Proctology
Laser Pilonidal Sinus Treatment
Pilonidal sinus (pilonidal disease) is a chronic, inflamed subcutaneous tunnel disease in the tailbone area caused by hair and foreign material. Conventional surgery may require wide excision and a long recovery period.
Overview
Laser pilonidoplasty (SiLaC, FiLaC) closes the tunnel from within by delivering laser energy into the tract through a fiber via a small entry point. Scarring is minimal and the recovery time is markedly shorter.
Who Is It For?
- Pilonidal sinus patients with complaints of discharge, pain, and protruding hair
- Individuals who have experienced recurrence after conventional surgery
- Young patients who want to return quickly to work and education
- Cases with a moderate, non-complex tract structure
Treatment Process
- 1
Pre-Assessment & Diagnosis
The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.
- 2
Planning & Preparation
An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.
- 3
Procedure / Operation
The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.
- 4
Follow-up & Monitoring
Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.
Recovery & Aftercare
The procedure is usually performed on an outpatient basis with local anesthesia plus sedation; most patients return to work within 1–3 days.
Hospital Stay
0–1 days
Recovery Time
3–7 days
Follow-up
Day 10 and week 4
Frequently Asked Questions
Does laser treatment really not recur?
When applied with the correct indication, the recurrence rate of laser ablation is low; hygiene, hair removal, and lifestyle measures reduce recurrence even further.
What are the advantages over conventional surgery?
No open wound is created, the dressing period is shorter, scarring is minimal, and the recovery period is markedly shorter.
In which situations is conventional surgery preferred?
In very wide cases, those with multiple side tracts, or those presenting with an acute abscess, initial drainage/excision followed by an elective treatment plan is appropriate.
How is care provided after the procedure?
The area is kept clean and dry, laser hair removal is recommended, and prolonged sitting is avoided. Regular check-ups catch recurrence early.
The medical information on this page has been reviewed by Prof. Dr. Vahit Onur Gül. Last updated: 31 Temmuz 2026.
This information is for general guidance only and does not replace examination, diagnosis or treatment. Please consult your physician about your symptoms.
Content officer / site editor: vahitonurgul@hotmail.com