Treatments

Pilonidal Sinus Laser Treatment in Leicester

Minimally Invasive Laser Assisted Closure (PiLAC) at The Health Suite Leicester

Pilonidal sinus disease affects the skin at the top of the buttock crease (near the tailbone). It can cause recurrent infection, abscesses, pain, discharge and difficulty sitting comfortably. At The Health Suite Leicester, we offer laser-assisted pilonidal sinus treatment (PiLAC)—a minimally invasive alternative to traditional open surgery in appropriately selected cases.

What Is a Pilonidal Sinus?

A pilonidal sinus is a small tunnel/cavity in the skin, usually within the natal cleft. It often contains:

  • Hair
  • Debris
  • Inflammatory tissue (and sometimes pus)

Symptoms can include:

  • Pain and swelling near the tailbone
  • Recurrent abscess formation
  • Persistent or intermittent discharge
  • Discomfort when sitting or exercising

Pilonidal disease is more common in:

  • Young adults
  • People who sit for long periods
  • Those with coarse/thicker body hair
  • Those with deep natal clefts or friction/sweating in the area

Why Consider Laser Treatment (PiLAC)?

Traditional surgery may involve excision and a larger wound, sometimes requiring weeks of healing and wound care.

Laser assisted closure aims to:-assisted closure aims to:

  • Minimise tissue removal
  • Reduce wound size
  • Shorten recovery time
  • Reduce post-operative discomfort

Many cases can be performed as a day-case, often with local anaesthetic, depending on clinical assessment.

What Can PiLAC Treat?

PiLAC may be considered for:

  • Chronic pilonidal sinus
  • Recurrent disease
  • Persistent discharge
  • Symptoms not settling with conservative measures

If there is an acute abscess, drainage may be needed first before definitive treatment.

Book a Consultation

For assessment and minimally invasive pilonidal sinus treatment in Leicester: Book a private colorectal consultation at The Health Suite Leicester.

Why choose The Health Suite for Pilonidal Sinus Laser Treatment?

  • Consultant-Led Expertise

    Treatment by an experienced Colorectal Surgeon ensures accurate assessment and safe, personalised care.

  • Minimally Invasive Options

    Laser-assisted PiLAC offers smaller wounds, less pain, and quicker recovery compared with traditional surgery.

  • Private & Discreet Care

    On-site minor procedures in a confidential setting with continuity of care and clear aftercare guidance.

How the Laser-Assisted Procedure Works

  1. Anaesthetic

    The area is numbed (anaesthetic approach confirmed during consultation).

  2. Sinus tract clearance

    The opening is gently accessed, and the tract is cleaned—removing hair, debris and infected material. This step is important in reducing recurrence.

  3. Laser ablation

    A fine laser fibre is passed along the tract. Controlled energy treats the sinus lining while preserving surrounding tissue.

  4. Healing

    The tract collapses and seals internally. Because the external opening is small, there is usually no large incision. A small dressing is applied.

Minimally Invasive Laser Assisted Closure (PiLAC) at The Health Suite

Learn More
Benefits of Laser-Assisted Pilonidal Treatment Risks and Possible Complications Recovery and Aftercare Who Is Suitable for Pilonidal Laser Treatment?
Minimally invasive (no large excision/flap in suitable cases) Reduced post-operative pain for many patients Quicker return to normal routine Smaller wound and simpler dressing needs Good option for selected chronic/recurrent diseaseAs with any procedure, risks can include:Mild pain, swelling or bruising Temporary discharge during healing Infection Recurrence (especially with complex/branching tracts)Some extensive or complex disease patterns may be better treated with alternative surgical approaches. Assessment is key to choosing the safest and most effective plan.Most patients have mild discomfort for a few days. Aftercare commonly includes:Keeping the area clean and dry Avoiding prolonged sitting initially Avoiding heavy lifting for several days Following guidance on hair control and reducing friction/sweatingFollow-up is arranged to ensure healing is progressing well and to reduce recurrence risk.You may be suitable if:You have a chronic or recurrent pilonidal sinus Your sinus anatomy is appropriate for laser closure You want a minimally invasive optionAn alternative approach may be advised if:Disease is extensive or branching Scarring is significant There is an uncontrolled acute infection at the time of assessment
FAQ

Common Q&A about Pilonidal Sinus Laser Treatment

Checklist

Symptom checker

  • Do you have pain or swelling near the tailbone?

    Persistent discomfort at the top of the buttock crease is a common sign of pilonidal sinus, often worsening when sitting or exercising.

  • Have you experienced recurrent abscesses or infections in the natal cleft?

    Repeated infections or boil-like swellings suggest chronic pilonidal disease that may require definitive treatment like laser closure.

  • Is there persistent or intermittent discharge from a sinus opening?

    Oozing pus, blood, or fluid from a small opening in the cleft indicates a pilonidal tract that may not heal on its own.

  • Does sitting for long periods cause significant discomfort?

    Pain when sitting, driving, or working for extended periods can interfere with daily life and signal the need for intervention.

  • Have conservative measures like hygiene, hair removal, or creams failed?

    When non-surgical management doesn’t resolve symptoms, minimally invasive PiLAC treatment may be suitable.

  • Is the sinus chronic or recurrent despite previous treatments?

    Repeated flare-ups or long-standing tracts are indications for laser-assisted closure to prevent further recurrence.

Related treatments

What we treat

  • Chronic Pilonidal Sinus

    Laser-assisted closure (PiLAC) treats long-standing pilonidal tracts by sealing the sinus internally while preserving surrounding tissue, reducing pain, discharge, and recurrence risk.

  • Recurrent Disease

    Patients with repeat flare-ups after previous treatments benefit from PiLAC, which targets residual sinus tracts minimally invasively.

  • Persistent Discharge

    Continuous or intermittent fluid from the sinus opening can be addressed with laser ablation to close the tract and promote healing.

  • Symptomatic Tracts Not Settling with Conservative Measures

    For tracts unresponsive to hygiene, creams, hair control, or sitz baths, PiLAC offers a quick, outpatient solution to resolve symptoms.

  • Pain or Discomfort When Sitting or Exercising

    By collapsing and sealing the sinus internally, PiLAC reduces the mechanical irritation and discomfort associated with sitting or physical activity.

  • many more

    Our clinicians manage a broad spectrum of conditions, and individual assessment allows us to tailor care beyond the examples listed. We encourage you to book a consultation to discuss your symptoms and appropriate treatment options.

Clinicians

Meet our Pilonidal Sinus Laser Treatment Clinicians

Pilonidal Sinus Laser Treatment

Treatment options and pricing

£200/consultation

Pilonidal Sinus Laser Treatment: Initial Appointment

Consultant assessment of pilonidal sinus, review symptoms, and plan personalised laser treatment with safe, minimally invasive options.

Price: confirmed after specialist assessment/procedure

Pilonidal Sinus Laser Treatment: Procedure

Minimally invasive PiLAC laser treatment clears the pilonidal sinus tract, promotes healing, and reduces pain with small wound and quick recovery.

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Bookings & Enquiries

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