Laser Cure of Pilonidal Cyst or Pilonidal Sinus
The minimally invasive laser solution for Pilonidal Cyst or Pilonidal Sinus
Also known as Ingrown Hair Cyst, Tailbone Cyst, or Coccygeal Fistula, this condition is most commonly seen in younger patients. The primary complaint is pain in the mid-buttocks groove, sometimes accompanied by swelling, redness, and foul-smelling discharge. Pilonidal cysts (sinuses) can extend rapidly under the skin and branch out over a larger area than their small surface opening(s) suggest. Early treatment is crucial to prevent complications
What is a Pilonidal Cyst ( Pilonidal Sinus ) ?
Pilonidal cysts are common in young adults, affecting both men and women. About 60-70% of patients with this condition have excessive hair growth in the affected area, which can exacerbate the problem. The development of Pilonidal Cyst is linked to the micro-environment of the region, including bacterial growth in the skin pores and hair follicles of an area that rarely sees air. This anaerobic environment plays a significant role in its development, surpassing the old belief that it is purely a congenital deformity.
Pilonidal Cyst (Sinus): Challenges
The problem with pilonidal cyst is two fold: One; is the patient delay in seeking medical care, most patients come to us with multiple cyst openings, and two; The cyst expansion is insidious and tricky, it could look like a small little opening (s) on the surface, while it is several centimetres deep and branching in all directions under the surface.
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Challenges with Traditional Surgery for Pilonidal Cyst (Sinus)
The above facts explain the surgeon’s dilemma in treating pilonidal cyst, traditional surgery involves rather unusually large and deep round wound that takes several months to heal or complicated and extensive dissection All of the traditional old procedures were trying to remove (physically remove) the entire cyst walls and content, and by enlarging the round area removed, the surgeon hopes he/she did not miss any branch or portion of the cyst. Obviously, these traditional surgeries of pilonidal cyst were not popular among patients, they involved long protracted recovery, daily extensive packing of the wound or repeated visits to the hospital or clinic and worse and they still carried 25-35% recurrence rate.
Effectiveness of Laser Treatment for Pilonidal Cyst (Sinus)
At our clinic, we adopted and refined a treatment that combine the benefits and healing power of Endo laser with the proven methods of traditional surgical experience, we call it the ‘’Aji’s procedure’’ since it was first used by our Director, Dr. Sarmad Aji, an American board-certified laser surgeon with more than 1000 pilonidal laser cystectomy successful experiences.
The method involves no incision or wounds more than enlarging slightly the existing opening, then utilizing the Fistuloscope and Endo-laser to cauterize all cyst walls from within, ending up with tiny opening that requires very little daily postoperative care, with immediate return to work and daily activities, we do this under simple local anesthesia, in an office setting, in less than half an hour with patient up and running immediately after treatment.
Laser Assisted Endoscopic Pilonidal Sinus Treatment (LA-EPSiT) is an exclusive treatment of choice at our clinic for most of our Pilonidal Cyst patients, it is the combination of the Aji Procedure with the Endoscopic tools that makes it so effective and popular. 95% of patients enjoy a permanent cure after LA-EPSiT without missing one day of work or sport activities.
For those advanced and recurrent cases of Pilonidal cysts that we see at our center or referred to us by other physicians and General surgeons and especially those associated with deep natal cleft or defect, we perform a very effective Laser Assisted Modified Cleft Lift Repair ( LA-MCLR ), again, under simple local anesthesia with mild sedation, no open wounds or dressing changes, and excellent permanent cure rate (more than 98%).
Common Questions About Pilonidal Cyst ( Pilonidal Sinus )
What causes a Pilonidal Cyst ?
Pilonidal Cysts are primarily caused by bacterial growth in hair follicles and skin pores within an anaerobic environment, such as the mid-buttocks groove. Factors like excessive hair growth, poor hygiene, or prolonged sitting may contribute…
How is a Pilonidal Cyst diagnosed ?
A diagnosis is usually made through a physical examination. In some cases, imaging tests like ultrasound may be used to evaluate the extent of the cyst under the skin.
Why is laser treatment better than traditional surgery ?
Laser treatment is minimally invasive, with no large wounds or extensive recovery time. It offers a high success rate, minimal discomfort, and allows patients to return to daily activities immediately.
Is laser treatment painful ?
No, the procedure is performed under local anesthesia, ensuring a minimal pain experience.
How long does it take to recover after laser treatment ?
Patients can resume their regular activities immediately after the procedure, with minimal postoperative care required.
Can Pilonidal Cysts recur after laser treatment ?
While recurrence is rare with laser treatment (less than 5%), maintaining good hygiene and hair removal in the area can further reduce the risk.
How soon should I seek treatment for a Pilonidal Cyst ?
Early treatment is crucial to prevent the cyst from expanding and branching further under the skin. Seek medical attention as soon as symptoms are noticed.
Are there any risks or complications with laser treatment ?
Laser treatment is a safe and effective procedure with minimal risks. Some patients may experience mild redness or soreness, which resolves quickly.
How can I prevent Pilonidal Cysts from forming again ?
Prevention measures include maintaining proper hygiene, keeping the area clean and dry, removing excess hair, and avoiding prolonged sitting. Regular follow-ups can also help monitor for any signs of recurrence.
Can Pilonidal Cysts heal on their own without treatment ?
While small Pilonidal Cysts may temporarily improve, they rarely heal completely without treatment. Delaying medical intervention can lead to complications, including infection, multiple cyst openings, and further branching under the skin.
Is laser treatment for Pilonidal Cyst covered by insurance ?
We accept most insurance plans. Coverage depends on your specific insurance provider, If you have health insurance, please send a picture of your insurance card or Emirates ID to our WhatsApp number 0565556999, and our team will assist you in verifying its acceptance at our clinics.