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Comprehensive care for pilonidal sinus issues. A pilonidal sinus (PNS) is a small hole or tunnel in the skin. It may fill with fluid or pus, causing the formation of a cyst or abscess. It occurs in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected. If it becomes infected, it may ooze pus and blood and have a foul odor. A PNS is a condition that mostly affects men and is also common in young adults. Itβs also more common in people who sit a lot, like cab drivers. Fistura (FOR Fistula, Pilonidal Sinus) Fistura is a minimally invasive treatment for fistulas and pilonidal sinus, using advanced technology to promote healing and reduce recurrence. It offers quicker recovery, less pain, and a lower risk of complications compared to traditional surgical methods.