EPSiT
Endoscopic Pilonidal Sinus Treatment — a tiny camera is used inside the sinus tract to clean and treat it from within, with no large external wounds and remarkably quick recovery.
What is EPSiT?
EPSiT (Endoscopic Pilonidal Sinus Treatment) is a modern, minimally invasive technique for pilonidal disease that uses a tiny endoscope inserted directly into the sinus tract. Under high-definition video visualisation, all hair, debris and unhealthy granulation tissue are cleaned, and the tract walls are gently treated with electrocautery — without any large external wound. Dr. Tejasree Vengala performs EPSiT at Lux Hospitals, Hyderabad, offering a precise, gentle, sphincter-sparing alternative to traditional pilonidal surgery in carefully selected patients.
How the Procedure Works
Anaesthesia & Equipment Setup
Surgery is performed under spinal or short general anaesthesia. The video endoscope is set up with proper irrigation.
Endoscopic Inspection
A tiny endoscope is gently passed through the sinus opening, providing direct high-definition visualisation of the entire tract.
Hair & Debris Removal
All trapped hair, debris, and granulation tissue are gently removed under direct vision using specialised endoscopic instruments.
Tract Treatment
The walls of the sinus tract are treated with monopolar electrocautery to support healing and prevent recurrence.
Dressing & Recovery
A simple dressing is applied. Most patients are discharged the same day with sitz baths and quick return to office work.
Outcomes
Who Needs This Treatment?
- →
Direct visualisation of the entire sinus tract
- →
No large external wounds
- →
Day-care procedure with same-day discharge
- →
Quick return to office work in 2–3 days
- →
Excellent cosmetic outcome
- →
All other treatments remain available if needed
EPSiT lets us see inside the sinus and treat exactly what we find — every pocket, every branch, every hidden hair. The patient avoids a large wound and weeks of dressings, and most return to work within days.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
EPSiT Cost in Hyderabad
The cost of EPSiT (Endoscopic Pilonidal Sinus Treatment) in Hyderabad depends on the extent and complexity of pilonidal disease, the number and location of sinus tracts, the presence of infection or abscess, the investigations required, and the care needed before and after the procedure.
For patients with pilonidal sinus disease suitable for an endoscopic minimally invasive approach, the approximate cost of EPSiT ranges between ₹70,000 and ₹1,40,000.
| Procedure | Approximate Cost Range |
|---|---|
| EPSiT (Endoscopic Pilonidal Sinus Treatment) | ₹70,000 – ₹1,40,000 |
The final cost may vary depending on your individual condition, findings during evaluation, extent of disease, equipment requirements, and whether any additional procedures are required.
Factors That Influence EPSiT Cost
The overall cost may depend on:
- →
Extent of pilonidal disease: The number, size, and location of sinus tracts, presence of infection or abscess, and whether the condition is recurrent may influence treatment planning.
- →
Pre-procedure evaluation: Required clinical examination, imaging when needed, blood tests, and medical assessments before the procedure may affect the overall cost.
- →
Equipment and procedure requirements: The specialised endoscopic equipment and technique used for EPSiT may influence the procedure cost.
- →
Additional procedures: If abscess drainage, sinus tract treatment, or other pilonidal disease procedures are required along with EPSiT, the cost may vary.
- →
Post-procedure care: Medicines, wound care, hygiene guidance, dressing requirements, and follow-up visits 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 pilonidal 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 treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether EPSiT is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
07969084424 07969084424Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.