Pilonidal Sinus disease mostly affects young men aged 15-35. What kind of discomfort, symptoms and treatment methods do hair loss, which starts with complaints such as pain, swelling, bloody discharge, itching and negatively affects the quality of life?
Providing information about the subject, General Surgery Specialist from Medigold Sultan Hospital Op. Dr. Fatih Kar said, “Pilonidal Sinus disease, which is known as a hair loss among the people, is a very common condition affecting men aged 15-35. In general, it is seen in 1 percent of males and 0.1 percent of females. In Turkish society, this rate can increase to about 10 percent in men, which shows us that it is seen 10 times more than Western societies. Particularly, the rate of incidence is higher in men who remain stationary, work desk-based, addicted to computers, driving long hours, prefer narrow clothes, and have excessively hairy body. ” said.
“There are patients who have not been out of the house for months after their psychology has deteriorated. “
Referring to the fact that pilonidal sinus disease negatively affects both the psychology and social life of the person, Kar said, “The patient usually applies to the physician with complaints such as pain, swelling, bloody discharge, itching and not being able to sit on the butt area. The main cause of the disease is that, in the collapsed part of the coccyx, it is inserted into the hairy and sweaty groove and turns into the subcutaneous adipose tissue by turning it through the sweat gland holes at the bottom of the groove, without making it felt in the subcutaneous adipose tissue, and opening the holes and inflammation with the contribution of the bacteria entering these holes. In addition to this, if excessive hairiness and lack of personal cleaning are added, the problem of hair turning becomes chronic. All of these, seriously adversely affect the quality of life of the individual, causing smell and contamination of the laundry. So much so that there are patients who have to undergo surgery many times due to this disease and whose psychology is not broken out for months. “He said.
The results of the “crystallized phenol” method applied in recent years are very successful
Referring to the measures to be taken against hair loss and treatment methods Op. Dr. Fatih Kar said, “It is very important to pay attention to personal hygiene, clean the hairs in the coccyx area, and if necessary, reduce potential risks by laser epilation in this area. We strongly recommend laser epilation after the procedure in our patients who were treated with this disease. On the other hand, to mention the treatments of the disease, surgery was in the first place among these options. However, many methods developed in recent years have also started to produce successful results without surgery. As in many different diseases, treatment planning is made according to the course of the disease and personally. We do not consider surgery as a primary choice for the person who has Pilonidal Sinus disease for about 5-6 years. If there is a new disease development, it may be sufficient to increase laser epilation and hygiene by raising awareness. In the presence of slightly deeper sinuses, we can consider cleaning the hairs, removing the sinuses under local anesthesia (micro sinusectomy) or applying crystalline phenol. These are considered as outpatient, short, painless treatments. Among these, “Crystalline Phenol” is one of the most preferred methods. We can achieve success with this technique in 85 of every 100 patients. It is a technique that does not require an operating room environment, and it has a very high chance of success when performed properly in an outpatient environment. By providing sterile environment to the coccyx region, we numb the area with local anesthesia and then clean the entire sinuses from the hair and inflamed tissue formed in the area. After this cleaning process, we put the crystallized phenol, which looks like coarse salt crystals or naphthalene, from the holes into the diseased area. The ‘Crystalline Phenol’ cleans the wounds of the sinuses with the effect of cleansing the wound, like the sink openers that we use to open the sinks that are completely blocked, and initiates a healing-closing process. The procedure is painless, takes 10-15 minutes on average, and does not require hospitalization. Patients can continue their normal daily activities after the procedure and take a bath the next day. “Gave information in the form.