Dr. Raman Singla is the first name to offer Minimal Invasive Surgical Techniques in Punjab to treat Repair for Hemorrhoids (Piles), LASER for Anal fissure, Perianal sinus/Abscess, Video assisted Anal Fistula Treatment(VAAFT). He explains that Pilonidal abcess 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 and these are linked by tunnels under the skin.


+ 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 buttocks
+ History of previous Pilonidal Cyst


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

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