Pilonidal Disease Questions & Answers

Updated: Dec 03, 2019
  • Author: M Chance Spalding, DO, PhD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Questions & Answers

Overview

What is pilonidal disease?

What is the anatomy of the pilonidal sinus relative to pilonidal disease?

What is the pathophysiology of pilonidal disease?

What causes pilonidal disease?

Which factors increase the risk for pilonidal disease?

What is the prevalence of pilonidal disease?

What is the prognosis of pilonidal disease?

Presentation

What are the signs and symptoms of pilonidal disease?

Which clinical findings are diagnostic of pilonidal disease?

How is pilonidal disease differentiated from fistula-in-ano, and hidradenitis?

What causes recurrent pilonidal disease?

What causes perianal pilonidal disease?

Workup

How is pilonidal disease diagnosed?

What is the role of lab testing in the workup of pilonidal disease?

What is the role of imaging studies in the workup of pilonidal disease?

Which histologic findings are characteristic of pilonidal disease?

Treatment

What is the clinical course of pilonidal disease?

What are goals of surgical management for pilonidal disease?

How is squamous cell carcinoma treated in patients with pilonidal disease?

What are the contraindications for the treatment of pilonidal disease?

What are the nonsurgical treatments for pilonidal disease?

What is the role of phenol injections in the treatment of pilonidal disease?

What is the role of fibrin glue in the treatment of pilonidal disease?

What is the role of radiofrequency ablation (RFA) in the treatment of pilonidal disease?

Which surgical interventions are used in the treatment of chronic pilonidal disease?

What is the role of surgery in the treatment of acute pilonidal abscess?

What is the efficacy of excision and laying open of sinus tract for treatment of pilonidal disease?

What is the efficacy of excision with primary closure for treatment of pilonidal disease?

What is the efficacy of marsupialization for treatment of pilonidal disease?

What is the efficacy of the Bascom procedure for treatment of pilonidal disease?

What is the efficacy of asymmetrical incisions for treatment of pilonidal disease?

What causes recurrent pilonidal disease?

How is recurrent pilonidal disease treated?

How is complex pilonidal disease treated?

What is included in the long-term monitoring of patients with pilonidal disease?

Guidelines

What are the American Society of Colon and Rectal Surgeons (ASCRS) treatment guidelines for pilonidal disease?