Laser hair removal is becoming the ultimate solution against sacral fistulas and abscesses.

The research results were published in the journal Dermatologic Surgery, the national expression of the American Society of Dermatology Surgery.

• Those affected by fistulas sacrocoxígeas, mostly boys between 15 and 40 years, have a possibility of recurrence nearly 40 percent, resulting in several cases subsequent surgeries in the same area.

• "All patients with this condition to which we have treated with laser hair removal have experienced a gradual and permanent resolution of the folliculitis, thus avoiding surgery.

• This type of procedure often requires a number of meetings varies depending on the patient and the cyst, but usually between three and eleven.

• "The laser hair removal should be considered as a treatment of choice for abscesses and fistulas sacrocoxígeas.

One of the major problems of those affected by abscesses and fistulas sacrocoxígeas, mostly boys between 15 and 40 years, is the high probability of relapse (a percentage close to 40 per cent). In contrast, laser hair removal interglúteo fold is an effective and durable treatment for folliculitis and reduce their risk of recurrence, thus avoiding a possible surgery.

Doctors Nerea Landa, José Luis Azpiazu have conducted an investigation in which the performance of the many treatments they have done to patients with recurrent fistulas Dermitek clinic in Bilbao since 1999. "Many patients have found an alternative to the traditional non-invasive surgery that provides a durable long-term outcome," says the dermatologist Nerea Landa. This study has been published in the journal Dermatologic Surgery, the national expression of the American Society of Dermatology Surgery. Still, "the scientific production in this area remains limited," say the authors.

The most severe cases of fistula sacrocoxígeas often require invasive treatments such as surgical excision or incision and drainage. When the infection is mild, treatment with an antibiotic or depilatory creams can be effective, although it is true, said Landa, who "unfortunately, in many cases the disease becomes a play and leads the patient to one, two or three surgeries. "

Avoid this constant, ie the usual recurrence, was the main objective of Dermitek investigators, who found in laser hair removal fold interglúteo a effective treatment against the sacral fistulas and abscesses in this area, "as the doctor Jose Luis Azpiazu.

Combining an alexandrite laser with intense pulsed light, have achieved "a progressive decline of infectious folliculitis-like hair loss in interglúteo-fold," says the dermatologist Nerea Landa. This type of treatment often requires a number of sessions varies, depending on the cyst and the patient, between three and eleven. In addition there have been no side effects in this study and, as Azpiazu, "has a high degree of satisfaction." Since Dermitek even say that "to date, none of the cases we have tried has been clarified further surgery because of this."

Prevention
One of the things that stand out from the investigation by Landa and Azpiazu is that data can be extrapolated to apply to medical prevention. "People whose parents have suffered sacral fistulas or abscesses have a high probability of ending the suffering that they, too," says the dermatologist.

Therefore, before the onset of symptoms prior to infection, which often manifest as a series of granite into the fold interglúteo, it is advisable to pluck the area because the hair just frozen in that area on many occasions in abscesses and subsequently recurrent sacral fistulas in the worst case, must be operated, with obvious discomfort and risks that this entails for those who suffer. "

A recurrent infection
The infectious folliculitis is characterized by frequent recurrences after treatment, and although it is known that the main determinant in their occurrence is due to the infection of hair frozen (along with other risk factors such as obesity and sweat frequently in interglútea area), is still not easy to prevent it. Despite this, physicians Dermitek out that "all patients with this condition to which we have treated with laser hair removal have experienced a gradual and permanent resolution of the folliculitis.

Among those affected by this pathology is the group of athletes, and ensures that as Azpiazu "is a condition that occurs frequently in certain sports," who adds that "athletes who have tried in the clinic have been a free problem that in most cases, have suffered for several years. "

Under the terms of the physicians, "laser hair removal should be considered as a treatment of choice for abscesses and fistulas sacrocoxígeas.