Ksharsutra Therapy for Pilonidal Sinus
Ayurvedic medicated thread for pilonidal sinus — threads through the sinus tract to gradually heal it from inside without wide excision.
About This Treatment
Ksharsutra therapy for pilonidal sinus involves threading the medicated Ksharsutra through the sinus tract and securing it. The alkaline herbs in the thread gradually destroy the sinus lining and promote healing from inside, causing the tract to shrink and close over successive weekly thread changes.
This technique is particularly valuable for pilonidal sinuses that have failed previous surgery or for patients who want to avoid wide excision with its large open wound. The external wound remains small and healing is gradual but thorough.
At Shraddha Hospital, our specialists combine Ksharsutra with depilation (hair removal) around the sinus to prevent recurrence from embedded hairs — the primary cause of pilonidal sinus.
Key Benefits
Minimal Wound
No wide excision — the external wound is minimal, unlike traditional open surgery.
Works for Recurrent Cases
Effective even when previous surgery has failed.
OPD Procedure
Weekly thread changes as an outpatient — no hospital admission required.
Before Treatment
- 01
Probe examination to identify the sinus tract length and any secondary branches.
- 02
Drain any active abscess before Ksharsutra placement.
- 03
Shave the pilonidal area as instructed.
After Treatment
- 01
Weekly thread changes for 6–12 weeks depending on sinus length.
- 02
Keep the area clean and dry. Sitz baths after thread changes.
- 03
Hair removal (shaving or laser hair removal) is essential to prevent recurrence.
Frequently Asked Questions
Heal Pilonidal Sinus Without a Large Wound
Ksharsutra offers an effective, minimally invasive alternative to wide excision for pilonidal sinus. Book a consultation.