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ANORECTAL CONDITIONS

 

Pilonidal disease

 

What is pilonidal disease?

Pilonidal disease is an infection of the skin in the buttock crease. The infection begins from hairs that become embedded in the skin of the buttock crease. It generally occurs in young adults and is more common in men than women. It is also seen more commonly in individuals with more body hair and in those with a family history of pilonidal disease.

What are the symptoms of pilonidal disease?

Symptoms may include a large painful, red, lump which may drain pus and have a foul odor. After the infection drains, either by itself or by surgical drainage a sinus tract may form in some individuals. The sinus tract creates a tunnel under the skin that may have continued drainage or recurrent infections.

How is pilonidal disease treated?

At initial presentation most individuals will have an abscess that may need to be unroofed to drain the pus. The wound may be packed open to heal inside out.

After the acute infection is treated, a chronic sinus may form, in which case Dr. Zaghiyan may recommend conservative measures such as hair removal by shaving or laser as initial therapy. Shaving should be continued on a weekly basis until complete healing has occurred. If conservative measures fail, surgical excision or removal of the sinus tract and possible closure with flaps may be recommended. There is some down time associated with such surgery. Make an appointment for a consultation with Dr. Zaghiyan in her office in Los Angeles for a thorough evaluation and treatment recommendations for your specific situation.