Welcome to the Pilonidal Cyst Center Berlin

Your specialists for minimally invasive therapy of the pilonidal cyst

A generous excision of the pilonidal cyst with long wound healing over 3-6 months is no longer necessary today. We offer you all our knowledge in the minimally invasive treatment of the sinus pilonidalis with pit picking, sinusectomy, laser therapies and non-surgical treatment options.  

The problem of treatment of pilonidal cyst

The therapy of a pilonidal sinus is always surgical and antibiotic therapy is not indicated. A simple sentence that actually explains everything. However, when patients are sent to the surgeon or to the neighboring hospital, e.g., by their family doctor, the large-area excision is usually always recommended, which is better known to patients as the so-called "butcher method". The shock runs deep.
This is by all means a simple, inexpensive and quickly performed operation with a low recurrence rate, which every surgeon knows how to perform and which is also further recommended in the guidelines. 

However, the big problem is the long time of wound healing, which is often stated as 6 weeks, after which the wound is closed. Unfortunately, this is not the case and in our practice we have many patients after operations in hospitals, where after 6-12 months there is still an open wound with understandable physical and psychological problems of the (often young) patients.
We have therefore thought about what alternatives there are and have specialized for over 7 years in minimally invasive therapy procedures in the treatment of the sinus pilonidalis. This term is used to describe operations in which no major tissue is excised and which can be performed under outpatient conditions in our practice, mainly under local anesthesia. 

Because of the small wounds, these operations are associated with less pain, faster wound healing, and much shorter work absences. 


The easiest way to make an appointment with our specialists is to use our online appointment booking service DOCTOLIB.

Please book an appointment here as follows:

1. Choose specialty: "Viszeralchirurg und Proktologe".
2. Have you been with us before? - yes / no
3. Choose location of consultation - practice Lankwitz
4. Reason for visit: Pilonidal cyst

  • Patients coming to our practice for the first time for a pilonidal cyst please book under NEW PATIENT.
  • For re-presentations please book under CONTROL

Of course, you can also email us at info@copv.berlin to make an appointment. We try to answer every mail within 48 hours.

Acute symptoms

In case of acute complaints, you can also reach us by phone at the number  030 76 88 66 33. Our smart voice assistant records your calls so that we can call you back quickly. Please be sure to state your name and your concern so that we can also call you back.

Please remember to cancel an appointment at least 24 hours in advance if you are unable to attend. The easiest way to cancel the appointment is via DOCTOLIB or inform us via e-mail. Patients waiting for an appointment will thank you.

PLEASE NOTE: This consultation does not treat rectal disorders such as hemorrhoids. Please book an appointment for this under Proctology.

So you do not have to wait long

We would like to make your visit to the practice as pleasant and easy as possible. To help you keep your appointment on time and save time, we ask that you bring the following with you to your initial appointment:

  • Your current insurance card 
  • Previous medical reports or operation reports
  • and our completed patient form COPV, which you can download from Doctolib after registration (of course, you can also get the form in the practice and fill it out).

Important: If you are unable to keep your appointment, please inform us in a timely manner. Other patients who are urgently waiting for an appointment will thank you.

Our treatments for pilonidal cyst without surgery

Metronidazol treatment for pilonidal cyst

Wound cleaning

In many cases, extensive wound cleansing under local anesthesia and the administration of a specially mixed ointment containing the antibiotic metronidalzole is sufficient to close the wound.

shock wave therapy for pilonidal cyst

Shockwave therapy

In orthopedics, shock wave treatment has become indispensable. Shock waves stimulate blood flow and the formation of new blood vessels in the corresponding tissue region, resulting in tissue proliferation that leads to wound closure.

prp treatment for pilonidal cyst

Platelet Rich Plasma (PRP)

Through PRP therapy, growth factors and stem cells are extracted from the patient's blood and injected into the corresponding tissue. This strongly stimulates tissue growth.

Dietmar Jacob, MD expert for the treatment of pilonidal cyst

PD Dr. Dietmar Jacob

Specialist in surgery, visceral surgery, proctologist
Consultation in german, english

Dr. Iryna Hertzsch

Specialist in surgery,

Consultation in german, russian, ukrainian

Dr. Nina von Rüden

Specialist in surgery,

Consultation in german, english

Dr. Nicole Klage-Kranke

Specialist in surgery,

Consultation in german

Dr. (Univ. Belgrad) Slobodan Sepe

Specialist in surgery, visceral surgery

Consultation in german, english, Serbian, Croatian, Bosnian, Slovenian

Minimally Invasive Therapy of the Pilonidal Cyst

Pit Picking

Here, under local anesthesia, the abscess cavity with the fistula ducts is excised via a small lateral incision. The small fistula ducts (pits) in the midline are punched out.


In sinusectomy, the fistula tract is completely removed through a small incision so that only small wounds are present. This procedure often includes pit picking.

Laser therapy for pilonidal cyst

Laser treatment

Under general anesthesia, a laser diode is used to close the fistula tract with the pits by emitting energy in a circular pattern. Small scars remain. It is only suitable for longer, not too wide fistula courses.

For a better medicine

Experienced doctors and state-of-the-art techniques in a friendly atmosphere. Visit us in our practice and you will notice the difference. We provide comprehensive care for our patients - before, during and after surgery.

Why to us?


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We have been very familiar with the topic of sinus pilonidalis for more than 20 years as a focal practice, and in addition to great empathy, we also have extensive knowledge in therapy.

Innovative surgical techniques

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Even though we are surgeons, surgery is suggested only when all non-surgical therapies have been exhausted. We want only the best for you and prefer to use modern and painless procedures such as laser therapy.

No costs for people with public health insurance

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As a legally insured patient, you have no costs for any therapies that are medically indicated, as we are contract physicians of the KV-Berlin (Kassenärztliche Vereinigung). For laser therapies, however, the costs are not covered in most cases.

Exclusive contracts with health insurance companies

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Since we have special contracts with company health insurance funds, we can exclusively offer minimally invasive therapies (such as laser and pit picking) for the treatment of pilonidal cyst.

Short waiting times

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Through our online appointment system we always have appointments for you at short notice, please check our online appointment calendar DOCTOLIB

Other services in our practice


We specialize in minimally invasive treatment of rectal conditions - painless and on an outpatient basis. Our experts deal empathetically with the issue of hemorrhoidal disease, anal fistulas and anal fissures. For good results, we use the latest therapy methods - so you are always in good hands with us.


The development in the treatment of abdominal wall and inguinal hernias has increased rapidly and must now be customized. As a surgeon awarded by the European Hernia Society, you can trust Dr. Jacob and his team.  


Our practice in Lankwitz is designated as a transit doctor's practice (D-Arzt) for work accidents - with a specialist's guarantee. But also orthopedic clinical syndromes are successfully treated without surgery according to the latest standard by our experts.