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Pilonidal sinus (cyst) - removal under local anesthesia

What is pilonidal sinus?

Pilonidal disease is actually a chronic infection in the natal cleft area between the buttocks.

At the bottom of the groove between the buttocks, channels and cavities are formed under the skin filled with hair and pus.

 

How does pilonidal sinusdevelop?

Many factors contribute to its development. The most significant are pressure and friction in the area, which lead to ingrown hairs under the skin. The probability of developing the disease is therefore greater with more pronounced pubic hair, a sedentary lifestyle, sports with strain on the area between the buttocks (horse riding, cycling, etc.). It most often appears at the age of 16-26.

 

What are the symptoms of pilonidal cyst?

  • Pain above the coccyx or at the top of the buttock gap that gets worse with prolonged sitting (e.g. after a long day at the office or school, after a long car ride)
  • Swelling or redness in the buttock area
  • An abscess (pus-filled cavity) will form If the infection is not treated, the abscess may open and  drain a mixture of blood and pus, sometimes this is the first sign you notice

 

How to treat pilonidal sinus?

Pilonidal disease rarely goes away without treatment. Most cases require some type of surgery.

How treatment is conducted at our clinic:

1) Initial examination and consultation (30 min)

We will evaluate the progress of the disease, whether the inflammation should be calmed down conservatively or whether it is already necessary to surgically drain the pus from the cavity (abscess incision).

We will schedule an appropriate time to remove all manifestations of pilonidal disease (complete surgical excision).

We will evaluate whether a complete excision is possible under local anesthesia or general anesthesia (we can immediately evaluate the extent sonographically)

2) Removal of pilonidal sinus and cyst under local anesthesia (90 min)

We want to enable our patients to undergo the procedure without the need for prolonged hospitalization and the need for general anesthesia in the pleasant environment of our modern operating room.

The procedure takes place with an emphasis on minimizing stress and pain both during the procedure itself and after it. Removal of the pilonidal sinus under local anesthesia has been shown to result in less postoperative pain.

We reduce the risk of disease recurrence by choosing modern surgical procedures and also by pre-operative ultrasound mapping right in the operating room.

You can listen to music or chat with us during the procedure.

We will anesthetize the area where we will operate with an injection of local anesthetic, but we will prepare you in advance by administering an anti-pain and anti-anxiety medicine. If the administration of the injection is difficult for you, it is possible to use short-term inhalation anesthesia with nitrous oxide (Entonox)

After the operation, the wound will be aesthetically closed with a non-absorbable suture.

In some cases, a drain (tube to drain fluids) will be inserted into the wound.

 

3) Follow-up to remove the drain (15 min)

If a drain was inserted, it will most often be removed the day after the procedure.

 

4) Follow-up to remove stitches (15 min)

Depending on the extent of the wound, the stitches will be removed 10-14 days after the procedure.

Laser epilation

Following the primary treatment of pilonidal sinus (cyst) with surgical methods, we offer laser epilation of the affected area at our clinic, as it has been proven that laser epilation reduces the risk of recurrence of pilonidal disease.

Pilonidal disease can be a very bothersome disease in addition to the intimate area.

Do not hesitate to consult us about your problem.

We are here to find the most pleasant solution as possible!

Do you have a question? Or do you want to make an appointment? Contact us!
What our patients appreciate the most
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Sabina Günther
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I go to Dr. Podstolska with my one-year-old daughter. I am very satisfied with her individual approach, willingness to solve even seemingly small things. Of course, she is professional and friendly at the same time. I'm also glad for the pleasant office with a play rug, heating over the changing table, the possibility to drive a stroller up to the office. The care of the nurses and their assistance during appointments is absolutely above and beyond. I also appreciate the texting system that reminds me of my check-up/exam appointment in a timely manner.

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Antoine Borg
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I highly recommend ATODA as a medical clinic - the staff are friendly, courteous and highly efficient. It's great to be able to rely on a group of professionals when you need them the most.

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