Pilonidal sinus disease-Etiological factors, pathogenesis and clinical features

Abstract

Kazim Duman, Yavuz Ozdemir, Ozgur Dandin

Pilonidal sinus’ disease, which is most commonly seen in reproductive populations, such as young adults - mostly in males who are in their twenties - is actually a controversial disease in that there is no consensus on its many facets. It is some-times seen as an infected abscess draining from an opening or a lesion extending to the perineum. It may also present as a draining fistula opening to skin. In terms of etiological factors, various theories (main theories being congenital and acquired) have been established since it was first described, no universal understanding achieved.