5. Laser treatment of a sacral fistula (Dermoid cyst, Sinus Pilonidalis) (Pit picking)

The disease manifests itself as subcutaneous nodules, or secretory fistulas, between the buttocks, above the sacrococcygeal bone near the anus. If secretion through the skin surface is obstructed for some reason (e.g. dense exudate or healing of a skin wound), an abscess may form with redness, significant swelling and pain.

The disease mainly affects "hairy" men in their 20s and 30s, and less often young women. There are several reasons for its development: previously, developmental factors (inadequate sealing of the germinal plates) were considered to be responsible, but more recently mechanical effects are increasingly being blamed. The hairs growing between the buttocks, on opposing surfaces, initially cause superficial damage on the opposite side, then penetrate deeper and deeper into the buttocks, causing irritation, granulation tissue formation and then the formation of a duct. The glands in the hair follicles that produce sebum and sweat are unable to discharge their products onto the skin surface, so the secretions and the hair follicles that cannot break out accumulate in a clump deep under the skin.

The following predisposing factors increase the incidence of pilonidal cysts:

  • overweight, obesity
  • local trauma or irritation
  • sedentary lifestyle or prolonged sedentary work
  • deep gluteal fissure (carve)
  • heavy hair growth
  • family history

5. Laser treatment of a sacral fistula (Dermoid cyst, Sinus Pilonidalis) (Pit picking)

The disease manifests itself as subcutaneous nodules, or secretory fistulas, between the buttocks, above the sacrococcygeal bone near the anus. If secretion through the skin surface is obstructed for some reason (e.g. dense exudate or healing of a skin wound), an abscess may form with redness, significant swelling and pain.

The disease mainly affects "hairy" men in their 20s and 30s, and less often young women. There are several reasons for its development: previously, developmental factors (inadequate sealing of the germinal plates) were considered to be responsible, but more recently mechanical effects are increasingly being blamed. The hairs growing between the buttocks, on opposing surfaces, initially cause superficial damage on the opposite side, then penetrate deeper and deeper into the buttocks, causing irritation, granulation tissue formation and then the formation of a duct. The glands in the hair follicles that produce sebum and sweat are unable to discharge their products onto the skin surface, so the secretions and the hair follicles that cannot break out accumulate in a clump deep under the skin.

The following predisposing factors increase the incidence of pilonidal cysts:

  • overweight, obesity
  • local trauma or irritation
  • sedentary lifestyle or prolonged sedentary work
  • deep gluteal fissure (carve)
  • heavy hair growth
  • family history

Possible treatments: there are several methods, which means - as always - that no 100% effective method has yet been developed. There are many types of radical surgical procedures (wide excision of the duct, closed or open wound treatment, filling the tissue deficiency with various plastic surgery methods, etc.), which have in common that they can only be performed under general anaesthesia and represent a very painful and prolonged wound healing process for the patient, with a persistent wound surface that is exuding mucus, making the patient's daily life and work difficult and often impossible. Despite these "sacrifices", there is no guarantee of a definitive cure and relapses are common.

For this reason, a new, microinvasive treatment tool has been developed, whereby the disease is treated under local anaesthesia without the need for large wounds. Such a procedure is the so-called. laser pit picking. It consists in treating the walls of the duct with laser energy after removing the hairs and inflammatory products in the duct, which are then blocked. Recurrences can occur with this procedure, but the patient can resume their daily activities after surgery, wound pain is minimal and radical surgery is not required in the event of a recurrence. After the procedure, you will leave on your own two feet. A check-up will take place two weeks after the operation.

The procedure takes 30-60 minutes for one leg and 90 minutes for both legs. From the day after the operation, the patient can resume his or her daily activities with a gentle lifestyle. (Immediately after the operation, it is important to move the leg and walk. The load can be gradually increased, but for 3 weeks you should refrain from explicit physical exertion! Compression stockings should be worn for only one week, compared to the traditional procedure.)

5. Laser treatment of a sacral fistula (Dermoid cyst, Sinus Pilonidalis) (Pit picking)

The disease manifests itself as subcutaneous nodules, or secretory fistulas, between the buttocks, above the sacrococcygeal bone near the anus. If secretion through the skin surface is obstructed for some reason (e.g. dense exudate or healing of a skin wound), an abscess may form with redness, significant swelling and pain.

The disease mainly affects "hairy" men in their 20s and 30s, and less often young women. There are several reasons for its development: previously, developmental factors (inadequate sealing of the germinal plates) were considered to be responsible, but more recently mechanical effects are increasingly being blamed. The hairs growing between the buttocks, on opposing surfaces, initially cause superficial damage on the opposite side, then penetrate deeper and deeper into the buttocks, causing irritation, granulation tissue formation and then the formation of a duct. The glands in the hair follicles that produce sebum and sweat are unable to discharge their products onto the skin surface, so the secretions and the hair follicles that cannot break out accumulate in a clump deep under the skin.

5. Laser treatment of a sacral fistula (Dermoid cyst, Sinus Pilonidalis) (Pit picking)

The disease manifests itself as subcutaneous nodules, or secretory fistulas, between the buttocks, above the sacrococcygeal bone near the anus. If secretion through the skin surface is obstructed for some reason (e.g. dense exudate or healing of a skin wound), an abscess may form with redness, significant swelling and pain.

The disease mainly affects "hairy" men in their 20s and 30s, and less often young women. There are several reasons for its development: previously, developmental factors (inadequate sealing of the germinal plates) were considered to be responsible, but more recently mechanical effects are increasingly being blamed. The hairs growing between the buttocks, on opposing surfaces, initially cause superficial damage on the opposite side, then penetrate deeper and deeper into the buttocks, causing irritation, granulation tissue formation and then the formation of a duct. The glands in the hair follicles that produce sebum and sweat are unable to discharge their products onto the skin surface, so the secretions and the hair follicles that cannot break out accumulate in a clump deep under the skin.

