Skip to main content
SpringerLink
Log in

Gender-specific prevalence of sacrococcygeal pilonidal sinus disease in Turkey: A retrospective analysis of a large cohort

  • original article
  • Published:
European Surgery Aims and scope Submit manuscript

Summary

Background

Many studies have been carried out to find the optimal treatment for pilonidal sinus disease (PSD), but the gender-specific prevalence in Turkey has not been revealed. Therefore, this article evaluated patients diagnosed with pilonidal sinus disease in our hospital. We aimed to analyze the gender ratio in PSD.

Methods

We evaluated patients admitted and who underwent pilonidal sinus excision at the Istanbul Sultanbeyli State Hospital between January 2010 and January 2022. Patients with missing data, multiple admissions, and multiple surgeries of the same patient were excluded from the analyses. Patients were stratified according to age into two groups: < 18 (teenage) and ≥ 18 (adult). Age and gender, diagnosis at admission, and operation status were analyzed.

Results

A total of 10,324 PSD patients were analyzed. 24.8% (n = 2559) of the patients were female and 75.2% (n = 7765) were male. Patients’ ages ranged from 13 to 86 years; the mean age was 26.5 years. Of all patients, 1621 (15.7%) had an abscess at the time of diagnosis. 4345 pilonidal sinus surgery cases were evaluated; 25.3% (n = 1100) of the patients were female and 74.7% (n = 3245) were male. The girl/boy ratio of PSD in teenagers was 0.86, and the female/male ratio of PSD in patients aged 18 years and older was 0.27.

Conclusion

The female gender prevalence of sacrococcygeal pilonidal sinus disease is 25% in Turkey. Pilonidal sinus disease surgery is mainly performed in secondary care hospitals; therefore, unpublished data from these centers may contribute more to pilonidal sinus disease research.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Doll D, Orlik A, Maier K, Kauf P, Schmid M, Diekmann M, et al. Impact of geography and surgical approach on recurrence in global pilonidal sinus disease. Sci Rep. 2019;9(1):15111. https://doi.org/10.1038/s41598-019-51159-z.

    Article  CAS  Google Scholar 

  2. Duman K, Girgin M, Harlak A. Prevalence of sacrococcygeal pilonidal disease in Turkey. Asian J Surg. 2017;40(6):434–7. https://doi.org/10.1016/j.asjsur.2016.04.001.

    Article  Google Scholar 

  3. Harries RL, Alqallaf A, Torkington J, Harding KG. Management of sacrococcygeal pilonidal sinus disease. Int Wound J. 2019;16(2):370–8. https://doi.org/10.1111/iwj.13042.

    Article  Google Scholar 

  4. Luedi MM, Schober P, Stauffer VK, Diekmann M, Doll D. Global gender differences in Pilonidal sinus disease: a random-effects meta-analysis. World J Surg. 2020;44(11):3702–9. https://doi.org/10.1007/s00268-020-05702-z.

    Article  Google Scholar 

  5. Akinci OF, Bozer M, Uzunkoy A, Duzgun SA, Coskun A. Incidence and aetiological factors in pilonidal sinus among Turkish soldiers. Eur J Surg. 1999;165(4):339–42. https://doi.org/10.1080/110241599750006875.

    Article  CAS  Google Scholar 

  6. Aysan E, Ilhan M, Bektas H, Kaya EA, Sam B, Buyukpinarbasili N, et al. Prevalence of sacrococcygeal pilonidal sinus as a silent disease. Surg Today. 2013;43(11):1286–9. https://doi.org/10.1007/s00595-012-0433-0

    Article  Google Scholar 

  7. Yildiz T, Elmas B, Yucak A, Turgut HT, Ilce Z. Risk factors for pilonidal sinus disease in teenagers. Indian J Pediatr. 2017;84(2):134–8. https://doi.org/10.1007/s12098-016-2180-5.

    Article  Google Scholar 

  8. Bostanoglu S, Sakcak I, Avsar FM, Cosgun E, Hamamci EO. Comparison of Karydakis technique with Limberg Flap Procedure in Pilonidal Sinus Disease: Advantages of Karydakis technique. Pak J Med Sci 2010;26(4):773–777.

    Google Scholar 

  9. Zorlu M, Sahiner IT, Zobaci E, Kocak C, Yasti AC, Dolapci M. Early results with the Mutaf technique: a novel off-midline approach in pilonidal sinus surgery. Ann Surg Treat Res. 2016;90(5):265–71. https://doi.org/10.4174/astr.2016.90.5.265.

    Article  Google Scholar 

  10. Emiroglu M, Karaali C, Esin H, Akpinar G, Aydin C. Treatment of pilonidal disease by phenol application. Turk J Surg. 2017;33(1):5–9. https://doi.org/10.5152/UCD.2016.3532.

    Article  Google Scholar 

  11. Doll D, Stauffer V, Diekann M, Van Wyk P, Luedi MM. Turkey is leading in the 21(st) century pilonidal sinus disease research. Turk J Surg. 2020;36(3):284–90. https://doi.org/10.47717/turkjsurg.2020.4750.

