Pilonidal Sinus pictures

Pictures of coccyx fistulas

Classification of the pilonidal sinus and clinical images

On this page we show you with pictures from clinical practice what coccyx fistulas can look like. Coccyx fistulas can develop very differently. For this reason, patients and doctors are often uncertain about the diagnosis. 

The comparison of the patient's own fistula with the findings shown here also allows an assessment of whether a large or rather small fistula is present. Classification in our classification scheme makes it easier to decide on the best surgical method.

You will also learn what other causes of inflammation in the coccyx region can occur. Finally, we will show you some pictures of the healing process and treatment results after an operation. In this context, we would like to point out that every treatment has an individual course and that the concrete result of a treatment can never be promised.


Coccyx fistula - Pictures

Images before OP

In football there are standard situations. In medicine we use classifications. Such a classification system makes it easier to decide on the best form of therapy. Our "Munich" classification is based on many years of experience with the most diverse forms of Pilonidal Sinus and takes into account the specific "pitfalls" in treatment.

Type I A: Short distance fistula < 2 cm und mit

Type I a Fistula with < 4 pits und

Treatment courses

In the following we will put pictures of the course of a treatment. Basically, each "case" is an individual case, so that the procedure and treatment results cannot be transferred with certainty to future treatments. The pictures should demonstrate that very good treatment results are possible without radical surgery, but also show the limits of the possibilities.

Patient 30 years old, no previous surgery, type II A fistula

Pilonidal Sinus with numerous primary openings
Picture after Pit Picking Operation
Fistula removed during pit picking surgery