Pilonidal sinus

Pilonidal Sinus: A Common Condition in Young People That Requires Early Intervention

Pilonidal sinus, also referred to as a hair cyst, is a common condition that affects the lower back near the tailbone. It develops when hair becomes trapped under the skin, leading to one or more small openings. This condition frequently appears in young individuals—especially those with thick body hair or sedentary lifestyles.

Experts propose two main theories regarding its cause. One suggests it is congenital, caused by abnormal cells present from birth. The more widely accepted explanation is that hair penetrates the skin due to friction and pressure, resulting in inflammation and cyst formation.

Certain factors raise the risk of pilonidal sinus, including obesity, excessive sweating, and poor personal hygiene. Prolonged sitting and coarse hair are also major contributors.

Early symptoms often include a sense of discomfort or a foreign body sensation in the lower back. As the condition progresses, patients may notice mild pain, itching, swelling, or redness. In more advanced cases, pus with a foul odor may drain from the area, and a painful abscess can form.

Treatment options vary based on severity and may include laser therapy, endoscopic procedures, flap surgery, incision and drainage, or full cyst removal. Many patients recover quickly with the right approach.

Prompt consultation with a specialist is crucial when symptoms appear. Dr. Daad Al-Taani in Dubai offers advanced, minimally invasive treatments tailored to each patient’s condition, backed by years of experience in managing pilonidal sinus.

By detecting the condition early and following up regularly, patients can greatly reduce the risk of recurrence or complications. If you’re experiencing any signs, don’t hesitate to seek medical advice.

You can also explore more expert insights and case discussions with Dr. Daad Al-Taani on our YouTube channel.

Causes:

The congenital theory :
assumes the presence of migratory cells concentrated in the coccyx area so that they grow and cause hair cysts.In some cases, a person is born with this disease, which means it is hereditary.

The acquired theory :
assumes that hair enters under the skin, clogs the sweat glands, then forms a hair cyst, and sometimes bacterial infection occurs.

There are also other factors that increase the possibility of developing a pilonidal fistula:

Pilonidal sinus

Factors contributing to injury:

  • Obesity.
  • Increased sweating.
  • Lack of attention to personal hygiene.
  • Sitting for long periods and lack of movement.
  • Body hair density and coarseness.

Symptoms:

  • Feeling discomfort in the lower back or coccyx area (a feeling of a lump or cyst under the skin).
  • Pain or itching in the lower back area with a hole or several holes in the lower back area.
  • Swelling with pain redness and heat in the affected area (this means a bacterial infection and the formation of a coccygeal abscess).
  • Appearance of blood or pus: Some secretions may come out yellow with a foul odor.

Pilonidal sinus Treatment :

  • PILAT, SILAT.
  • EPSIT.
  • FLAP.
  • I & D.
  • RESECTION.

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