- male
- 30 Years
- 14/08/2025
I've been noticing some pus coming out of small openings on my back and my local GP mentioned it could be a pilonidal sinus, saying surgery might be the only option. I'm a bit worried is surgery really necessary or are there other treatments I could try first? What should I expect if I do need surgery?
Answered by 1 Apollo Doctors
Pilonidal sinus usually requires surgery for a cure; early cases might respond to hygiene and antibiotics but recurrence is common without surgery.
Dr. Dhankecha Suggests...
Consult a General Surgeon
Answered 14/08/2025
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Fistulectomy typically requires 4 to 6 weeks for complete healing, with most feeling better within a week. Expect some mild pain, swelling, and discomfort. To speed up recovery, follow your surgeon's instructions, manage pain, prioritize rest, and avoid strenuous activities
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I have a pilonidal sinus that came back after having laser surgery in 2015. This time it's not as bad pus discharged three times, but now the hole is closed with no pain or redness. I'm looking for a minimally invasive option like EPSiT (endoscopic pilonidal sinus treatment). Are there any hospitals or day care clinics in Chennai that do this procedure? I'll be there from August 20th to 30th and want to get it done during that time. My case doesn't seem complicated, but even if it is, I still prefer EPSiT. I really don't want to be hospitalized or bedridden for months again can you recommend a doctor or clinic for this?
To prevent recurrence of pilonidal sinus after surgery, focus on hygiene, hair removal, and lifestyle modifications. Maintain good hygiene, including regular showering and drying the area, to prevent bacterial accumulation. Regular hair removal, ideally weekly, is crucial to avoid ingrown hairs that can trigger infection. Additionally, consider laser hair removal for more permanent hair reduction. Avoid prolonged sitting, as it can put pressure on the area, and maintain a healthy weight
Answered by 1 Apollo Doctors
I had surgery for a pilonidal abscess but it seems to be coming back. Does homeopathy offer a permanent cure for this? I'm worried about dealing with this again and looking for effective treatment options.
How to Prevent a Pilonidal Cyst Recurrence? Maintain Good Hygiene: Keep the affected area clean and dry. ... Hair Removal Techniques: Consider removing body hair in the affected area to reduce the risk of ingrown hairs. ... Avoid Prolonged Sitting: Limit prolonged periods of sitting, especially on hard surfaces.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.