A pilonidal sinus (PNS) is a small hole or tunnel in the skin that can fill with fluid or pus, potentially forming a cyst or abscess. It typically occurs in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris.
This condition primarily affects men and is particularly common among young adults and individuals with sedentary lifestyles, such as taxi drivers.
Initially, you may not notice any symptoms beyond a small, dimple-like depression on the skin’s surface. However, if the depression becomes infected, it can quickly develop into a cyst (a closed sac filled with fluid) or an abscess (inflamed tissue filled with pus).
Signs of infection include:
Pilonidal cysts are caused by groups of hairs and debris trapped in the skin pores in the upper cleft of the buttocks, leading to an abscess. Risk factors include:
Treatment for an infected pilonidal sinus depends on your symptoms, the size of the sinus, and whether it is your first occurrence or a recurring issue. Generally, treatment options for pilonidal sinus include:
Recovery time varies depending on the procedure performed. Most people can return to work within a few days. It is essential to keep the affected area clean, wear comfortable, loose-fitting cotton underwear, consume plenty of fibre to ease bowel movements and avoid straining. You may also require antibiotics and pain relief medication.
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Diagnosis typically involves a physical examination by your doctor, who will assess the area for signs of infection or abscess.
Yes, pilonidal sinuses can recur, especially if not completely excised. EPSIT has a lower recurrence rate compared to traditional methods.
While home remedies may provide temporary relief, it is essential to consult a healthcare professional for effective treatment.
Maintaining good hygiene, avoiding prolonged sitting, and managing body hair can help reduce the risk of pilonidal sinus development.
Most patients experience some discomfort post-surgery, but pain can be managed effectively with medication.
Recovery time varies based on the procedure, but many patients return to normal activities within a few days.
Yes, a high-fibre diet is often recommended to prevent constipation and promote healing during recovery.
If you notice symptoms such as pain or drainage from the area, consult a healthcare professional for an accurate diagnosis and treatment options.