Pilonidal Sinus
Laser Treatment
Advanced laser procedures — SiLaC and EPSiT — for permanent closure of pilonidal sinuses. No large wound, no prolonged healing, no daily dressings. Daycare procedure.
Understanding the Condition
What is a Pilonidal Sinus?
A pilonidal sinus (also called pilonidal cyst or pilonidal disease) is a small tunnel or cavity in the skin near the tailbone, at the top of the buttock cleft. The word "pilonidal" means "nest of hair" — the sinus typically contains hair follicles, skin debris and bacteria.
When the sinus becomes infected, it forms a painful pilonidal abscess. Without definitive treatment, the condition becomes chronic — with repeated infections, discharge and significant impact on daily life and work.
Common Symptoms:
Root Causes
What Causes Pilonidal Sinus?
Ingrown Hair
Loose hairs penetrate the skin in the natal cleft and trigger a foreign body reaction, forming a sinus tract.
Prolonged Sitting
Desk workers, drivers and students who sit for long hours are at significantly higher risk.
Excess Body Hair
Coarse, thick body hair in the natal cleft increases the likelihood of hair penetrating the skin.
Obesity
Excess weight creates deeper natal cleft folds, trapping moisture and hair.
Poor Hygiene
Inadequate cleaning of the natal cleft allows hair and debris to accumulate.
Friction & Trauma
Repeated friction from clothing or physical activity can drive hairs into the skin.
Stages of Disease
Stages of Pilonidal Sinus
Pilonidal disease progresses through stages. Early treatment prevents progression to chronic or recurrent disease.
A small pit or dimple near the tailbone with no symptoms. Often discovered incidentally.
Recommended:
Observation, hygiene measures
Sudden onset of severe pain, swelling and pus collection. Requires urgent drainage.
Recommended:
Incision & drainage, then definitive surgery
A persistent sinus tract with intermittent discharge. May have multiple pits and tracts.
Recommended:
Laser Sinus Treatment (SiLaC / EPSiT)
Pilonidal disease that has returned after previous surgery. Often complex with multiple tracts.
Recommended:
Advanced laser / flap procedure
Treatment Options
Procedures Offered by Dr. Sonawane
Dr Ratnadip Shantaram Sonawane is trained in all major laser and minimally invasive pilonidal sinus procedures and selects the best approach for each patient.
A laser fibre is inserted into the sinus tract. Laser energy destroys the tract lining and seals it shut — no wide excision, no large wound, no prolonged healing.
A miniature endoscope visualises the entire sinus tract under direct vision. Hair and debris are removed and the tract is ablated precisely — ideal for complex or recurrent cases.
For extensive or recurrent disease, the entire sinus complex is excised. Dr. Sonawane uses tension-free closure techniques to minimise recurrence and promote healing.
Step by Step
Your Treatment Journey
Consultation & Assessment
Dr. Sonawane examines the sinus, assesses the number of pits and tracts, and plans the most appropriate procedure — SiLaC, EPSiT, or excision.
Pre-procedure Preparation
Simple shaving of the natal cleft area. No prolonged fasting or hospital admission required. Procedure is performed under local or spinal anaesthesia.
Laser Sinus Closure (SiLaC)
A laser fibre is introduced through the sinus opening. Laser energy ablates the entire tract lining from inside — no large cuts, no stitches, no open wound.
Recovery & Discharge
The procedure takes 20–30 minutes. You rest briefly and go home the same day — a true daycare procedure.
Healing & Follow-up
The small sinus opening heals within 4–6 weeks. Dr. Sonawane advises on hair removal and hygiene to prevent recurrence.
Why Choose Laser
Benefits of Laser Pilonidal Sinus Treatment
No Large Wound
Laser closes the tract from inside — no wide excision, no open wound to pack daily.
Daycare Procedure
Go home the same day. No prolonged hospital stay required.
Rapid Recovery
Return to normal activity within 5–7 days. Desk workers back in 3–4 days.
Low Recurrence
Laser treatment combined with hair removal advice gives excellent long-term results.
Treats Recurrent Cases
EPSiT allows direct visualisation and treatment of complex, multi-tract sinuses.
Expert Surgeon
Dr. Sonawane is trained in SiLaC, EPSiT and advanced pilonidal sinus surgery.
Common Questions
Frequently Asked Questions
Pilonidal Sinus Treatment Near You
Dr Ratnadip Shantaram Sonawane's clinic in Punawale is conveniently accessible from across Pimpri-Chinchwad and the western Pune corridor.
Dr Ratnadip Shantaram Sonawane
MBBS MS FIAGES · Laser Piles Specialist Surgeon
Punawale, Pimpri-Chinchwad
4th floor, Theia, Siddhashila Eela Society, Kate Wasti Rd, Punawale, Pimpri-Chinchwad — 411033
OPD: Mon–Sun | 8:00 AM – 10:00 PM
Serving: Punawale, Marunji, Tathwade, Wakad, Ravet, Hinjewadi, Nigadi
📞 7447660789Get Permanent Relief from Pilonidal Sinus
Don't let a pilonidal sinus disrupt your life. Consult Dr Ratnadip Shantaram Sonawane for expert SiLaC and EPSiT laser treatment in Pune — no large wound, rapid recovery, lasting results.