Patient : Dear Doctor, I recently discovered that I was infected with Pilonidal Sinus. I am 19 year old male at roughly 205 pounds. I went to my family doctor to see her opinion on the matter and almost instantly she said surgery. Then I went to see a specialist about this and he told me that in my case, instead of the path going upwards, it went downwards closer to my anal. Now I am just curious because everywhere I am reading, the people that were infected with this have pus come out of it. In my case I never had that, all it does is bleed when I go the washroom do take a poop, and very rarely it bleeds just a little after that. So I am wondering if I really need a surgery for this as it seems that it is not infected. Or is it building up inside? Thanks
An uncomplicated pilonidal sinus, such as yours seems to be, can be treated non-surgically. Repeated injections of phenol into the sinus can help it to heal. This should be done by an experienced medical professional. You should not that this form of treatment has a relatively high failure with approximately 27% of persons having a recurrence. If this non-surgical treatment fails then surgical excision of the sinus tract is required.
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