What are the Treatment Options?
Treatment may not be necessary if your pilonidal sinus does not become infected. If your pilonidal sinus does get infected, surgery will most likely be recommended and may include the following:
Incision and Drainage
This procedure involves cutting open your sinus and draining the collection of pus from the abscess. This is a minor procedure and is usually performed under general anaesthesia. You will be able to return home either on the same day of the procedure or the day after the procedure. A dressing will be applied, and you will have to visit your doctor’s office daily for dressing change.
For recurrent infections of your pilonidal sinus, you may be recommended to undergo surgery to remove the sinus and prevent further infections with any of the following procedures:
During this procedure, your surgeon will surgically remove a section of your skin along with the infected sinus. This will reduce your chances of a reinfection. Your wound will be left open and dressings will be applied. Your wound may take a long time to heal and you may need to change your dressings daily for two or three months.
Excision and Primary Closure
During this procedure, your surgeon will surgically remove your affected sinus along with the surrounding skin and then close and seal the wound with stitches. This will help the wound heal quickly; however, the chances of a reinfection are higher when compared to wide excision. A flap of your own skin will be used to close your wound and your surgeon will be the best person to explain you the suitable technique.