Female sacrococcygeal pilonidal sinus features and EQ-5D life quality survey and body image survey results: a clinical study

Abstract

Aim: Pilonidal sinus disease (PSD) is not common in female patients. It is seen in adult women 2.2 to 4 times less than men. The most common age range is between 10 and 40. To date, there has been no randomized or retrospective study in the literature representing the general characteristics of women-specific pilonidal sinus cases and the quality of life questionnaire (EQ-5D) and body image questionnaire (BIQ) results. The purpose of this study is to show the general features, treatment principles and body image and quality of life (EQ-5D) survey results of the female pilonidal sinus cases. Material and Method: A retrospective clinical study was conducted with 29 women who were admitted to our clinic between June 2013 and May 2016 and treated with surgery by the pre-diagnosis of sacrococcygeal PSD. Patients received face-to-face body image questionnaire (BIQ) and quality of life questionnaire (EQ-5D) at the 2nd postoperative week. Results: The mean age was 27.07±5.63 years. BIQ cosmetic and self-confidence scores differ significantly between at least two groups (p=0.042 and p=0.021, respectively) in the favor of primer midline closure (PMC) group. As a result of bilateral comparisons made for the BIQ cosmetic score, there was a significant difference between the Limberg-Z plasty and the Karydakis group (p=0.039). Conclusion: Female patients who underwent PMC had better satisfaction with the appearance of their scar. The treatment of female PSD with minimally invasive techniques and primary closure techniques seems to be the best option for the selected patients.