Pilonidal Sinus Center Munich - Dr. Hofer and Liebl

Pilonidal Sinus - Pilonidal sinus

Your experts for Pilonidal Sinus/ pilonidal sinus

We welcome you to our specialized treatment center in Munich for coccyx fistulas. You are in the best hands here. We offer you modern, minimally invasive procedures such as laser surgery techniques, which are a gentle and and effective alternative to conventional surgical procedures. Your benefits: less pain, faster healing and shorter downtimes.

Find out everything you need to know about the diagnosis and treatment of coccyx fistulas and why our practice is your best choice when it comes to the treatment of coccyx fistulas!

Where are you at the moment?

Diagnosis unclear

Do I really have a Pilonidal sinus?

OP planned

Ignore? Operate? And if so, how?

Pilonidal Sinus Recurrence

I've already had surgery. The fistula's back. What to do?

Your expert practice in Munich for the treatment of coccyx fistulas

A diagnosis such as pilonidal sinus can be unsettling and raise many questions. A Pilonidal Sinus is painful and can have a significant impact on everyday life.

With us you receive individual support and benefit from the latest procedures. Our highly specialized and experienced team offers you the best care - so that you are quickly pain-free again and can feel completely comfortable.

The pilonidal sinus is a simple disease.

Unexpected pitfalls and how to avoid them

Why do you need a specialist for a simple illness? What appears to be a minor procedure can have unexpectedly major consequences.

  • Long healing time and inability to work
  • Extensive and painful wound treatment,
  • frequent wound healing disorders
  • high relapse rate of up to 57 %(Deutsches Ärzteblatt 2019)
  • scarring 
  • Repeated hospital stays
  • Loss of income and career interruption 
  • Restrictions in sports fitness, weight gain
  • Restrictions of body feeling and sexuality
Statue newly exposed
The healing of a coccyx fistula gives you back physical well-being!

10 reasons why patients choose us

Pilonidal sinus, also known as pilonidal sinus or pilonidal sinus, usually occur in the gluteal fold and are often associated with unpleasant symptoms. The causes are varied. Typical symptoms include pain, swelling and pus secretions, which can severely affect your everyday life. Many sufferers hesitate to seek treatment because they are unsure which doctor is the right person to contact. As a modern practice in Munich, we specialize precisely in this disease and its treatment.

1. experience from over 7200 operations

Why do you need a specialist for this disease? Although Pilonidal Sinus is a skin disease, most patients initially consult their family doctor. They are then usually referred to a surgeon.

In Germany, around 50,000 patients are operated on for pilonidal sinus every year. This means that each surgeon treats an average of only 1.4 patients with this condition per year. With such a small number of cases, it is impossible to gain comprehensive experience.

It is therefore crucial to choose a doctor who has extensive experience and expertise in modern surgical methods and specializes in the treatment of coccyx fistulas. Choose our practice to benefit from the most modern surgical methods and experienced specialists for your optimal health!

7202

Operations (as at 17.06.2024)

8763

Treatment cases (as at 14.04.2022)

Laser Treatments

Experience in laser therapy and laser surgery since 2012

2. the entire spectrum of advanced therapy: pit picking, sinusectomy, SiLaC™, EPSiT

Less is more: Based on the pit-picking technique developed in England and popularized in the USA, different variations of this gentle treatment are available.

Under pit picking refers to the selective removal of the affected hair roots as skin cylinders 2-5 mm in diameter and the cleaning of the fistula tract from deposited hair fragments. The more perfectly this is done, the lower the risk of the fistula forming again.

Pit picking is always combined with treatment of the tubular fistula tract:

  • Laser treatment of the fistula from the inside with a glass fiber probe (SiLaC®)
  • Precise excision along the fistula capsule(sinusectomy or fistulectomy).
  • Video endoscopic surgery (Endoscopic Pilonidal Sinus Therapy EPSiT)

All of these modern procedures are designed to make the healing process as gentle and quick as possible and save you a long downtime.

3. cutting-edge medicine for all

Whether they have statutory or private insurance, all our patients benefit from our modern surgical methods. We have full authorization for outpatient operations and integrated care by the authorities. Since the beginning of 2024, laser surgery has also been included in the scope of services of all statutory health insurance companies with the introduction of the hybrid DRG. Only laser hair removal is still an IGeL-self-payer service. Here more about the billing and assumption of the treatment costs.

Good decisions are based on experience.

4. painless, outpatient treatment under local anesthesia directly on the day of the examination

General anesthesia and hospitalization? This is not necessary for our minimally invasive operations. A local anesthetic is completely sufficient. The tumescent anesthesiaa special form of local anesthesia, enables comfortable and safe treatment.

Have you had bad experiences with local anesthesia? We can reassure you. In 99.9% of cases, we succeed in providing pain-free treatment using this method.

