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There are many ways you can help children and their families get the care they need.
There are a few different treatment options for pilonidal disease:
Laser hair removal: Laser hair removal is one of the treatment modalities offered at the Pilonidal Care Clinic at Boston Childrens Hospital. Most cases of Pilonidal Disease occur because there is too much hair in the gluteal crease. Often, the hair can be excessive, and cannot be managed by shaving alone. If the medical team determines that your child would benefit from laser hair removal, they will recommend this treatment to you as an option to consider. Instructions on what to do to prepare for laser treatment will be emailed to you prior to your visit.
Laser hair removal is a safe procedure performed in the office by our PA or surgeon. You will be scheduled for a longer visit than usual (around 1 hour). When your child arrives, they will be seen and examined as usual. If it is safe to proceed with laser hair removal the day of the visit, one of our clinicians will shave the area apply local anesthesia cream. Your child will wait 30-45 minutes for the anesthetic cream to take effect. The treatment is performed in the treatment room of the clinic. If patients agree, parents can be present, but everyone in the room must wear special safety goggles. A laser hand-piece will deliver laser energy in approximately 1 inch increments to the area that needs to be treated (the buttock crease and 2 inches on either side). This treatment can cause mild discomfort but is usually well tolerated. The entire treatment takes around 2-3 minutes. When your child’s treatment is finished, instructions will be given about signs and symptoms of complications (uncommon and usually temporary), and do’s and don’ts after treatment.
Your child will need at least 6 laser treatments for permanent or near-permanent hair removal. Treatments are 6-8 weeks apart. Waiting too long between treatments will cause your child to need extra laser treatments, so it is important to plan for a schedule of timely laser treatments.
Hair is the cause of almost all pilonidal disease. Any type of hair can cause problems, but the most troublesome is coarse, thick hair. Hair removal is the most important thing you can do for your pilonidal disease.
It is important to cut the hair VERY short
Make sure you remove ALL of the hair in the area around the butt crease. Even one hair can keep the cut from healing or can make a new abscess show up. A family member will most likely need to help with hair removal.
How to remove hairs:show_more_start
Shaving: You may need to do this every week, depending on how thick hair is and how fast it grows. To remove hair from the area, use regular razors, electric beard trimmers, or eyebrow shapers.
Chemical hair removal: You may use NairTM or other hair removal creams and gels to keep the hair away longer. Make sure to do not get the cream into the cut or on your anus.
Hygiene show_more_start You need to clean away all of the bacteria, debris, loose hairs and sweat on the skin of the buttock crease. You can do this by:
Soaking in a bath for 10 to 15 minutes, two to three times a day.
Spraying the buttock crease with a hand-held shower head for 10 to 15 minutes, two to three times a day.
Sitting in a Jacuzzi, pool or ocean for 10 to 15 minutes, two to three times a day.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”