There are various ways to treat a Pilonidal Sinus, depending on the stage at which it is diagnosed.
Conservative treatment: If you get an early diagnosis and are not experiencing a lot of pain and inflammation, it can be treated by antibiotics. These antibiotics will mostly include broad-spectrum antibiotics, which, as the name suggests, can treat a broad range of bacteria. However, it should be noted that this medicine will not heal the sinus tract. It will only ease the discomfort and infection.
Lancing: This process relieves the discomfort caused by an abscess (collection of pus). For this procedure, you will be given anesthesia. The doctor will then use a scalpel to cut open the abscess and clean any hair, pus, or blood from it. The wound is then dressed with a sterile dressing and left to heal from the inside out. It takes almost four weeks to heal. No further treatment is required.
Phenol Injections: Under this procedure, you will first receive anesthesia, followed by the phenol injection – a chemical antiseptic. This procedure might need to be carried out multiple times until the cyst hardens and closes. As it needs to be repeated, doctors prefer surgery over this procedure.
Minimally Invasive Surgery: In case of multiple or recurring sinuses, the doctor will recommend you to go in for surgery. The surgical procedure begins with local anesthesia, and the doctor will then open the cyst/sinus to remove the abnormalities. After successfully removing the debris, the doctor will stitch up the wounds.