Symptoms for pilonidal sinus do not show up until it becomes infected. Generally, a sinus appears like a lump when touched at the cleft right above the buttocks. When the sinus becomes infected, it can show symptoms like
You may also experience low fever but this is uncommon.
Men are more likely to get pilonidal sinuses due to presence of hair in the buttock region. The reasons for occurrence of pilonidal sinuses are
Any general surgeon or proctologist can quickly identify and diagnose treatment for pilonidal sinuses on thorough examination of the lump and underlying symptoms of the patient.
The treatment for pilonidal sinus depends on the size of the sinus and the severity of the symptoms associated with it. Treatments are carried out under general / local anaesthesia with same day discharge. It takes 4-12 weeks for the wounds to heal depending on the size of the wound and the type of treatment.
The complications arise if chronic and repeatedly infected pilonidal sinuses aren’t treated properly. The treatment options are generally low risk and only carry risks associated with any other surgery.
Depending on the type of anaesthesia, fasting rules will need to be followed.
Most people are able to return to work in 2 weeks after surgery.
A few sinuses resolve on their own, however, most patients do need minor surgery to remove them.
If left untreated the pilonidal sinus will develop several tracts below the skin which can hollow the muscles below. Infections can develop and a type of skin cancer can also develop although its occurrence is rare.