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Laser Treatment of Pilonidal Sinus

Pilonidal Sinus: Understanding the Problem and the New Laser Solution


Have you noticed a painful swelling or discharge near your tailbone?

You might be dealing with something called a pilonidal sinus. Do not worry—modern treatments are much simpler and more comfortable than you think!

What Is a Pilonidal Sinus?

A pilonidal sinus, also known as jeep rider disease, is a small cavity or tract under the skin, usually near the tailbone (in the cleft between your buttocks). It is often caused when hair, sweat, and dirt get trapped under the skin, leading to infection and a tunnel or abscess formation. It mostly affects young adults and people who sit for long periods—like students, IT professionals, and drivers. It was also known as jeep rider disease.

Common symptoms include:

• Pain or swelling near your lower back
• Pus or blood discharge with a bad smell
• Redness or tenderness in the area
• Visible holes (pits) with hair poking out

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Lives Transformed

Why Does It Happen?

Experts now believe pilonidal sinus is an acquired condition—not something you are born with. Hair and sweat can get trapped inside the skin due to friction, sitting for long hours, poor hygiene, or even a deep groove between your buttocks.

Certain factors increase your risk:

• Being male
• Having thick body hair
• Obesity
• Jobs that involve sitting a lot
• Poor hygiene
• Excessive sweating

How Is It Treated?

Earlier treatments involved big surgeries that needed weeks of recovery. However, now, minimally invasive laser treatments have changed the game!

• Cutting out the sinus and stitching it (sometimes needing big flaps of skin)
• Healing took weeks or even months
• Higher chances of pain, infection, and scars

The Modern Laser Approach: VALAPS

Our center uses an advanced technique called Video-Assisted Laser Ablation of Pilonidal Sinus (VALAPS).

Here's how it works:

✅ A thin camera (endoscope) is inserted to see the sinus tract clearly.
✅ All hair and infected tissue are gently cleaned under direct vision.
✅ A special laser fiber then burns and seals the sinus from the inside.

No big cuts, no major stitches, and almost no scarring!

Benefits of Laser Treatment:

• Minimal pain: Most patients only need mild painkillers.
• Quick recovery: Most people return to normal work within 3-5 days.
• Less risk of infection: As everything is cleaned and sealed properly.
• Better cosmetic results: Tiny wounds, no ugly scars.
• Lower recurrence: Because we directly see and remove the problem areas.

What Happens After Surgery?

You will be guided on:

• Keeping the area clean
• Dressing the wound properly
• Avoiding sweating and friction
• Shaving or using laser hair removal to prevent hair from getting trapped again


Most patients heal beautifully within a few weeks!

What If It Comes Back?


Recurrences can happen if:
• All the infected tissue was not removed
• New hair gets trapped again
• Wound care is not proper

However, with laser treatments and good hygiene, the risk is very low compared to older surgeries.

Why Choose Dr. Kamal Gupta for Pilonidal Sinus and Laser Surgery?

Dr. Kamal Gupta is a pioneer in laser proctology with over 34 years of surgical experience and a reputation for delivering minimally invasive, patient-friendly treatments. He was among the first surgeons in India to adopt and master advanced laser techniques like Video-Assisted Laser Ablation of Pilonidal sinus (VALAPS), offering faster recovery, minimal pain, and excellent long-term results.
Thousands of patients trust Dr. Gupta for his precise diagnosis, personalized care, and commitment to safety.
At Karan Hospital, Jalandhar, you are treated with world-class technology, personal attention, and a focus on getting you back to life faster and healthier.
Choose Dr. Kamal Gupta — Experience you can trust. Care you can feel. Results you can see.

Frequently Asked Questions (FAQs) About Pilonidal Sinus and Laser Surgery

A pilonidal sinus is a small cavity or tunnel under the skin near the tailbone, usually caused by trapped hair, dirt, and infection. It often leads to pain, swelling, or discharge.

It mainly happens when hair penetrates the skin due to friction, sweating, prolonged sitting, or poor hygiene.

• Young adults (16–30 years)
• Men (more commonly)
• People with thick body hair
• Those with sedentary jobs (students, IT professionals, drivers)

• Swelling or pain near the tailbone
• Pus or bloody discharge
• Redness or tenderness
• Visible small holes (pits) with hair coming out

Very rarely. Most cases need proper treatment to avoid repeated infections and complications.

