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Pilonidal disease

Inflammation in the cleft between the buttocks usually develops when hairs and skin debris irritate and infect a small tract beneath the skin. A painful abscess often needs opening and draining. Recurrent symptoms may need planned surgery.

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Inflammation in the cleft between the buttocks usually develops when hairs and skin debris irritate and infect a small tract beneath the skin. A painful abscess often needs opening and draining. Recurrent symptoms may need planned surgery.

  • A painful, red, warm lump at the top or middle of the cleft between the buttocks is typical of infection.
  • Pain can increase over hours or days and make sitting, bending or walking difficult.
  • Gently wash the cleft between the buttocks with water daily and dry the skin well without rubbing hard.
  • Do not squeeze, puncture or cut open a painful swelling yourself. This can make the infection spread deeper or more widely.
  • Get in touch the same day for a new painful lump, pus, blood or increasing swelling at the top of the cleft between the buttocks.
  • For urgent GP care outside office hours, call HAP 9252. Call Ambulance 912 only for an immediate threat to life.

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