The following predisposing factors increase the incidence of pilonidal cysts:

  • overweight, obesity
  • local trauma or irritation
  • sedentary lifestyle or prolonged sedentary work
  • deep gluteal fissure (carve)
  • heavy hair growth
  • family history

5. Laser treatment of a sacral fistula (Dermoid cyst, Sinus Pilonidalis) (Pit picking)

The disease manifests itself as subcutaneous nodules, or secretory fistulas, between the buttocks, above the sacrococcygeal bone near the anus. If secretion through the skin surface is obstructed for some reason (e.g. dense exudate or healing of a skin wound), an abscess may form with redness, significant swelling and pain.

The disease mainly affects "hairy" men in their 20s and 30s, and less often young women. There are several reasons for its development: previously, developmental factors (inadequate sealing of the germinal plates) were considered to be responsible, but more recently mechanical effects are increasingly being blamed. The hairs growing between the buttocks, on opposing surfaces, initially cause superficial damage on the opposite side, then penetrate deeper and deeper into the buttocks, causing irritation, granulation tissue formation and then the formation of a duct. The glands in the hair follicles that produce sebum and sweat are unable to discharge their products onto the skin surface, so the secretions and the hair follicles that cannot break out accumulate in a clump deep under the skin.

The following predisposing factors increase the incidence of pilonidal cysts:

  • overweight, obesity
  • local trauma or irritation
  • sedentary lifestyle or prolonged sedentary work
  • deep gluteal fissure (carve)
  • heavy hair growth
  • family history

5. Laser treatment of a sacral fistula (Dermoid cyst, Sinus Pilonidalis) (Pit picking)

The disease manifests itself as subcutaneous nodules, or secretory fistulas, between the buttocks, above the sacrococcygeal bone near the anus. If secretion through the skin surface is obstructed for some reason (e.g. dense exudate or healing of a skin wound), an abscess may form with redness, significant swelling and pain.

The disease mainly affects "hairy" men in their 20s and 30s, and less often young women. There are several reasons for its development: previously, developmental factors (inadequate sealing of the germinal plates) were considered to be responsible, but more recently mechanical effects are increasingly being blamed. The hairs growing between the buttocks, on opposing surfaces, initially cause superficial damage on the opposite side, then penetrate deeper and deeper into the buttocks, causing irritation, granulation tissue formation and then the formation of a duct. The glands in the hair follicles that produce sebum and sweat are unable to discharge their products onto the skin surface, so the secretions and the hair follicles that cannot break out accumulate in a clump deep under the skin.

The following predisposing factors increase the incidence of pilonidal cysts:

  • overweight, obesity
  • local trauma or irritation
  • sedentary lifestyle or prolonged sedentary work
  • deep gluteal fissure (carve)
  • heavy hair growth
  • family history

Possible treatments: there are several methods, which means - as always - that no 100% effective method has yet been developed. There are many types of radical surgical procedures (wide excision of the duct, closed or open wound treatment, filling the tissue deficiency with various plastic surgery methods, etc.), which have in common that they can only be performed under general anaesthesia and represent a very painful and prolonged wound healing process for the patient, with a persistent wound surface that is exuding mucus, making the patient's daily life and work difficult and often impossible. Despite these "sacrifices", there is no guarantee of a definitive cure and relapses are common.

For this reason, a new, microinvasive treatment tool has been developed, whereby the disease is treated under local anaesthesia without the need for large wounds. Such a procedure is the so-called. laser pit picking. It consists in treating the walls of the duct with laser energy after removing the hairs and inflammatory products in the duct, which are then blocked. Recurrences can occur with this procedure, but the patient can resume their daily activities after surgery, wound pain is minimal and radical surgery is not required in the event of a recurrence. After the procedure, you will leave on your own two feet. A check-up will take place two weeks after the operation.

The tests

and carry out interventions

Dr. Ferenc Sándor

Ordering hours: Thursday 08:00-10:00, odd weeks Tuesday 14:00-16:00, Saturday 10:00-12:00
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Vascular surgery

prices

Name of test/treatment Price Duration
Specialist medical examination 35.000 Ft 20 min
Adhesive varicose vein surgery - 1 whole leg 650.000 Ft 60 minutes
Adhesive varicose vein surgery - 2 complete legs 900.000 Ft 90 min
Sclerotherapy (sclerotherapy by injection) - 1 ampoule 45.000 Ft 45 min
Spider vein laser treatment GentleMax Pro - face 45.000 Ft 30 min
Spider vein laser treatment GentleMax Pro - nose 40.000 Ft 30 min
Spider vein laser treatment GentleMax Pro - 15x15cm 60.000 Ft 30 min
Spider vein laser treatment GentleMax Pro - 1 full leg 160.000 Ft 60 minutes
Spider vein laser treatment GentleMax Pro - 2 full legs 290.000 Ft 90 min
Laser varicose vein surgery under unilateral local anaesthesia 390.000 Ft 30-60 minutes
Laser varicose vein surgery under bilateral local anaesthesia 580.000 Ft 90 min
Laser treatment of a fistula above the sacrum 200.000 Ft 60 minutes
Specialist medical consultation 25.000 Ft 20 min
Medical check-up (non post-operative) 20.000 Ft 15 min
Prescription fee 5.000 Ft 5 minutes
Control examination (post-operative) free 10 minutes