Pilonidal Sinus Laser Treatment in Nashik

By Dr. Jaideep Somvanshi  |  Panacea Clinic, Nashik  |  +91 9112220247

What Is Pilonidal Sinus?

A pilonidal sinus is a small cyst or abscess that occurs at the top of the cleft of the buttocks (sacrococcygeal region). It contains hair, skin debris, and sometimes becomes infected, forming a painful cyst. The word pilonidal comes from Latin meaning "nest of hair." The condition predominantly affects young adults, particularly men, and is associated with a sedentary lifestyle, excessive body hair, and prolonged sitting.

Common symptoms include pain and swelling at the base of the spine, discharge of pus or blood from a small opening near the tailbone, redness, and recurrent infections. Pilonidal sinuses rarely heal on their own once they become chronic — surgical treatment is the definitive solution.

Laser Treatment for Pilonidal Sinus (SiLaC)

At Panacea Clinic Nashik, Dr. Jaideep Somvanshi offers Pilonidal Sinus Laser Closure (SiLaC) — a minimally invasive laser technique that has revolutionised the treatment of this condition. In SiLaC, a laser fibre is inserted through the sinus opening, and laser energy destroys the sinus epithelium and obliterates the tract, without requiring large skin incisions or flap procedures.

This technique offers significant advantages over traditional wide excision surgery, which typically leaves large open wounds requiring weeks of dressing changes and carries a high recurrence rate. With laser treatment, the wound is small, heals faster, and patients experience far less post-operative discomfort.

Benefits of Laser Pilonidal Sinus Surgery

• Minimally invasive — very small wound (1–2 mm)
• Day-care procedure — same-day discharge
• Significantly less pain than open excision
• Faster recovery — return to work in 3–7 days
• No large dressing changes required
• Low recurrence rate with proper technique
• Can be repeated if required for recurrent cases

What Happens During Laser Pilonidal Sinus Treatment?

The procedure is typically performed under local anesthesia or spinal block. Dr. Somvanshi carefully probes and maps the sinus tract, removes embedded hair using a crochet hook technique, and then inserts the laser fibre to destroy the tract lining. The tiny wounds are left to heal naturally or closed with a single suture. The entire procedure takes approximately 30–45 minutes.

Prevention and Lifestyle Tips

After successful treatment, recurrence can be minimised by regular hair removal in the natal cleft area (laser hair removal is ideal), maintaining good hygiene, avoiding prolonged sitting, and staying active. Dr. Somvanshi provides detailed post-operative instructions and follows up regularly to ensure complete healing.