Specialist Pilonidal Disease Treatment in Perth

What is Pilonidal Disease

Pilonidal disease is a skin condition affecting the top of the buttock crease. It is often caused by ingrown hairs and trapped debris beneath the skin, which can lead to the formation of small tunnels (pilonidal sinuses) or cysts (pilonidal cysts). These areas can become painful, swollen, and infected, sometimes forming abscesses.

Common Symptoms of Pilonidal Disease

You may benefit from specialist review if you experience:

• Pain, throbbing, or swelling near the tailbone, especially when sitting.
• Redness or tenderness near the tailbone.
• Fluid, pus, or blood from the affected area.
• A lump that is recurrent or keeps getting infected.

Treatment for Pilonidal Disease

Treatment for pilonidal disease depends on the severity of symptoms, the extent of the disease, and whether it has recurred. In some cases, it can become a long-term condition with repeated flare-ups, requiring more definitive treatment. Each treatment approach is tailored to promote healing, minimise discomfort, and reduce the risk of recurrence. Treatment options may include:

Drainage procedures – Minor procedures to release the infected abscess and relieve pressure, swelling, and pain.

Definitive reconstructive procedures (Karydakis flap) – For chronic or recurrent pilonidal disease, a Karydakis flap procedure may be recommended. This technique moves the surgical incision away from the midline buttock crease, helping reduce tension, improve healing, and decrease the chance of hair re-entering the wound.

Recovery and After Care

Recovery time and aftercare following pilonidal disease treatment will vary depending on the procedure performed and the severity of the condition. As pilonidal disease can recur, careful wound care and ongoing hygiene are essential to support healing and minimise the risk of recurrence. Mr Stein will provide personalised instructions to help achieve the best possible recovery.