PACE Hospitals is recognised for having some of the Best Pilonidal Sinus Doctor in Hyderabad, India, and many patients come here after dealing with ongoing discomfort near the tailbone for months or even years. Symptoms such as pain while sitting, swelling, discharge, or repeated infections are often frustrating and disruptive, which is why careful evaluation is prioritised before any decisions are made.
PACE Hospitals is regarded as one of the prominent and advanced proctology centre in Hyderabad, India, delivering specialized care for disorders of the rectum, anus, and lower digestive tract. Our Proctology Department, staffed by the Top pilonidal sinus specialist in Hyderabad, is equipped with advanced diagnostic systems, laser and minimally invasive surgical procedures to ensure accurate evaluation and effective treatment.
Understanding Pilonidal Sinus in Depth
Pilonidal sinus is a small tunnel or cavity that forms in the skin, typically near the tailbone at the top of the buttocks crease. This condition often contains hair and skin debris and can become infected, leading to the formation of an abscess. The term “pilonidal” comes from the Latin words “pilus” (hair) and “nidus” (nest), which accurately describes the nature of this condition.
The condition predominantly affects men between ages 15-35, though it can occur in anyone. Certain occupational groups are at higher risk, including drivers, office workers, and others who spend prolonged periods sitting. Understanding the underlying causes and risk factors is essential for both treatment and prevention.
Common Symptoms Include:
- Pain and swelling near the tailbone: Often the first sign, ranging from mild discomfort to severe pain
- Redness and tenderness in the affected area: The skin may appear inflamed and feel warm to touch
- Pus or blood drainage with foul odor: Indicating infection and requiring immediate medical attention
- Multiple sinus openings: In chronic cases, several small holes may be visible on the skin
- Fever in cases of infection: Systemic symptoms suggesting the infection has worsened
- Difficulty sitting or performing daily activities: Impacting work, driving, and quality of life
- Recurring abscesses: Repeated episodes of infection and drainage
Risk Factors and Causes
Understanding what contributes to pilonidal sinus development can help in prevention and management:
- Excessive body hair: Coarse or abundant hair in the sacral region increases risk
- Deep natal cleft: A deeper crease between the buttocks creates more friction
- Prolonged sitting: Sedentary lifestyle or occupations requiring extended sitting
- Obesity: Excess weight increases pressure and friction in the area
- Previous injury or trauma: Damage to the area can trigger sinus formation
- Family history: Genetic predisposition may play a role
- Poor hygiene: Inadequate cleaning of the area can contribute to development
- Tight clothing: Restrictive garments increase friction and irritation
Advanced Treatment Options
PACE Hospitals offers a complete spectrum of pilonidal sinus treatments, including:
Conservative Management: For early-stage or uncomplicated cases, conservative approaches including proper hygiene, hair removal, and antibiotic therapy may be recommended. This approach is particularly suitable for patients who have experienced their first episode without significant infection or those with minimal symptoms. The medical team provides detailed guidance on lifestyle modifications, hair removal techniques, and hygiene practices that can prevent progression.
Incision and Drainage: For acute abscesses, this procedure provides immediate relief from pain and infection. Performed under local anesthesia, this outpatient procedure drains the infected material and provides rapid symptom relief. While not a definitive cure, it’s often the first step in managing acute episodes and can be followed by definitive surgical treatment once the infection resolves.
Excision Procedures: Various surgical techniques are available, including:
- Primary Closure: The sinus tract is excised and the wound is closed with sutures, allowing for faster healing but with slightly higher recurrence risk
- Open Healing (Laying Open): The sinus is excised and left open to heal naturally, which takes longer but has lower recurrence rates
- Flap Reconstruction: Advanced plastic surgery techniques where tissue is moved to fill the defect and flatten the natal cleft, particularly useful for recurrent or complex cases
- Bascom Cleft Lift: A specialized technique that removes the sinus and flattens the natal cleft to prevent hair accumulation
- Karydakis Procedure: An asymmetric excision technique that shifts the wound away from the midline
Minimally Invasive Options: Advanced techniques that minimize scarring, reduce recovery time, and lower recurrence rates:
- Endoscopic Pilonidal Sinus Treatment (EPSiT): Uses small incisions and a camera to remove the sinus tract
- Laser Treatment: Employs laser energy to destroy the sinus tract with minimal tissue damage
- Fibrin Glue Injection: A novel approach for select cases involving sealing the tract with biological glue
The Diagnostic Process at PACE Hospitals
Accurate diagnosis is the foundation of effective treatment. The diagnostic process typically includes:
Initial Consultation
During the first visit, the surgeon conducts a comprehensive assessment including medical history review and physical examination. This helps determine the stage of the condition and identify any complications.
Imaging Studies
When necessary, advanced imaging provides detailed information about:
- The extent and complexity of sinus tracts
- Presence of multiple openings or branches
- Involvement of deeper tissues
- Signs of chronic inflammation or scarring
Laboratory Tests
Blood tests may be ordered to:
- Assess for signs of infection
- Evaluate overall health status before surgery
- Identify any conditions that might affect healing
Treatment Planning
Based on diagnostic findings, the surgical team develops a customized treatment plan considering the patient’s individual circumstances, preferences, and medical needs.
Recovery and Prognosis
Recovery time varies depending on the surgical technique used. Minimally invasive procedures typically offer shorter recovery periods of 1-2 weeks, while more extensive surgeries may require several weeks to months for complete healing. The medical team at PACE Hospitals provides personalized recovery guidelines and maintains regular follow-up to ensure optimal healing.
👉Meet Our Best Pilonidal Sinus Doctors in Hyderabad
👨 Dr. Govind Verma —Interventional Gastroenterologist & Hepatologist, With Over 30+ Years of Experience
👨 Dr. Padma Priya — Consultant Gastroenterologist and Hepatologist, With Over 10+ Years of Experience
👨 Dr. M Sudhir — Sr. Gastroenterologist and Hepatologist (Liver Specialist), With Over 40+ Years of Experience
👨 Dr. Suresh Kumar S — Surgical Gastroenterologist, Minimally Invasive GI Surgeon and Advanced Laser, Laparoscopic Surgeon, With Over 13+ Years of Experience
👨 Dr. Prashanth Sangu — Surgical Gastroenterologist, Laser and Laparoscopic Surgeon, With Over 10+ Years of Experience
PACE Hospitals is One of the Best Hospitals in Hitec City, Hyderabad, Telangana, India. We are dedicated to supporting you at every stage of your pilonidal health journey with expert guidance, advanced treatments.
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