How is pilonidal disease treated?

If your pilonidal disease has progressed to the sinus stage, you will likely need surgery to treat it.

If you have an abscess, your doctor may be able to open and drain the infected area in his or her office. Antibiotics will likely be prescribed to help treat the infection.

Other surgical options exist, including excising the diseased area and leaving the wound open for packing or, in select cases, closing the wound with sutures.

Surgery is more likely in cases of recurring pilonidal disease.

Last reviewed by a Cleveland Clinic medical professional on 04/16/2014.


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  • Cameron JL, Cameron AM. Current Surgical Therapy, Expert Consult - Online and Print. Saunders; 2013.
  • Tintinalli JE. Emergency Medicine, a Comprehensive Study Guide. New York : McGraw-Hill, c2011.; 2010.

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