Comparing two local anesthesia methods for pain after laser treatment of pilonidal sinus

Procjena Postoperativne Boli Konvencionalnom i Tumescentnom Anestezijom u Laserskom Tretmanu Pilonidalnog Sinusa

NA · Opća županijska bolnica Požega · NCT07408414

This study will see if standard lidocaine injections or tumescent local anesthesia causes less postoperative pain for people having laser treatment for pilonidal sinus disease.

Quick facts

PhaseNA
Study typeInterventional
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorOpća županijska bolnica Požega (other)
Locations1 site (Požega)
Trial IDNCT07408414 on ClinicalTrials.gov

What this trial studies

This is a prospective, randomized comparison of conventional local anesthesia (2% lidocaine infiltration) versus tumescent local anesthesia given during SiLaC (sinus laser-assisted closure) for pilonidal sinus disease. Pain scores will be recorded on postoperative day 1, day 2, and at one week, along with analgesic use and clinical follow-up. Adults with primary pilonidal sinus scheduled for laser ablation and able to give informed consent will be enrolled at General County Hospital Požega. Patients with recurrent disease, chronic pain syndrome, or other exclusions will be omitted to keep the comparison focused on primary cases.

Who should consider this trial

Good fit: Adults with a new (nonrecurrent) pilonidal sinus disease who are scheduled for SiLaC laser ablation and can provide informed consent are appropriate candidates.

Not a fit: People with recurrent pilonidal disease, chronic pain syndromes, prisoners, or those who require or prefer spinal/general anesthesia are unlikely to benefit from the study comparison.

Why it matters

Potential benefit: If successful, the preferred anesthesia method could reduce early postoperative pain, lower pain medication needs, and support quicker recovery after outpatient laser treatment.

How similar studies have performed: Prior reports suggest local anesthesia reduces early postoperative pain and tumescent techniques prolong analgesia in other procedures, but direct randomized comparisons specifically for SiLaC are limited.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosed pilonidal sinus disease
* Laser treatment for pilonidal sinus disease
* Able to provide informed consent

Exclusion Criteria:

* Recurrent pilonidal sinus
* Chronic pain syndrome
* Prisoners

Where this trial is running

Požega

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Pilonidal Cyst and Sinus Without Abscess, Pilonidal Sinus Disease, Pilonidal Sinus Treatment, Laser Ablation, PSD, Tumescent local anesthesia, Pilonidal sinus, Sinus laser-assisted closure

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.