Question 1

Is it possible to sit after pilonidal sinus surgery?

Accepted Answer

If you undergo pilonidal sinus closed surgery with laser, you need to lie down on the back seat of the car all the way home and rest at home for only one night. You can sit from the next day but you should be careful not to sit on hard surfaces or for a long time at least within the first week. If you undergo open surgery, you cannot sit for one to four weeks, and it is better to lie down in a prone position to reduce pressure on the surgical site.

Question 2

Is pilonidal sinus surgery a painful procedure?

Accepted Answer

You will feel no pain during surgery because it is performed under general or spinal anesthesia. The severity of postoperative pain depends on the surgery method. If an experienced surgeon treats your pilonidal sinus through closed surgery with laser, you will feel mild pain after surgery that can be easily relieved with simple painkillers. By contrast, if you undergo conventional surgery, you may have to use painkillers for up to a week.

Question 3

Is pilonidal sinus surgery the only definitive treatment for this disease?

Accepted Answer

Yes, all types of pilonidal sinus should be drained in a surgical procedure. Since it is not possible to definitively treat a pilonidal sinus through medication, there is no other option but pilonidal sinus surgery. Closed laser surgery is the best method for this purpose.

Question 4

Is pilonidal sinus a deadly disease?

Accepted Answer

Some people may put up with a pilonidal sinus for years because of their fear of surgery. A pilonidal sinus in advanced cases leads to abscesses and infections, and untreated abscesses may also cause multiple complicated fistulas. Finally, they suffer from severe systemic infections. Such individuals will ultimately visit a general surgeon when they feel intolerable pain. It can be hence concluded that a pilonidal sinus itself does not lead to death, but repeated and untreated infections may take the lives of such patients.

Question 5

How can one use a toilet after pilonidal sinus surgery?

Accepted Answer

Regardless of the pilonidal sinus surgery method (open or closed), note that you should defecate or urinate in a way that puts no pressure on the surgical site. The best solution is to use a toilet to reduce pressure on the anal area and the back skin stretch.

Question 6

How should patients sleep after pilonidal sinus surgery?

Accepted Answer

After pilonidal sinus surgery, you can sleep in a lateral or prone position. The general surgeon may recommend the patient sleep in a supine position during the first three days after surgery.  However, this cannot be advised to all patients and most of them are generally recommended not to put pressure on the surgical site.

Question 7

Is it possible to treat pilonidal sinus by a nonsurgical procedure?

Accepted Answer

If you are diagnosed with a pilonidal sinus by a general surgeon, the only definitive treatment is the surgical drainage of the cyst. In fact, it is not possible to definitively treat a pilonidal sinus with medication or other methods. The best method for treating this disease is closed laser surgery.

Question 8

What should we eat after pilonidal sinus surgery?

Accepted Answer

After pilonidal sinus, it is recommended to eat high-fiber foods to have easy defecation and reduce pressure on your lower back during this process. Moreover, honey, aloe vera, avocado, pineapple, and fruits rich in vitamins and minerals will help wound healing.

Question 9

What are the symptoms of infection after pilonidal cyst surgery?

Accepted Answer

If you have foul-smelling secretions with pain, and the patient's secretions and pain increase day by day, it is a sign of infection after pilonidal cyst surgery. Colorless and odorless secretions are normal and will decrease day by day after pilonidal cyst surgery.

دکتر زهرا سعادتی

Pilonidal Sinus Surgery

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تبخال تناسلی چیست؟ و روش درمان

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