How Can A Pilonidal Sinus Be Treated?

Posted on Thu, 22 Jun 2017

Question: My younger sister 24 years old got Pilonidal sinus on lower back end two years ago, she went to doctor and doctor drained it....After two years now again Pilonidal sinus appeared... doctor again drained it and send sample of pus for culture...now report received and i am attaching it,pls let me know what's in report and what should we do to prevent it not to appear in future

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Surgical excision alone can be curative.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history about your sister and understood your concerns.
Please post the reports attached to this query (not yet sen attached).
The only curative treatment for pilonidal sinus is surgical excision, hence no medicines can really cure the tract.
I would advise her to consult a General Surgeon for getting a clinical evaluation, any investigations and an appointment for proper surgical excision and histopathology of the tract.
I hope this answers your query.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (10 minutes later)

pls see report

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Seen the report

Detailed Answer:
Seen the report.
Although it shows Gram positive cocci the culture shows no growth. This is possible when the patient is on antibiotic cover.
Hence continue the medications, consult a General Surgeon and get operated if this is proved to be a pilonidal sinus.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad