Pilonidal disease shows asymptomatic small pit or simple cyst in the center of buttocks about 5 cm above the anus, and pain and tenderness on pressure if it forms an abscess with cellulitis around the cyst. It is necessary to distinguish it from inflammatory diseases originating in the anus including anal fistula, hidradenitis suppurativa, and folliculitis through anal digital examination. The principle of treatment is to completely remove the sinus tract, and recurrence has to be prevented after the excised skin is all healed.
KeywordsPilonidal disease Bascom’s operation Advancement flap
- 1.Karydakis GE. The etiology of pilonidal sinus. Hellenic Arm Forc Med Rev. 1975;7:411–6.Google Scholar
- 5.Lukish JR, Kindelan T, Marmon LM, et al. Laser epilation is a safe and effective therapy for teenagers with pilonidal disease. J Pediatr Surg. 2009;44:28205.Google Scholar
- 14.Mosquera DA, Quayle JB. Bascom’s operation for pilonidal sinus. J R Soc Med. 1995;88(1):45–6.Google Scholar