EPSiT (Endoscopic Pilonidal Sinus Treatment)
A minimally invasive endoscopic technique that destroys the pilonidal sinus tract under direct vision - small wounds, fast recovery, effective ablation. Available at selected specialist centres in Hyderabad.
What is EPSiT (Endoscopic Pilonidal Sinus Treatment)?
EPSiT (Endoscopic Pilonidal Sinus Treatment) is a minimally invasive technique that uses a small rigid videoscope to inspect the pilonidal sinus cavity under direct vision, followed by ablation of the sinus epithelium using electrocautery or laser energy. Hair and debris are removed under direct visualisation - treating all disease without the need for wide excision.
Dr. Samhitha Reddy offers EPSiT at selected specialised centres in Hyderabad as part of the laser treatment for pilonidal sinus programme. Published success rates of 70-85%, combined with small external wounds and recovery in 2-3 weeks, make EPSiT one of the most appealing minimally invasive pilonidal sinus treatment options near patients seeking laser pilonidoplasty in Hyderabad.
EPSiT requires specialised endoscopic equipment and is available at selected specialist centres. Active acute abscess must be drained first. Dr. Samhitha will confirm availability and suitability at consultation.
How the Procedure Works
Pre-procedure Assessment
The pilonidal sinus anatomy is assessed. All active infection is resolved via prior drainage if needed.
Endoscope Introduction
The EPSiT videoscope is inserted through the main sinus opening under irrigation - providing clear, magnified visualisation of the entire sinus cavity.
Diagnostic Phase
All pit openings, hair, secondary tracts, and cavity extent are mapped under direct endoscopic vision.
Ablation Phase
The sinus epithelium is ablated using electrocautery or laser energy through the endoscope's working channel. Hair is extracted with forceps under direct vision.
Wound Management
The pit openings are excised or marsupialized. No large excisional wound. Return to work in 2-3 weeks. Laser hair removal advised from 4 weeks.
Outcomes
Who Needs This Treatment?
- →Direct endoscopic visualisation - all hair, secondary tracts, and cavities treated under vision
- →Minimal wounds - no large excisional defect requiring flap closure
- →Faster recovery than open excision - return to work in 2-3 weeks
- →Suitable for selected primary and recurrent cases
- →Combined with laser ablation for comprehensive epithelial destruction
- →Available at selected specialist centres in Hyderabad - contact Lux Hospitals for current availability
EPSiT brings the clarity and confidence of direct endoscopic vision to pilonidal sinus treatment. Seeing exactly what we are ablating - every hair, every secondary pocket - and treating it all through a minimal wound is a compelling advance over blind conventional approaches.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
EPSiT (Endoscopic Pilonidal Sinus Treatment) Cost in Hyderabad
The cost of EPSiT (Endoscopic Pilonidal Sinus Treatment) in Hyderabad depends on the extent of pilonidal disease, whether it is a primary or recurrent condition, investigations required, and the care needed before and after the procedure.
For patients with primary or recurrent pilonidal sinus requiring a minimally invasive approach, the approximate cost of EPSiT ranges between ₹55,000 and ₹1,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| EPSiT (Endoscopic) | ₹55,000 – ₹1,00,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence EPSiT Cost
The overall cost may depend on:
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Extent of pilonidal disease: The size, number of sinus tracts, presence of infection, and whether the condition is primary or recurrent may influence the treatment approach.
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Pre-operative evaluation: Required investigations, clinical examination, and medical assessments before the procedure may affect the overall cost.
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Additional procedures: If procedures such as abscess drainage, removal of infected tissue, or additional pilonidal sinus management procedures are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, wound care, and follow-up requirements may influence the final estimate.
Is EPSiT Covered by Insurance?
EPSiT may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether EPSiT is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.