Pilonidal Sinus Treatment
Pilonidal sinus (PNS) also known as pilonidal cyst is a sinus close to or on the cleft of the buttocks (natal cleft). Usually the pilonidal sinus tract contains hairs hence the name ”pilonidal” which means ‘nest of hairs’. This tract sometimes gets infected (pilonidal abscess). When infected, it forms a lump with exuding pus and blood. It’s found in men than in women.
The original cause of Pilonidal Sinus infection or disease is unknown but it is assumed that it is caused by -changes in hormones especially after puberty, friction between clothes and the sinus area or sitting for a long time, hair growing inside instead of outward, infection which results from anaerobic bacteria (Bacteroicles and Enterococle).
Excess sweating make it easy for the bacteria to grow leading to the swelling of the pilonidal sinus. In some cases, it comes as a result of heredity.
The general signs and symptoms of Pilonidal Sinus are pain, swelling and redness of the bottom of the spine close to the natal cleft, fever and in serious cases it exudes pus. Based on the symptoms pilonidal sinus can be divided into Acute and Chronic Pilonidal Sinus Infection. The symptoms Acute pilonidal sinus infection include swelling and severe pain near the natal cleft.
It could be excruciatingly painful during examination and if touched. Chronic Pilonidal Sinus symptoms are two or more sinuses formed with chronic pain and pus. Hair can also be seen coming from the sinus. Another type of PNS is the Complex or Recurrent Pilonidal Sinus Infection which is formed due to the reinfection of an already operated wound.
Pilonidal sinus is best treated in the initial stage when the pain and swelling is not severe. By filling a bath with warm water and sitting in it to reduce the pain and the chance of the pilonidal sinus developing. Antibiotics can also be used in pilonidal sinus treatment before it becomes severe but most times, surgery will be required to drain the pus formed. Pilonidal sinus surgery can be carried out in different ways
1. By cutting and removing the sinuses completely and closing up the wound with a type off glue (Fibrin glue). This method decreases discomfort and makes the wound heal quickly.
2. By cutting and draining the sinus but leaving the wound open to heal. This is known as the wide excision method. The wound has to be dressed every day until it heals completely.
3. By draining the pus and removing the hair then stitching the wound. This reduces the chance of reformation.
After surgery it is important to avoid strenuous jobs until the wound heals. To prevent reoccurrence one has to maintain good hygiene and remove hair from the area regularly.
Pilonidal sinus can be prevented by depilating around the pilonidal sinus area, showering at least once a day, keeping the area dry and clean always and going for pilonidal sinus treatment as soon as the symptoms of the infection are noticed.
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