A Pilonidal Cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris. Every year more than 1 million cases of Pilonidal sinus surfaces and patients suffer with the problem of recurrence due to either faulty diagnosis or improper surgery. If you notice some abnormal skin tag or a discharging opening in between your natal cleft for many months with no relief, get yourself diagnosed and treated by us. Pilonidal sinus requires a medical diagnosis clinical examination and rarely needs any specific laboratory or imaging tests.
SYMPTOMS
Persistence on and off serous or purulent discharge from a very small opening developed lower back, in between the natal cleft. Pain, itching and redness in affected area. Fever during abscess formation. Recurrence with previous history of surgical intervention.
PELVINIC’S APPROACH TOWARDS YOUR PILONIDAL SINUS PROBLEM
With developments in technique and approach in treating Pilonidal sinus, Coloproctologist are changing their surgical ways to have best results without recurrence. Dr Sandip Banerjee in many of the lectures that he has given and in his practise believes that there is no need in aggressively removing entire affected tissue up to tail bone bed. In this way the surgical principle of lowering the depth of natal cleft to prevent recurrence is not met. So the best way to remove as much affected tissue with Flap cover ( W flap, Z plasty) in non infected cases which not only reduces down post operative morbidity but also completely cures the problem with relapses.