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A Pilonidal sinus also called a Pilonidal cyst, Pilonidal abscess or Sacrococcygeal fistula is a cyst ( small sac ) or tunnel in the skin. It develops over the tailbone at the top of the cleft of the buttocks. The cyst usually contains hair and skin debris. More than one cyst may develop, linked by tunnels under the skin. Causes Of Pilonidal sinus More common in males Sedentary lifestyle -People who sit for long hours at a stretch eg. Drivers Thick body hair especially those that are coarse and curly Obesity Previous injury in the area Family history of Pilonidal sinus Having a deep cleft between the buttocks History of previous Pilonidal cyst Symptoms Of Pilonidal sinus Recurring episodes of pain or swelling in the area of the tailbone. Yellowish pus-like or bloody discharge from the tailbone area which may be foul-smelling Painful lump under the skin in that area Certain activities like riding a bicycle, and doing sit-ups may be very uncomfortable. Fever LASER PILONIDOPLASTY ( LPP ): This is a minimally invasive laser procedure. Laser Pilonidoplasty is one of the effective treatments in which the energy delivered by the laser causes the destruction of the sinus epithelium and the simultaneous obliteration of the tract. Advantages of LPP The patient is discharged within 24 hours and can return to routine work by the 3rd day. Wound healing occurs in about 6-8 weeks and thus recovery is much faster as compared to conventional Wide excision. The recurrence rate is negligible.