Pilonidal Sinus | Minimally Invasive Surgery in Madrid

If they talk to you about months of treatment… they are talking to you about the past.

A pilonidal sinus or cyst is one of those diagnoses that seems minor… until you’re told you’ll have an open wound for weeks.

Or that you’ll have to go every two days to get treated.

Or that you won’t be able to play sports, sit properly, or wear tight pants.

And all this for a lump that, until recently, you didn’t even know you had.

Common symptoms of pilonidal sinus

The problem isn’t just the visible lump, but everything that comes afterward: pain, suppuration, and the complications of poor treatment.

Why are traditional surgeries not always the best option for pilonidal sinus?

For years, the standard treatment was the only one available: cut, leave an open wound, and wait for it to heal.

The problem? The sacrococcygeal area experiences a lot of tension, sweat, friction, and healing poorly.

This leads to many wounds opening, becoming infected, or not fully healing.

And that means months of treatment.

And weeks of no normal life.

Pilonidal sinus is a benign condition, but the way it’s treated can affect your quality of life for months.

That’s why today we’re focusing on less invasive, safer techniques with a much faster recovery.

Minimally invasive treatments we use at ProctoPelvis

An endoscopic technique that allows us to view and clean the sinus tract from the inside with a very fine camera. The inflamed tissue is removed without opening large wounds.

The entry hole is left open, but no gauze or deep dressings are required.

You have surgery today, and tomorrow you can lead a practically normal life.

It involves inserting a laser fiber into the tract and sealing it from the inside. The heat from the laser destroys the inflamed lining without damaging the surrounding tissue.

The result: faster healing, with less pain and no need for sick leave.

Both allow the fistula to be eliminated through a tiny hole, without cuts or stitches.

No open wound is left.

No deep dressing is required.

And the next day… you can go about your normal life.

Our approach to pilonidal sinus treatment in Madrid

Why is this important?

Because there are so many techniques described for pilonidal sinus, it’s because none of them are perfect.

At ProctoPelvis, we believe in operating “from less to more”: choosing the simplest and most gentle procedure possible, without compromising effectiveness.

Is this treatment for you?

You should consider a consultation if:

Book your proctology and pelvic floor consultation in Madrid

Book your in-person consultation here

Primera consulta

April 2026
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What if you're not in Madrid?

Ideally, we’d be able to evaluate you in person, thoroughly examine the area, and determine if your hemorrhoids really need surgery…

or if what needs treating is the cause.

But if you’re not in Madrid, we can arrange an online consultation and guide you through the first steps to stop suffering every time you go to the bathroom.

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You can find us here

Address: Vía de las Dos Castillas 9A, Pozuelo de Alarcón, Madrid 28224

Email: info@proctopelvis.com

WhatsApp: +34623781848

Hours:

Monday – Friday 10am to 2pm

Tuesday – 10am to 7pm

Saturday and Sunday – Closed