Prof. Dr. Sezai AydınPROF. DR. SEZAI AYDINGeneral Surgery Turkey
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Pilonidal Sinus Abscess Drainage

Pilonidal Sinus Abscess Drainage

What is Pilonidal Sinus?

Pilonidal sinus, commonly known as "hair nest," can occur in both genders but is more frequently seen in men. While it most commonly appears in the sacral area, it can also be found in other parts of the body such as the scalp, armpits, and neck.

Pilonidal sinus is a condition that occurs when fallen hairs enter the skin through pores, forming a cystic structure that results in the accumulation of hair inside.

What Causes Pilonidal Sinus Abscess?

A pilonidal sinus abscess develops after a pilonidal sinus cyst forms and the cyst cavity enlarges due to the accumulation and proliferation of hairs. Since the sacral area is the most common site, one or more openings associated with the pilonidal sinus cavities may occur. Fluid begins to drain from these openings. If the cyst becomes contaminated due to skin sources or other reasons (such as infection),a painful, reddened, swollen lesion known as a pilonidal sinus abscess can emerge.

Is Pilonidal Sinus Abscess Dangerous?

If left untreated, a pilonidal sinus abscess can grow and spread to larger areas, damaging surrounding tissues and complicating treatment. If the patient has any issues with their immune system, it can lead to more serious clinical conditions.

Does Pilonidal Sinus Abscess Cause Fever?

If not treated (such as by drainage and evacuation of the abscess),a pilonidal sinus abscess can lead to significant pain that severely impacts the patient's social life and daily activities, as well as fever. Therefore, it is essential to drain the pilonidal sinus abscess, clean the cavity, and start antibiotic treatment. Antibiotic treatment without draining the abscess will not aid in the patient’s recovery.

How is Pilonidal Sinus Abscess Drainage Performed?

The drainage of a pilonidal sinus abscess is usually done in a clinic setting under local anesthesia by making a small incision over the abscess, allowing it to be drained, and then washing the cavity (loge) to clean it. Antibiotic treatment is then initiated.

If the patient does not agree to the procedure under local anesthesia, the drainage can be performed in an operating room under general anesthesia. The procedure takes about 15-20 minutes, and the patient can walk out afterward and return to their normal activities.

Does Pilonidal Sinus Abscess Hurt? Is Anesthesia Used?

Pilonidal sinus abscess can cause significant pain that prevents the patient from sitting comfortably and disrupts their overall quality of life. Anesthesia for draining the abscess can be administered either as local or general anesthesia.

What are the Costs of Pilonidal Sinus Abscess Drainage?

The costs of draining a pilonidal sinus abscess vary depending on the location of the abscess. For price information, please contact us.

Is There a Chance of Recurrence After Abscess Drainage?

After treating a pilonidal sinus abscess (once the abscess has been drained),there is a high likelihood of recurrence unless a permanent surgical procedure is performed regarding the pilonidal sinus.

Update Date: 20.04.2025
Assoc. Prof. Dr Sezai Aydın
Editor
Prof. Dr. Sezai Aydın
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
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Assoc. Prof. Dr Sezai AydınProf. Dr. Sezai AydınGeneral Surgery Turkey
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