Dubai, UAE --- A pilonidal sinus is a small hole or tunnel leading to a cavity that develops under the skin, generally found in the natal cleft at the top of the buttocks. Due to recurrent trauma in the region, hair follicles may ingrow forming a cyst that ultimately can become infected and open into skin forming small pits that communicate with the main cavity. Broken hair, debris may be sucked in the cavity and contribute to a chronic infection. A pilonidal sinus may have multiple pits. The pits may discharge pus, blood-stained fluid and produce a foul odor.
Studies show that the incidence of pilonidal disease is about 26 per 100,000 population, and it is predominantly found in men vs women at a ratio of 4:1. The incidence of Pilonidal cysts typically start in the late teens to early twenties and decrease after the age of 25, rarely occurring after the age of 40. Since pilonidal disease can be very painful, especially while sitting or standing, causing sore skin, swelling, and finally leading to the formation of multiple sinus tracts in the skin, it is important to treat the condition at the earliest, just as the pain starts.
Traditionally, an infected pilonidal sinus required invasive treatments such as full excision of the cavity with the need of multiple change of dressings. While these methods greatly reduced the chances of recurrence, they required a minimum of 4 to 10 weeks for the wound to heal. Patients were also required to regularly monitor the region by keeping it clean and shaving the site to prevent hair from getting into the wound.
Currently , many experts are recommending minimally invasive techniques to treat pilonidal sinuses such as EPSiT (Endoscopic Pilonidal Sinus Treatment) for better and faster recovery. World-renowned proctologist and speaker Dr. Antonio Privitera says- “EPSiT is a simple technique with a high success rate when compared to older methods. Here, we use a fistula scope to assess the anatomy of the sinus and understand the extent of the disease. Any hair or debris can be removed under vision through an operating channel. As a result, we can be sure that the cavity is completely clean and, therefore, will heal without further infection.”
After washing out the cavity, cautery ablation of the wall using a specialized electrode is carried out. The pits are excised and light packing performed.
“EPSiT is less painful compared to most conventional pilonidal surgeries as the incision is kept small. It is almost always performed as day surgery. Patients can easily return to their normal routine much faster, as they experience minimal to no pain during the healing period.”- explains Dr. Antonio. EPSiT has reported an overall satisfaction rate of 97% worldwide with a very low recurrence rate.
EPSiT is undoubtedly a very promising treatment for pilonidal sinus disease. Thanks to the faster recovery, low recurrence rates and minimal pain, this technique is sure to put many patients at ease. To book a consultation with Dr. Antonio Privitera to discuss your eligibility for EPSiT, call +971 55 318 8469 today.