Pilonidal Sinus (Ingrown Hair Disease)

    Pilonidal sinus is a chronic condition affecting the natal cleft, where small tracts form around trapped hair, leading to discharge, abscess and recurrent swelling. Treatment is individualised based on disease extent.

    Symptoms

    • Discharge with an unpleasant odour from the natal cleft
    • Recurrent swelling, redness and pain
    • Acute abscess episodes requiring drainage
    • Small openings (pits) on the midline

    Treatment approach

    Acute abscesses require drainage. Definitive management ranges from minimally invasive techniques and laser-assisted approaches to classical excisional surgery. Long-term recurrence prevention depends on technique selection and post-procedure hygiene.

    This page is for general information only

    The content here is not a diagnosis or treatment recommendation and does not replace an individual medical evaluation. If your symptoms persist, consult a physician. In emergencies call 112 or the nearest emergency department.

    Frequently asked questions

    Does pilonidal sinus recur?
    Recurrence is possible. The risk is influenced by disease extent, technique used and post-operative care.
    What is the recurrence rate after pilonidal sinus surgery?
    Recurrence rates vary by technique and patient factors. Minimally invasive laser-assisted approaches aim to lower recurrence; long-term hygiene and hair management remain important.

    Related topics