Pilonidal sinus is a common condition of young adults — particularly hairy men. Here are the modern, minimally invasive options.
What is it?
A small cavity in the natal cleft containing hair and debris. It often becomes infected, producing pain and discharge.
Treatment options
Conservative (hair removal, hygiene), minimally invasive (EPSiT — endoscopic pilonidal sinus treatment, pit-picking), and excision with flap closure for recurrent disease.
Recovery
Minimally invasive: back to work in 3–7 days. Wide excision: longer healing 4–6 weeks.
Recurrence prevention
Regular hair removal, weight management, hygiene.
When to seek help
Acute abscess — incision and drainage may be needed urgently.
Frequently Asked Questions
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