PILONIDAL SINUS

A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft). It does not always cause symptoms and only needs to be treated if it becomes infected. Pilonidal Sinus is a painful swelling/opening at the tailbone which contains infected hair tuft. There may be a discharge of pus or blood through it. A PNS is a condition that mostly affects men and is also common in young adults. It’s also more common in people who sit a lot, like cab drivers.

Does pilonidal sinus ever go away?

Pilonidal cysts can sometimes be cured with surgery and your skin might heal fully. However, even after surgery, a pilonidal cyst can remain a chronic, returning condition. This is true especially if the condition has gotten worse or if pilonidal cysts run in your family.

Is it okay to live with pilonidal sinus?

Living with a pilonidal cyst on the lower back can be painful and uneasy. The earlier you identify and respond to its symptoms, the shorter you will have to live with a pilonidal sinus. Not getting immediate treatment in the earlier stages might make it worse and more problematic.

Is surgery compulsory for pilonidal sinus?

Surgery is needed to drain and remove a pilonidal cyst that does not heal. Your provider may recommend this procedure if you have a pilonidal disease that is causing pain or infection. A pilonidal cyst that is not causing symptoms does not need treatment.

What causes a pilonidal cyst?

Experts don’t yet know all the causes of pilonidal cysts. However, they do know that ingrown hairs found in the crease of the buttocks result in a skin infection that causes a pilonidal cyst to form. Think of this condition like getting a sliver of wood stuck in your skin, except it’s an ingrown hair instead.

If it’s not treated, a pilonidal cyst can possibly lead to an abscess or a sinus cavity. Those are both signs that the skin infection is getting worse.

What are the symptoms of a pilonidal cyst?

Quickly get medical attention if you notice any of these symptoms:

- Pain often gets worse when you’re sitting.

- A small dimple or large swollen area between your buttocks. This is usually the pilonidal cyst.You may notice the area is red and feels tender.

- An abscess with draining pus or blood. This fluid may be foul-smelling.

- Nausea, fever, and extreme tiredness (fatigue).