pilonidal sinus

Question 1

Definition of pilonidal sinus?

Answer 1

Disease where hair follicles are forcefully inserted into skin, creating chronic sinus, in natal cleft of anal area

Question 2

Aetiology/risk factors of pilonidal sinus?

Answer 2

Male
Young- sixteen to forty

Family history

Question 3

Epidemiology of pilonidal sinus?

Answer 3

Common

Young male

Question 4

Symptoms and signs of pilonidal sinus?

Answer 4

Chronic sacral discharge, staining of underwear
Pain and swelling [esp when sitting]
Sinus [looks like a hole] at midline

Question 5

Management of pilonidal sinus?

Answer 5

If asymptomatic - conservative- hair removal

Surgery= definitive treatment

Question 6

Investigations of pilonidal sinus?

Answer 6

Clinical diagnosis