Expert Treatment for Pilonidal Disease & Recurrent Cysts
Pilonidal Disease Treatment in Seattle
Minimally invasive options, rapid recovery, and long-term solutions for chronic pilonidal disease.
What is Pilonidal Disease?
Pilonidal disease occurs when hairs penetrate the skin at the top of the gluteal crease, creating a cyst, abscess, or set of draining sinus tracts. It often affects young adults, athletes, and individuals who sit for long periods. Without treatment it can become chronic, painful, or recurrent. Common symptoms include: • Pain or swelling near the tailbone • Drainage or bleeding from pits or openings • Recurrent infection or abscess • Difficulty sitting or exercising
Minimally Invasive Treatment Options
Modern pilonidal surgery focuses on eliminating disease while preserving normal anatomy and reducing downtime. Many patients can avoid radical excision procedures. Procedures Offered: ✓ Pilonidal Pit Picking ✓ Laser Hair Ablation (Adjunct) ✓ Drainage of Pilonidal Abscess ✓ Curettage & Marsupialization ✓ Minimally Invasive Sinus Debridement ✓ Endoscopic Pilonidal Sinus Treatment (EPSiT) — if offered or add “Available upon consultation” Benefits include: • Shorter recovery time • Less pain • Reduced wound complications • Lower recurrence rates
Advanced Surgical Excision Techniques
For complex or chronic disease, surgical excision may be required. Our approach avoids midline wounds and focuses on faster healing and reduced recurrence risk. Common Surgical Approaches: • Off-midline Closure • Cleft Lift (Bascom Procedure) • Flap Techniques for Chronic Disease • Wide-Excision for Recurrent Cases These procedures are typically performed in a Class A office-based surgical setting with local or monitored anesthesia depending on complexity.
What to Expect During Treatment
Evaluation includes a physical exam and review of symptom history. Treatment may be staged depending on inflammation or infection. Typical timeline: Consultation & Assessment Abscess Drainage (if needed) Laser or Minimally Invasive Surgery Hair & Hygiene Management to Prevent Recurrence Follow-up care focuses on wound healing, hair reduction, and prevention strategies.
Reducing Risk of Recurrence
Laser hair reduction and meticulous hygiene are key components of modern pilonidal care. We offer in-clinic or referral-based hair removal protocols tailored to reduce long-term recurrence.
When Should I See a Specialist?
You should schedule a consultation if you have: • Persistent drainage or bleeding • Recurrent infections • Pain while sitting • Non-healing wounds • Prior failed excision or recurrence Early treatment results in faster recovery and fewer complications.
Frequently Asked Questions
Q: Does pilonidal disease always require surgery? A: No. Many cases can be treated through minimally invasive techniques. Q: How long is recovery? A: Most minimally invasive procedures allow return to activity within days. Q: Is recurrence common? A: Recurrence can occur, especially without hair removal and hygiene strategies. Modern techniques significantly reduce this risk.
Take Control of Pilonidal Disease
Modern treatment options and expert surgical care.