Anorectal
Pilonidal Sinus — Definitive Surgery
Dr. Tamer Rushdy Elalfy
Educational guidance, not an individual treatment plan. Follow your treating team's instructions for fasting, medicines, wound care and activity. Recovery times vary. Translations have not yet been reviewed by a native-speaking medical professional.
- What it is
- Chronic hair-driven sinus tracts in the natal cleft with recurrent discharge.
- The operation
- Excision with flap closure (Limberg/Karydakis), or minimally invasive pit-picking/laser.
- Anesthesia & stay
- General or spinal anesthesia; 1 day stay typical.
- Home care
- Avoid sitting directly on the wound; keep the area hair-free.
- Recovery
- Return to work in 1–3 weeks depending on technique.
Before surgery
Confirm your arrival time and fasting instructions with the hospital. Ask your clinical team which medicines to take or pause; do not stop medicines yourself. Tell them about allergies, pregnancy and other conditions. Arrange help and transport home.
After surgery
Take medicines only as prescribed. Follow your own wound, food, fluid and activity instructions; walk gently when your team says it is safe. Keep your follow-up appointment. Ask your surgeon before driving, heavy lifting or returning to work.
Chest pain, difficulty breathing, heavy bleeding or rapidly increasing neck swelling: seek emergency care immediately. For fever, worsening pain, vomiting or wound discharge, contact your surgical team promptly.
Original handouts · Arabic / English
PDF