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Pilonidal sinus

Pilonidal disease is a chronic skin condition that typically occurs near the tailbone at the top of the buttocks crease, where hair and debris can become trapped, leading to infection and the formation of a pilonidal sinus—a small tunnel under the skin.

This sinus often causes pain, swelling, redness, and sometimes drainage of pus or blood. Treatment depends on the severity of the condition. Initial management may include good hygiene, hair removal, and antibiotics for infection. However, recurrent or severe cases often require surgical intervention. Surgical options range from simple incision and drainage to remove abscesses, to more extensive procedures such as excision of the sinus with primary closure or flap techniques (e.g., the Limberg or Karydakis flap) to prevent recurrence. Postoperative care, including wound care and avoiding prolonged sitting, is essential to promote healing and reduce the risk of recurrence.

One of our team of surgeons would be happy to meet  with you if you would like to know more about pilonidal sinus, or to discuss your symptoms. 

Are you looking for a Consultant surgeon who is an expert in Pilonidal sinus near Slough, Windsor, Maidenhead, Ascot or Camberley?

Contact a member of the team to arrange a private appointment