Pilonidal Sinus

What is a Pilonidal Sinus?

A pilonidal sinus is a small hole or tunnel in the natal cleft (the area between your buttocks), usually filled with fluid or pus, that causes a cyst or abscess. It typically forms in the cleft at the top of the buttocks and develops due to the burying of hair under the skin. The early stages of the disease may present as a small, dimple-like depression on the surface of the skin. However, once the depression becomes infected, it will quickly develop into a cyst (a closed sac filled with fluid) or an abscess (a swollen and inflamed tissue where pus collects). This condition commonly affects young adults, approximately 1 in 100 young men are diagnosed with this condition. Females are approximately 29% of Australian cases.

Pilonidal Sinus Sydney Surgeon Dr Golani


Commonly observed symptoms include:

  • Pain felt when sitting or standing
  • Tailbone Pain
  • Reddened, sore skin around the affected area
  • Pus or blood oozing from the abscess, accompanied with a foul smell
  • Hair projecting out from the affected part


The exact cause for pilonidal sinus is not known but the following factors are said to increase risk of the condition:

  • Hair growth that penetrates the skin
  • Being seated for a long time
  • Gender: Men are more at risk of developing the sinus
  • Reduced physical activity or obesity at young age


Preventive measures include:

  1. Avoid being seated for a long time
  2. Clean the cleft above the buttocks everyday
  3. Maintain a healthy height-to-weight ratio


Your GP or Dr Golani would be able to diagnose the condition by just examining the cyst or abscess.

Surgery for Pilonidal Sinus

Pilonidal sinus surgery typically involves the following steps:

  1. Opening the Sinus: The procedure includes opening up the abscess and sinus, trimming any edges of the skin, and removing any inflamed tissue surrounding the area.
  2. Removing Debris: Dr Golani removes hairs, infected tissue, and any debris, while performing an assessment of the inside of the sinus.

Post-Operative Dressing

Post-operative vacuum dressing for pilonidal sinus surgery involves:

  • Moist Dressing: A fresh, plain cotton gauze is moistened with tap water, excess water is squeezed out, and the wound is packed gently but not tightly with the moist gauze.
  • Protective Dressing: The dressing applied over the top of the wound bed protects the wound from friction, catches drainage, and provides a moist healing environment.

Post-Operative Care

  • Pain can vary among patients from some patients having no pain to some patients having moderate pain. This is best treated with a combination of Panadol two (2) tablets every 4-6 hours, Nurofen (200 mg) two (2) tablets every 8 hours. Occasionally you might require strong painkillers like Endone.
  • No driving for first 7 days or if you are on strong painkillers.
  • No cycling/running/swimming until the wound is healed.

It's important to follow the Dr Golani's instructions for wound care to promote healing and prevent complications. Follow-up visits are also crucial for monitoring the recovery process.

Your Consultation

Dr. Golani will provide further discussion regarding the specifics of your diagnosis during your consultation. Additionally, you'll have the opportunity to select the hospital for your procedure and potentially set the date for your procedure.

The best surgical hospitals in Sydney are available for your surgery:

To schedule a consultation with Dr. Golani, please contact our team for a consultation with Dr Golani. We have appointments available at three convenient locations across Sydney:

Please note that a GP referral will be required prior to your consultation.

Contact Us

To make an initial consultation booking, please contact our office on 02 8599 9819.

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Hornsby Clinic Address:

Madison Building
Suite 7, 25-29 Hunter St,
Hornsby NSW 2077
Phone: (02) 8599 9819
Email: info@drgolani.com.au
Fax:(02) 9012 0976

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Our Horsnby clinic is located conviniently next to Hornsby Westfield & Hornsby Station
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Mater Clinic Address:

Suite 13, Level 1 Mater Clinic
Mater Hospital
25 Rocklands Rd, North Sydney NSW 2060
Phone: (02) 8599 9819
Email: info@drgolani.com.au
Fax:(02) 9012 0976

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Mater Clinic
Our Mater clinic is located within Mater Hospital. Parking and Entry (convenient Pickup and Drop Zone) is via 5 Gillies St, Wollstonecraft.
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Norwest Clinic Address:

Suite 301C, Level 3
Q Central Building
10 Norbrik Dr, Bella Vista NSW 2153
Phone: (02) 8599 9819
Email: info@drgolani.com.au
Fax:(02) 9012 0976

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Norwest Clinic - Q Central Building
Our Norwest - Bella Vista clinic is located within Q Central Building - opposite Norwest Private Hospital. Free Limited Parking is available within the Q Central Building. There is a drop off zone outside of the building. Paid parking is available opposite at Norwest Private Hospital. Additionally there is parking at Woolworths Norwest Circa (5 minutes walk from the Clinic)
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What do I bring to my appointment?

  • Referral letter
  • X-Rays/Scans
  • Test results relating to referral
  • Health fund card
  • Medicare card

Royal College of Surgeons     Colorectal Surgical Society of Australia and New Zealand     Royal College of Edinbirgh     Gastroenterological Society of Australia     Sydney Adventist Hospital (SAN)     The Mater Hospital     Norwest Private Hospital