We only use general anesthesia in rare cases where local anesthesia is not effective enough and for more complex reconstructive procedures. We perform these procedures in our outpatient surgery center Iatros Clinic outpatient surgery center. Here too, you can usually return home after a short period of monitoring.

In the first two weeks, you will usually only take painkillers such as ibuprofen if necessary. Stronger painkillers are only needed very rarely.

5. easy appointment scheduling via our online calendar

Making appointments in our practice is particularly simple and flexible.

  • In the event of acute pain, you can contact us at any time by sending an informal e-mail to info@darmsprechstunde.de come directly to us - we will treat you immediately.
  • If you would like an examination and consultation with time for reflection, you can conveniently arrange a appointment via our online calendar.
  • For patients who want to save time, we offer the all-in-one appointment: Send us photo documentation of your complaints in advance and get everything you need done in just one day. This means you receive the best possible treatment quickly and efficiently.

6. aftercare: wound consultation and via the ArztDirekt app

Pilonidal Sinus OP aftercare via app
Pilonidal Sinus OP aftercare via app - here are the links

We will not leave you alone after the operation. A successful operation alone does not guarantee a smooth recovery. We will provide you with detailed advice on follow-up treatment at the time of your operation. With our support, a relative can become your personal wound specialist. We use the secure Doctor Direct Messenger for this purpose.

Our information brochures will tell you what to expect during the healing process.

During the follow-up treatment in the practice, your surgeon will personally take care of the optimal healing process.

In our wound and laser consultation, your wound will be professionally cared for by a trained and experienced therapist.

7. low risk of complications

Complications during pit picking surgery are extremely rare, and serious problems are an absolute rarity. We can therefore also offer this outpatient treatment with a clear conscience to patients who have a further journey home after the procedure.

For your safety and well-being, the surgeon is also available 24/7 by cell phone after the procedure to provide support at any time if required.

8. prospects of success

The modern surgical techniques of pit picking and sinusectomy have proven to be superior methods for the treatment of coccyx fistulas. With success rates of over 90 %, they are clearly the better alternatives to conventional procedures. In comparison, traditional operations such as the "Metzger" operation have a high recurrence rate of up to 40 %.

9. recurrence prophylaxis through laser epilation

Studies show that the removal of hair by laser epilation in the affected area significantly reduces the likelihood of recurrence. "Laser hair removal has proven to be an effective method to reduce the recurrence rate in Pilonidal Sinus patients," explains Dr. Hofer, founder of the Pilonidal Sinus Center in Munich.

A large meta-analysis from the Netherlands confirms: "Patients who underwent post-operative laser epilation were 50% less likely to have a recurrence." This makes laser epilation a valuable part of aftercare for Pilonidal Sinus operations.

10. experiences and ratings

Why Pilonidal Sinus should not be left untreated

Many sufferers put up with the unpleasant symptoms of Pilonidal Sinus for longer than necessary - but that doesn't have to be the case. Persistent pain, abscesses and inflammation can be easily avoided with timely treatment. If you act early, you can permanently rid yourself of the fistula with a minor procedure and quickly return to your usual quality of life. Ensure your well-being and don't let the discomfort become a burden.

Your advantages in our practice at a glance

Our Munich specialist practice offers you numerous advantages that you will hardly find anywhere else:

  • SpecializationOur team exclusively treats Pilonidal Sinus and Pilonidal Disease - we are true experts in this field.
  • Individual careEach treatment is individually tailored to your situation so that you receive the best possible care.
  • Short waiting timesThanks to our specialization, we can offer you prompt appointments and quick treatment options.

How the treatment works with us

The course of treatment is always individually tailored to your needs. First, we carry out a thorough examination to determine the exact course and depth of the fistula. We then discuss the best possible treatment for your pilonidal sinus. Depending on the findings and your personal preferences, this may be an outpatient or inpatient treatment. Our aim is always to make the procedure as painless and gentle as possible.

Aftercare and healing - we won't leave you alone

After treatment, the right aftercare is crucial. At our practice in Munich, we will support you throughout the healing phase until your wound is completely healed. Regular check-ups ensure that there is no re-inflammation and that you will soon be able to move freely again. We are at your side as a reliable partner throughout the entire process.

Make your appointment now at the Pilonidal Sinus Center Munich

Do you suffer from Pilonidal Sinus and are you looking for an experienced specialist? Don't hesitate and make an appointment today at our Pilonidal Sinus practice in Munich. Thanks to state-of-the-art procedures, comprehensive expertise and compassionate care, we are your first choice for the treatment of pilonidal sinus.

Take the path to your recovery with us - Make an appointment now!

DR. BERNHARD HOFER & FLORIAN LIEBL

Specialists in Visceral Surgery and Proctology - PartG mbB

Brienner Str. 13, D-80333 Munich

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