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
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.