If you’ve been struggling with a painful, recurring swelling near the tailbone that just doesn’t seem to go away, you might be dealing with a pilonidal sinus. Though often misunderstood or misdiagnosed, this condition can cause significant discomfort and affect your quality of life. Hi, I’m Dr. V. Preethi, a General and Laparoscopic Surgeon at Hayagriva Hospital in Chennai. I specialize in advanced surgical care for conditions like pilonidal sinus with a focus on long-term relief and minimal downtime.
Many of my patients come to me after weeks or even months of self-treatment, unsure of what they’re dealing with. My goal is to offer you clarity, confidence, and a lasting solution. Whether you're suffering from repeated infections, discharge, or painful lumps, I’m here to guide you through your healing journey with the most effective and modern surgical techniques available today.
A pilonidal sinus is a small tunnel or tract under the skin, typically located near the tailbone at the top of the buttocks. This tract can become filled with hair, skin debris, and bacteria, leading to infection, abscess formation, and recurring inflammation. It most commonly affects young adults, especially those who sit for long periods, such as students, drivers, and IT professionals.
At first, it may appear as a minor lump or skin irritation near the tailbone—easy to overlook but often the first sign of a deeper issue. But over time, it can turn into a painful cyst that leaks pus or blood. If left untreated, it may recur frequently and even lead to chronic infections. The good news? It’s very treatable—especially with laser-assisted or flap-based surgical procedures that offer long-term relief and a low risk of recurrence.
Pilonidal sinus symptoms can range from subtle discomfort to intense pain, often shifting in severity based on the presence or absence of infection. At first, you may feel a small, painless dimple or swelling near the lower back. However, as the condition progresses, it can lead to intense pain, redness, and discharge of pus or blood—particularly when sitting or walking.
Recurrent infections can also bring fever, fatigue, or even formation of multiple sinus tracts. These symptoms often disrupt work, travel, and daily comfort. If you’re experiencing any of these signs, it’s essential to get evaluated early to avoid complications like abscesses or chronic wounds.
While mild cases might temporarily improve with antibiotics and drainage, surgery remains the definitive treatment for pilonidal sinus—especially if the problem recurs. Surgical removal of the sinus tract ensures that the infected tissue is completely eliminated, preventing future flare-ups.
I offer multiple options based on the severity of your condition, including Laser Pilonidal Sinus Surgery (a minimally invasive method) and flap closure techniques for larger or complex tracts. These methods are designed to minimize post-op pain, reduce downtime, and enhance wound healing.
When you come to me with pilonidal sinus, my first priority is to ease your discomfort and help you understand what’s happening in your body. I begin with a detailed evaluation and imaging if needed, to map the extent of the sinus tract. Then, we’ll discuss the best course of treatment that matches your condition and lifestyle.
For most patients, I recommend minimally invasive laser surgery, which involves precise removal of the tract with minimal bleeding and faster healing. For larger or more complex cases, I may opt for surgical excision with flap closure to ensure better cosmetic and functional outcomes. Post-op care is simple, and you can typically resume light activities in just a few days.
I believe that trust, empathy, and expertise form the foundation of excellent surgical care. As a female General and Laparoscopic Surgeon with extensive experience in treating proctological conditions, I understand the emotional and physical impact a pilonidal sinus can have on your daily life. That’s why I focus on clear communication, respectful care, and techniques that reduce recurrence and enhance healing.
My approach is always patient-centered. You’ll never be rushed into surgery; instead, you’ll be guided through every step, knowing exactly what to expect and how to recover. With advanced tools and a dedicated team at Hayagriva Hospital, I aim to make your journey from pain to healing smooth and stress-free.
If you're reading this and suspect you might have a pilonidal sinus—or you’ve been silently enduring recurring pain, discharge, or swelling near your tailbone—please know that you don’t have to face this alone. I understand how frustrating and even embarrassing it can be to live with a condition like this, especially when it interferes with your daily comfort and routine. The good news is that modern surgical care can offer long-term, effective relief, often with minimal downtime. Early treatment is not just about fixing the current problem—it's about preventing future complications like recurrent abscesses, chronic infection, and scarring.
As a General and Laparoscopic Surgeon at Hayagriva Hospital, I’m here to listen, evaluate, and guide you with care and respect. During our consultation, we’ll talk about your symptoms, concerns, and lifestyle so we can choose a treatment plan that’s right for you. My priority is always your comfort, clarity, and recovery. Whether you're looking for minimally invasive laser surgery or need a more advanced technique, I’ll walk you through the process step by step—with empathy, experience, and expertise.
Healing starts with the right decision—let’s take that step together and put discomfort behind you.
Have questions or need to schedule a consultation? I’m here to help. Whether you're exploring treatment options or ready to take the next step in your surgical journey, reach out today. Your health is personal — so is our care.
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