Yes!
Laser surgery, specifically Video-Assisted Laser Ablation of Pilonidal Sinus (VALAPS), is a modern and minimally invasive method that offers faster recovery, less pain, and no big scars.

Yes,
Laser combined with ProctoCor (a special coring device) can remove the sinus tract more precisely, further improving results and lowering recurrence.

It is a technique where a small camera is used to clean the sinus tract under direct vision, and a special laser fiber seals the tract internally—without large cuts or stitches.

• Minimal pain
• Tiny wounds, better cosmetic results
• Faster Healing (most return to work within 3–5 days)
• Lower risk of infection
• Easier wound care compared to big open wounds

• Avoid sweating and friction around the wound
• Do not sit continuously for long periods
• Avoid gymming, cycling, and heavy exercises initially
• Maintain hygiene and shave or laser surrounding hair regularly

Not always daily.
You will require regular, simple dressings 2–3 times a week or as your doctor advises. Proper wound care ensures faster Healing.

Laser surgery has a very low risk of recurrence compared to traditional surgery. Following good hygiene, regular hair removal, and doctor's instructions further reduce the risk.

Most patients heal beautifully within 3 to 4 weeks. Sometimes, Healing can be slightly delayed — but with regular doctor visits and good care, the wound heals without major issues.

In most cases, just one laser surgery is enough. In rare, complicated cases, a second sitting may be needed.

Because:
• Laser causes minimal pain and much faster recovery
• No large surgical scars
• Easier wound care
• Even if a second treatment is needed, the laser is easier and less traumatic than handling large open surgery wounds.

Absolutely.
• Open surgery leaves big scars, a long healing time, and more painful dressings.
• Laser surgery is less painful, heals faster, and looks cosmetically much better.

• Keep the area clean and dry
• Shave or laser hair regularly
• Avoid sitting for too long at one stretch
• Maintain a healthy body weight
• Follow your surgeon's post-surgery instructions carefully

If you notice:
• Painful swelling
• Persistent discharge
• Redness or repeated infections near the tailbone
Consult an expert like Dr. Kamal Gupta immediately for early diagnosis and proper treatment.

🩺 Take-Home Messages

✅ Pilonidal sinus can be treated safely and comfortably with modern laser techniques like VALAPS.
✅ Healing is faster, there is minimal pain, and cosmetic results are much better than old open surgeries.
✅ Proper care, hygiene, and hair removal prevent recurrences.
✅ Trust an experienced surgeon like Dr. Kamal Gupta for expert treatment and personalized care.

📞 Need Help?

ADDRESS Karan Hospital, Jalandhar
MOBILE +91 8725048415
Visit www.karanhospital.com | www.drkamalgupta.com
EMAIL drkamalgupta.appointments@gmail.com

Testimonials

What Our Patients Say

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Hundal Trucking LLC

I was referred to Dr Kamal Gupta’s Karan Hospital as I was suffering from fistula and it had to be operated to get rid of it. Dr Gupta and team did a great job I was operated on March 31st and had couple of follow up visits and I am ready to go back to US after the treatment. The whole team at the hospital is very courteous and knows their job description very well. The facility is clean and well maintained and the costing too was reasonable. I recommend all patients to this hospital for best results. I wish them all the best.

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Dr Saab

I had fistula in ano since 2,3 years. I specially came from Canada for this treatment. Dr Kamal treated me very well and explained everything to me very clearly. They took me for surgery on January and now after 3 months I’m fully cured. I recommend everyone to visit here for this treatment

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Raj Banger

I had suffered from fistula in ano since one year. I had visited so many hospital but one of my known recommend me to visited Karan hospital. I visited their and now I'm fully satisfied after 3 months of treatment. I'm very thankful to Dr Kamal Gupta and his staff for treating me very well. So I recommend each and everyone visited to Karan Hospital and get yourself treated from here.

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Rohit Kumar

I had fissure in ano since very long time so I visited karan hospital for my treatment. Dr kamal gupta is very good surgeon and his team also very understanding towards patient. So i recommend everyone to visit here and get yourself treated.

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Cities: Jalandhar Amritsar Pathankot Ludhiana Bathinda Kapurthala Kartarpur