![]() Treatment depends on the disease pattern. Some sinus tracts may resolve on their own, however, most patients need minor surgery to remove them.ĭiagnosis is typically confirmed by a physician examining the buttock area. The sinus is a cavity below the skin surface that connects to the surface through one or more small openings (pits). After the abscess goes away, either by itself or with medical care, many patients develop a pilonidal sinus. Nearly all patients are initially diagnosed by having an acute abscess episode (the area is swollen, tender, and pus may drain from it).
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