Pilonidal Sinus Treatment:

1. Treatment is surgical, during which the entire sinus is removed, along with the portion of skin containing the opening or openings.

2. If an abscess is present, it is necessary to first open and clean the abscess, then close the wound until it heals. Surgery is then performed to remove the sinus approximately two weeks later to prevent recurrence.

3. In some cases where the abscess is large, a flaps of pilonidal skin may be required to cover the site of the removal.

There are several surgical methods.

1. Excision and closure

In this case, the skin area containing the fistula is removed, the pus and hair are removed, and the wound is cleaned by cutting an oval section from the beginning of the fistula to the end. The wound is then tied and sutured, and complete healing occurs within several days.

2. Wide excision

This procedure involves removing the cyst and pus, and removing and cleaning any inflamed skin around the wound. In this procedure, the wound is not closed or sutured, but is left to heal on its own. The healing process can take several weeks.

3. Plastic surgery

Pilonidal sinus can recur, so your doctor may resort to plastic surgery to prevent it from recurring.

1. Surgical Procedure:

The doctor will clean the area, remove the blood cyst, remove any loose hair, and remove any accumulated dead skin. The cyst is then covered with a medical wick.

The doctor will recommend changing the dressing to ensure it is clean and free of infection. Over time, the wound will heal on its own.

2. Laser Cauterization:

The doctor will prescribe medications to help speed up wound healing after the procedure.

The doctor removes the damaged tissue using local anesthesia, ensuring no remnants of the fistula remain. The wound will not take long to heal.