Pilonidal Sinus Treatment in Gopalganj: Laser and Surgery

Loose hairs, often from the back or buttocks, are pushed into the skin of the buttock cleft by sitting, sweating and friction. The body reacts to the hair as foreign material, which causes infection and a tunnel under the skin. It is common in young men with thick body hair and in people who sit for long hours, such as drivers. It is a common condition and nothing to feel ashamed about.

If there is an abscess, we drain the pus first and treat the sinus after the infection settles. For the main treatment we give anaesthesia, usually spinal. In laser-assisted closure, the pits are cleaned, hair and debris are removed, and a thin laser fibre seals the track from inside. In excision, the whole track is removed, and the wound is left open, stitched or closed with a skin flap. Our surgeon explains which method suits you.

It depends on the size and type of your sinus. Laser-assisted closure suits many small, simple sinuses and usually means small wounds and a quicker return to work, but the sinus may come back in some patients. Large, branching or repeatedly returning sinuses often do better with excision, sometimes with a flap. Our surgeon decides after examining you and explains the choice to you and your family.

It depends on the method. The procedure itself takes about 30 to 60 minutes, and most patients stay with us about 1 day. After laser closure, most people return to light work within a few days to a week. After excision with an open wound, dressings are needed for several weeks until it heals from the base. A stitched or flap wound must be kept dry and free of pressure until the stitches are removed, as our surgeon advises.

Usually not. Antibiotics and warm compresses can ease an infection for a while, and a small sinus that causes no trouble may only need watching and hair care. But the hair and the infected track under the skin do not go away with medicines alone, so a sinus that keeps leaking or forming abscesses needs a procedure. Please do not squeeze the phoda, and do not keep taking antibiotics on your own for months.

Yes, it can in some patients after any method, and we prefer to be honest about this. You can lower the chance by keeping the area clean and dry, removing hair around the cleft regularly once the wound has healed, taking breaks instead of sitting for hours at a stretch, and keeping a healthy weight. If pain or discharge returns, please see us early.

The cost depends on whether an abscess needs drainage first, the method (laser closure or excision, with an open, stitched or flap wound), the tests, the anaesthesia, the length of stay, the room you choose, and dressings and medicines. We do not quote a figure without examining you. After the consultation and reports, we give you a clear written estimate before admission. You can send your reports on WhatsApp to +91 72739 94786 first.

We are empanelled under Ayushman Bharat PM-JAY for general surgery and laparoscopic surgery packages. Whether your pilonidal sinus treatment and the chosen method are covered depends on the scheme's package list and your eligibility. Please bring your Ayushman card and Aadhaar card, and ask our Ayushman help desk to check before admission. For other patients, we explain the expected cost clearly before admission, so that your family can plan.

After laser closure, only small dressings are usually needed for a short time. After excision with an open wound, regular dressings are needed for several weeks until the wound heals from the base, and our team will teach you or a family member how to care for it. A stitched or flap wound must be kept clean and dry until the stitches are removed. We check the wound at every follow-up visit.

Keep the area clean and dry, and change dressings as we teach you. Avoid sitting for long periods in the early weeks; use a soft cushion and take walking breaks. Eat a balanced diet with protein such as dal, eggs, milk or paneer, and fibre to avoid constipation. Once the wound has healed, remove hair around the cleft regularly, as advised. If you have diabetes, control your sugar. Please report fever, increasing pain or pus early.

We advise choosing a qualified surgeon who can offer both laser closure and excision, and who explains the chance of recurrence honestly. Dr. Rajnish Kumar Thakur, our founder and chief surgeon, MS (General Surgery), is a laparoscopic, laser and general surgeon with 16+ years of surgical experience and 10,000+ surgeries, including experience at IGIMS Patna and Lady Hardinge Medical College, New Delhi. Our hospital has its own diode laser. You can read our patients' reviews on Google.

Yes. Patients come to our hospital in Arar, Gopalganj from Kushinagar, Deoria, Siwan, Chhapra, Motihari and Bettiah. Please send your reports on WhatsApp to +91 72739 94786, then visit our OPD, Monday to Friday, 10 am to 7 pm. If you have a painful swelling with fever, please come to our 24-hour emergency. Most patients stay about 1 day, and we teach dressing care to a family member so it can continue at home.