Pilonidal sinus, pilonidal sinus, "sacral dermoid", "pilonidal cyst".

Coccygeal fistula (pilonidal sinus)

Here you will find the information that will help you decide on the best therapy.

Emergency? Severe pain?

You want to know more? Here you will find the concentrated knowledge on coccygeal fistula:

A little-known clinical picture

Coccygeal fistula - What to do?

People don't like to talk about health complaints when they affect sensitive areas such as the gluteal fold (rima ani) or coccyx. But especially if you notice pain, hardening, blood or pus or other, unusual symptoms in these parts of the body, you should confide in an experienced proctologist.

With these non-specific symptoms, one often thinks of a bruise, increased sweating or an uncomfortable bicycle saddle as the cause. In the following, you will learn which signs indicate a coccygeal fistula - also called pilonidal sinus - and what the causes are.

Since the foundation of our practice in Munich, our specialists Dr Hofer and colleagues have treated over 4500 patients with sinus pilonidalis.

Based on the revolutionary idea of pit picking by Lord and Bascom, we have been developing our sinusectomy and laser ablation technique since 2004.

With this experience, we have an optimal therapy concept for almost every form of coccygeal fistula.

Diagram of the development of coccygeal fistula
1 normal hair root, 2 broken hair in the hair root, 3 beginning inflammation, 4 and 5 "pits" of different calibre, 6 secondary opening, 7 broken hair in intact skin