Keyhole Clinic

Pilonidal Sinus Treatment

Pilonidal Sinus Treatment in Kochi. Keyhole Clinic offers consultations for Pilonidal Sinus Treatment. Treatment options include Excision, Excision and Flap Repair, Endoscopic Pilonidal Sinus Treatment (EPSiT), LASER ablation of Pilonidal Sinus (LAPS), Video-assisted LASER Ablation of the Pilonidal Sinus (VALAPS)

Pilonidal sinus is a small hole in the intergluteal cleft.  It is a common disease.  It is usually found over the tailbone at the cleft at the top of the buttocks.  It can get filled up with fluid or pus resulting in the formation of a cyst or abscess.  A pilonidal cyst usually contains hair and debris of skin.  It can cause severe pain and so it needs to be treated. If left as such it leads to Branching and disease progression.

Chronic Pilonidal Cysts can lead to the formation of abscess and sinus cavities.  Sinus cavities are empty spaces underneath the skin.

The most common cause for a Pilonidal Sinus is loose hairs that puncture the skin forcing the hair into it.  It usually happens near the tail bone. 

  • Sedentary lifestyle
  • Being overweight / Obesity
  • Sitting for prolonged periods of time.
  • Thick body hair
  • Prior injuries
  • Travel on vehicles with less shock absorber or bumpy roads (Jeep driver’s disease)
  • Poor hygiene
  • Increased sweating

All the above increases the risk factors for getting Pilonidal Sinus.  It is usually more common in men.

Pilonidal Cysts can become infected, which causes inflammation of the skin around the cyst and pain.  It can be extremely painful, especially while sitting.  Symptoms include:

  • Pain, that gets worse with sitting.
  • Inflamed or swollen skin between the buttocks that feels tender and appear red.
  • Pus or blood oozing from the area.
  • Foul odor
  • Excision
  • Excision and Flap Repair
  • Endoscopic Pilonidal Sinus Treatment (EPSiT)
  • LASER ablation of Pilonidal Sinus (LAPS)
  • Video-assisted LASER Ablation of the Pilonidal Sinus (VALAPS)

The entire tract is excised. The wound is dressed and it heals in 2 months’ time.

In this procedure, the diseased tissue is excised and the wound is closed with a Flap for reconstruction of the tissue.  This helps prevent recurrence.  Early healing of the wound happens.

In Endoscopic Pilonidal Sinus Treatment, a small camera is used to explore the sinus.  The sinus epithelium is cauterized or burnt and cleaned.  The camera aids the surgeon to visualize the sinus and identify if there are any branching tunnels.  Because the wounds are very small, there is less pain and patients can resume work early.

This is a minimally invasive procedure.  In this procedure a video scope is used to guide a sharp curettage to remove the hair and debris from the sinus tract.  A LASER ablation is done to ablate the sinus tract epithelium The video scope allows direct vision of the tract helping the surgeon to perform the procedure complete.


  • Wounds get covered in a day
  • Significantly reduces healing time from months to days
  • Very unlikely to recur

General Surgery Department at Keyhole Clinic has the Best Doctors for Pilonidal Sinus Treatment in Kochi.

 Dr. R. Padmakumar - Best Pilonidal Sinus Doctor in Kochi
Dr. R. Padmakumar

Minimally Invasive Surgery

Dr. Madhukar Pai - Best Pilonidal Sinus Doctor in Kochi
Dr. Madhukara Pai

General Surgery

Dr. Resen Rajan - Pilonidal Sinus Doctor in Kochi
Dr. Resen Rajan

General Surgery


Related Articles

പൈൽസ് ചികിത്സ കൊച്ചിയിൽ | മൂലക്കുരു ചികിത്സ പൈല്സിനുള്ള ലേസർ ചികിത്സ, സ്റ്റേപ്പിൾഡ് ഹെമറോയ്ഡ്എക്ടമി, ഹെമറോയ്ഡ്എക്ടമി, ബാൻഡിങ്, സ്ക്ളീറോതെറാപ്പി
പൈൽസ് ചികിത്സ  കൊച്ചിയിൽ | മൂലക്കുരു ചികിത്സ

പൈൽസ് ചികിത്സ രീതികൾ പൈല്സിനുള്ള ലേസർ ചികിത്സ സ്റ്റേപ്പിൾഡ്...

Read More
Anal Fistula

What is a Fistula A fistula is a small tunnel or an abnormal connection between two body parts, such as between an organ or bowel and another body part What is anal Fistula An anal fistula is a small abnormal tunnel that forms between an...

Read More
ഫിസ്റ്റുല-രോഗലക്ഷണങ്ങളും ചികിത്സയും
ഫിസ്റ്റുല-രോഗലക്ഷണങ്ങളും ചികിത്സയും

ഫിസ്റ്റുല-രോഗലക്ഷണങ്ങളും ചികിത്സയും കുറിച്ച് Dr Madhukar Pai സംസാരിക്കുന്നു Subscribe to our YouTube Channel...

Read More
പൈൽസ് രോഗമുള്ളവർ ശ്രദ്ധിക്കേണ്ട കാര്യങ്ങൾ, ഭക്ഷണങ്ങൾ
പൈൽസ് / മൂലക്കുരു രോഗമുള്ളവർ ശ്രദ്ധിക്കേണ്ട കാര്യങ്ങൾ, ഭക്ഷണങ്ങൾ

കുറെ 'S' കൾ ആണ് പൈൽസ് / മൂലക്കുരു ഉണ്ടാക്കുന്നത് Squatting - കുത്തിയിരിക്കുന്നത് Straining - മലം പോകാൻ...

Read More
Keyhole Clinic Edappally

Keyhole Clinic, the state-of-the-art healthcare facility, is situated in the Heart of Kochi at a very prime location (Edappally), We have well-experienced and reputed team of Medical Professionals at our center.

Keyhole Clinic is now NABH Accredited

Keyhole Clinic is now NABH Accredited
National Accreditation Board for Hospitals & Healthcare Providers
Patient Safety & Quality of Care

Our Vision: Center of Excellence in all specialities aiming to provide Comprehensive & Comfortable Outpatient Healthcare Services

Mission: High Quality Care with a Smile

Quality Policy: To provide state-of-the-art facilities of International Standards to patients in a pleasant ambience