Pilonidal disease practice points: An update

Abstract

Background Chronic pilonidal disease is a common debilitating condition often seen in general practice. It is a cause of considerable morbidity and social embarrassment, but recent developments in treatment options provide promising solutions to this problem. Objectives This article recaps pilonidal sinus development and presentation, details methods of treatment in the primary care setting and explores new specialist management options available in Australia. Discussion As a chronic condition, the devastation of recurrence with further pain, embarrassment and time off work-added to the prospect of more surgery-is still common for patients with chronic pilonidal disease. This can be avoided with correct management and timely counselling regarding surgical options available.