask your doctor when you can drive again. Avoid sitting for a long time or sitting on hard surfaces until your incision has healed. Most people are able to return to work within 2 to 4 weeks after surgery.
How can I treat pilonidal sinus at home?
Pilonidal Cyst Home Treatment
  • A Shave around the cyst area, if your doctor approves, to keep hairs from becoming embedded.
  • A Clean the area with mild soap and water. ...
  • A If you need to sit for long periods, take frequent breaks.
  • A  Avoid wearing tight clothing, as hair can be forced down into the skin.
Is pilonidal sinus hereditary?
With vigorous arguments for both an acquired and a congenital origin. In an unusual family, pilonidal sinus was inherited as an autosomal dominant trait..
How can I stop my pilonidal cyst from coming back?
Keep the area clean and dry
  • A Shave or use depilatory creams (hair removal cream)/laser hair removal to keep the area free of hair.
  • A Avoid prolonged sitting or excessive repetitive pressure to the area of the coccyx (tailbone).
  • A Weight loss may also help decrease the development and recurrence of pilonidal disease.
Is pilonidal sinus cancerous?
Malignancy in pilonidal sinus is a rare complication. The disease occurs most frequently in men. The lesion is mostly a well-differentiated squamous cell carcinoma.

Diagnosing Pilonidal Disease Treatment in Delhi

Pilonidal infection, similar to a giant pimple, can rupture through the skin by itself or may need to be lanced or removed to let the infected fluid break. Pilonidal disease is categorised into 3 steps:
Acute – Distinguished by a painful, subcutaneous mass infiltrating encompassing a range.
Chronic – Shows with chronic pain and effluent from the injury. Hair may be evident in the section of the virus.
Complex – Hardly the subsequent therapy, the recurrent pilonidal illness can occur. Medicine
Severe processing involves reducing the disease in the building. This is done by paralysing the area with a restricted analgesic and letting the virus drain. Once the fluid is discharged the pain will quickly begin to leave. It usually is not required to operate the plague with antimicrobials. In rare cases, the pilonidal disease can pass and can often be controlled with the outpatient operation.

How soon You Will Improve?

Daily exercise should serve you to retort to normal movements as soon as possible. Before you begin stretching, you should ask a member of the healthcare team.


Pilonidal sinus is a general predicament in young people. It can cause an ulcer or tenacious discharge and is best healed by surgery.

Pilonidal Sinus treatment in Delhi

Pilonidal Sinus treatment in Delhi and Surgery Services. Pilonidal Sinus recuperates with therapeutic treatment, any prescription whether allopathic, homeopathic may present some brief fulfillment yet don't nullify the scrape. In the greater part of the cases having pilonidal sinus, specialists more often than not endorse medicinal methodology like Z-plasty, etc. Indeed, even after the activity, the dangers of repeats are dependably there. Postoperative agony, hospitalization, and vulnerabilities of a repeat are the determinants which prescribe that task isn't a reasonable strategy for treating pilonidal sinus.

Overall complexity

  • Pain
  • Repulsive scarring
  • Serum clots

Google Reviews

Aum Clinics
Based on 28 reviews
powered by Google
yashpal singh
yashpal singh
05:41 17 Mar 20
Best surgeon for the fistula treatment in delhi .i got cured by his hands. With a doctor great human being also.
rahul gahlan
rahul gahlan
15:30 13 Mar 20
Thank GOD. That i came across with Dr bhanot who redeemed me of my prolonged lipoma problem which i have beeen... suffering from last 5 years.. There were a few lipoma ls that were removed within half an hour without any discomfort and pain. Highly professional and efficient... KUDOS to the doctor.. Thanks u sir.read more
Tulu Sahu
Tulu Sahu
06:56 13 Mar 20
Excellent treatment for lipoma removal without scars .thank u Dr Ashish bhanot
shiv pratap singh chauhan
shiv pratap singh chauhan
03:40 20 Feb 20
Fantastic staff n very experienced doctor......A true non- invasive hospital for lipoma removal.Recommended to... all👍👍👍👍👍👍read more
Shivendra Kumar
Shivendra Kumar
04:37 08 Feb 20
Good experience in terms of special care and right treatment !! Patient was more comfortable and happy to get right... doctor in place for her gall bladder stone removalread more
Shekib Ahmad
Shekib Ahmad
11:03 18 Jan 20
Best treatment and cheap prices and I suggest to you also of any body want to treatment please visit there 🥰
Next Reviews

" May I always act so as to preserve the finest tradition of my calling and may I experience the joy of healing those who seek my help."

Dr. Ashish Bhanot