OBJECTIVE Pilonidal sinus is a disabling nuisance in young adults, yet its management remains controversial. METHODS Patients admitted to Prince Abdulrahman Sudery Hospital, Al Jouf, Kingdom of Saudi Arabia, over a period of 10-years from January 1990 to December 1999 were evaluated in this retrospective study. We compared 2 most commonly performed surgical operations in 272 patients consisti...

Pilonidal sinus is considered as a simple and frequently occurring disease localized at the sacrococcygeal area. However, at the intergluteal region, it can often turn into a chronic and complicated disease. In some cases, it can fistulize up to the gluteal region and appear at the secondary orifices. Minimally invasive surgical techniques are becoming widespread in recent years due to the incr...

INTRODUCTION THE purpose of this survey was to establish whether the treatment of pilonidal sinus by a conservative method, viz. by the injection of phenol, was sufficiently successful to warrant using it routinely. Pilonidal sinus-is a relatively minor surgical condition, although not all patients would regard it in this light. It is most often treated by radical operation which usually involv...

Malignancy arising in a pilonidal sinus is extremely uncommon. In a series of 86,333 pilonidal sinuses treated in the American Armed Forces in the Second World War no malignancies were encountered (Denning et al., 1954). Thirty-four tumours arising in association with pilonidal sinuses have been reported; 29 of these were squamous cell carcinomas and 2 were mixed basal and squamous cell carcino...

Pilonidal sinus is a well recognised chronic inflammatory condition which commonly affects the natal cleft and finger web space. Pilonidal sinus of the penis is a rare clinical entity; few cases have been reported previously. The treatment strategy is almost the same as treating any pilonidal sinus and involves total excision of the sinus. Our diagnosis was established on the histopathological ...

Background: Malignant degeneration of pilonidal sinus is a rare complication observed mainly in recurrent chronic cases of the disease and is associated with a poor prognosis. In the international literature, it is an infrequent entity. In Spain, 367 patients with simple and complicated pilonidal cysts were reviewed, finding three cases (0.81%) of epidermoid carcinoma. Clinical case: We present...

PILONIDAL SINUS OF NOSE – A DIAGNOSTIC DILEMMA (Abstract): We report an unusual case of pilonidal sinus of the nose, which presented to us as a diagnostic dilemma. Our initial differential diagnosis of a nasal dermoid was overruled by histopathology of the surgical specimen. We discuss the etiological possibilities, the pathogenesis and the histopathological characteristics of a pilonidal sinus...

THERE are three aspects to the problem of pilonidal sinus: the aetiology, the natural history, and the treatment. This paper is concerned with the last of these, and with the details of our experience with the management of 33 patients using a new method of treatment. Five of these patients were admitted to hospital; 3 for four days and 2 for one day. The rest were treated with purely out-patie...

Pilonidal sinus is a long-standing chronic inflammatory condition consisting of a sinus tract from the skin-lined orifice extending into subcutaneous tissue, with hairs attached to the wall of the tract and projecting outside of the opening. Penile location is rare, and differential diagnosis with severe balanoposthitis, epidermal cysts, and neoplasms can be difficult. We report a rare case of ...