Talk to General Surgeon on Pilonidal Sinus
Asking For Self, Male 37, Sukkur
AoA, I have issue of Pilonidal Sinus since two years. Previously it used to discharge some pus and blood once in a month. Now it happens in once in weak ir 10 days.
Its a small opening on buttox. It inflammes a bit while pus accumulates and almost discharges on same day. Pus and blood is mild. Once small ammount of pus discharges it follows very small ammount of blood. Than this opening shows red meat inside. After discharge it reduces and flattens with skin in few days without any use if Antibiotic. What should be done sir? Is open wound surgery only option? How much area do yoy see involved by analyzing my description You are requested to guide me.
Does it look small?
Thanking you already, Hussain Amar Sukkur
Dr. Rizwan Khalid - General Surgeon
MBBS, FCPS ( Surgery) | Lahore
you need surgery as soon as possible
I think surgery will be the ultimate need may be open or laser is minimally invasive and least painful option with good results
Asst. Prof. Dr. Junaid Zaman - General Surgeon
MBBS, FCPS (Surgery), MRCS (Ed) | Karachi
83 Positive Reviews
Yes it's infected and it should be open surgery. If it's bad we usually don't close the margins with flap but leave it open to heal by secondary intention
karydakis flap is another option that's having promising results. good luck it's need operation
Dr. Muhammad Shahzeb Asghar - General Surgeon
MBBS, FCPS (General Surgery) | Multan
8 Positive Reviews
both laser and surgery can be done. laser is relatively a painless process. while after surgery u will need dressings for a month
Patient
Post Owner
This picture is after discharge and it almost flattens with skin. Discharge is v. minimal.
surgery is the best option, not open but a plastic surgery technique to close the wound primarily, I have 20 plus yrs experience doing it with very good results. but you have to come to lahore
Dr. Fahreyar Alam - General Surgeon
MBBS, MSc (CF), MRCS (Glasg), MRCS (Eng), FRCS (Gen Surg) | Lahore
15 Positive Reviews
Surgery is the only long term solution.
Will have to see you in clinic for further course of action
WS...you need to operate it prefferably open surgery. laser is option but not as effective as open.
Patient
Post Owner
Sir is there any specific scan or radiological test which could identify depth of this pilonidal sinus?
Thanking you already
2 months ago
Dr. Fahreyar Alam - General Surgeon
MBBS, MSc (CF), MRCS (Glasg), MRCS (Eng), FRCS (Gen Surg) | Lahore
15 Positive Reviews
Surgery is the only option.
Sans have no relevance. Affected area needs excision.
Happy to see you in my clinic
needs surgery, after operation you have to take care of hygiene and regular hair removal so that I doesn't reccur
without surgery it's completely treatable after taking some medicine don't you worry detailed history required kindly book appointment with me its a permanent solution
Dr. Nasir Mumtaz - General Surgeon
MBBS, MCPS (General Surgery), FCPS (General Surgery) | Lahore
4 Positive Reviews
Surgery. Consult general Surgeon
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