Treatments

Pilonidal Sinus Surgery

If you’re dealing with discomfort, swelling, or recurring infections near the base of your spine, you may be facing a pilonidal sinus. This condition can be painful, disruptive, and even embarrassing—but the good news is, you’re not alone, and effective treatment is available.

Here in London, we provide expert pilonidal sinus surgery designed to relieve your symptoms and prevent the condition from coming back. Whether you’ve just been diagnosed or have struggled with recurrent pilonidal abscesses, we’re here to help you get back to a pain-free life.

Pilonidal Sinus Surgery

What is Pilonidal Sinus Disease?

A pilonidal sinus is a small tunnel or tract under the skin, often located in the natal cleft—the area between the buttocks. It can contain hair, debris, and skin cells, which leads to inflammation and infection.

When infected, it forms a pilonidal abscess, causing swelling, pus discharge, pain when sitting or walking, and sometimes fever. For many, this becomes a recurring issue that requires medical intervention.

If you’ve noticed a lump, drainage, or soreness in that area, it’s worth speaking to a pilonidal sinus consultant in London for an evaluation.

Symptoms

Common Symptoms of an Anal Fissure

You may have an anal fissure if you’re experiencing any of the following:

Pain during bowel movements

A sharp, burning sensation that can linger for hours after using the toilet.

Bright red blood on toilet paper or in the bowl

This usually appears as streaks rather than heavy bleeding.

A visible tear around the anus

You might see a crack in the skin if you examine the area.

A small lump or skin tag

Often confused with haemorrhoids, this can appear near the fissure.

If these symptoms sound familiar, it’s time to consider professional treatment for anus fissure before it becomes chronic.

Conservative Anal Fissure Treatment Options

In many cases, no surgery is needed. Initial anal fissure treatment involves conservative measures like:

  • Dietary changes to prevent constipation (high-fibre foods, more fluids)
  • Stool softeners or laxatives to reduce straining
  • Sitz baths — warm water soaks that relax the area and promote healing
  • Topical creams to reduce pain and encourage blood flow to the region

These non-invasive methods often resolve the issue within a few weeks. However, when symptoms persist, it’s time to explore a more lasting solution — anal fissure surgery.

Anal Fissure Surgery – When Is It Needed?

If conservative treatments haven’t worked or you’ve had multiple recurrences, a minor procedure might be the best way forward. Our private anal fissure operation in London is safe, quick, and performed by experienced specialists.

The most common surgical option is lateral internal sphincterotomy (LIS). This involves gently releasing a small part of the internal anal muscle to reduce tension, which allows the fissure to heal.

Benefits of Anal Fissure Surgery

  • Rapid and lasting pain relief
  • High success rate (over 90%)
  • Minimally invasive with fast recovery
  • Reduced risk of recurrence
We also offer private anal fistula surgery if additional complications are discovered during assessment.

Why Choose Us for Anal Fissure Surgery in London?

Choosing the right clinic for such a personal condition is important. Here’s why patients trust us:
Discreet and compassionate care in a comfortable, judgement-free environment
Highly experienced colorectal specialists using advanced techniques
Private consultations and same-week appointments
Aftercare support to guide you through recovery

Real Stories from Our Patients

I was nervous about coming in, but from the first consultation, I felt completely at ease. The surgery was quick, and I’m finally pain-free.

I’d been suffering for months. This was the best decision I made — the staff were kind, and the results were amazing.

Ready to Take the First Step Toward Healing?

Don’t let the discomfort take over your life. With expert help, relief is just a step away. Whether you need a detailed consultation or are ready for anal fissure surgery in London, we’re here to help.

FAQ

FAQs About Anal Fissure Surgery in London

How do I know if I need surgery for my anal fissure?
If your symptoms haven’t improved after 6–8 weeks of non-surgical treatments, or you’ve had repeated fissures, surgery may be recommended.
The procedure is typically performed under anaesthesia. Discomfort is minimal and manageable post-surgery, and patients often feel significant relief within day
Most people return to work within a week and experience complete healing within 4–6 weeks.
No, anal fissure surgery is usually a same-day procedure, so you can return home the same day.
Recurrence is rare after surgery, especially if lifestyle and dietary habits are improved.

Book An Appointment

Get in Touch with
Ms. Annamaria Minicozzi