    Article  Google Scholar 

  12. Luedi MM, Schober P, Stauffer VK, Diekmann M, Andereggen L, Doll D. Gender-specific prevalence of pilonidal sinus disease over time: a systematic review and meta-analysis. ANZ J Surg. 2021;91(7–8):1582–7. https://doi.org/10.1111/ans.16990.

    Article  Google Scholar 

  13. Bi S, Sun K, Chen S, Gu J. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Sci Rep. 2020;10(1):13720. https://doi.org/10.1038/s41598-020-70641-7.

    Article  CAS  Google Scholar 

  14. Mahmood F, Hussain A, Akingboye A. Pilonidal sinus disease: review of current practice and prospects for endoscopic treatment. Ann Med Surg. 2020;57:212–7. https://doi.org/10.1016/j.amsu.2020.07.050.

    Article  Google Scholar 

  15. Çaglayan K, Güngör B, Çınar H, Topgül K, Kesicioğlu T, Polat C et al. The effect of different surgical methods on complications and on the quality of life in pilonidal sinus disease. Turk J Surg. 2011;27:94–7. https://doi.org/10.5097/1300-0705.UCD.950-11.03

    Article  Google Scholar 

  16. de Parades V, Bouchard D, Janier M, Berger A. Pilonidal sinus disease. J Visc Surg. 2013;150(4):237–47. https://doi.org/10.1016/j.jviscsurg.2013.05.006.

    Article  Google Scholar 

  17. Nasr A, Ein SH. A pediatric surgeon’s 35-year experience with pilonidal disease in a Canadian children’s hospital. Can J Surg. 2011;54(1):39–42. https://doi.org/10.1503/cjs.028509.

    Article  Google Scholar 

  18. Fike FB, Mortellaro VE, Juang D, Ostlie DJ, Peter StSD. Experience with pilonidal disease in children. J Surg Res. 2011;170(1):165–8. https://doi.org/10.1016/j.jss.2011.02.016.

    Article  Google Scholar 

  19. Abraham MN, Raymond SL, Hawkins RB, Iqbal A, Larson SD, Mustafa MM, et al. Analysis of outcomes in adolescents and young adults with pilonidal disease. Front Surg. 2021;8:613605. https://doi.org/10.3389/fsurg.2021.613605.

    Article  Google Scholar 

  20. Eryilmaz R, Şahin M, Alimoǧlu O, Yildiz M. Predisposing factors in chronic pilonidal sinus development. Turk J Surg. 2003;19(1):49–53.

    Google Scholar 

  21. Doll D, Friederichs J, Dettmann H, Boulesteix AL, Duesel W, Petersen S. Time and rate of sinus formation in pilonidal sinus disease. Int J Colorectal Dis. 2008;23(4):359–64. https://doi.org/10.1007/s00384-007-0389-5.

    Article  Google Scholar 

  22. Karahan Ö, Eryılmaz MA, Torun V, Sevinç B, Köksal H, Aksoy F, et al. Is the increase in the number of pilonidal sinus surgery normal? Turk J Surg. 2010;26(4):207–211. https://doi.org/10.5097/1300-0705.UCD.615-10.03

Download references

Funding

All authors have declared that they have no financial relationships with any organizations that might have an interest in the submitted work at present nor had they within the previous 3 years. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Department of General Surgery, Istanbul Sultanbeyli State Hospital, Battalgazi Mah., Pasakoy Cd. No:60, Sultanbeyli, 34935, Istanbul, Turkey

    Muhammer Ergenç MD

  2. Department of General Surgery, Marmara University School of Medicine, Marmara University Pendik Training and Research Hospital, Fevzi Cakmak Mah., Muhsin Yazıcıoglu Cad. No:10, Pendik, 34899, Istanbul, Turkey

    Tevfik Kıvılcım Uprak MD

Authors
  1. Muhammer Ergenç MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tevfik Kıvılcım Uprak MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All listed authors meet the ICMJE criteria. We attest that all authors contributed significantly to the creation of this manuscript, each having fulfilled criteria as established by the ICMJE. We confirm that the manuscript has been read and approved by all named authors. CRediT authorship contribution statement: conceptualization: Muhammer Ergenç and Tevfik Kıvılcım Uprak; methodology: Muhammer Ergenç and Tevfik Kıvılcım Uprak; formal analysis and investigation: Muhammer Ergenç and Tevfik Kıvılcım Uprak; writing—original draft preparation: Muhammer Ergenç and Tevfik Kıvılcım Uprak; writing—review and editing: Muhammer Ergenç and Tevfik Kıvılcım Uprak; funding acquisition: Muhammer Ergenç and Tevfik Kıvılcım Uprak; resources: Muhammer Ergenç and Tevfik Kıvılcım Uprak; supervision: Muhammer Ergenç and Tevfik Kıvılcım Uprak.

Corresponding author

Correspondence to Muhammer Ergenç MD.

Ethics declarations

Conflict of interest

M. Ergenç and T.K. Uprak declare that they have no competing interests.

Ethical standards

This study was performed in line with the principles of the Declaration of Helsinki. This study was approved by the Istanbul Kartal Dr. Lutfi Kırdar City Hospital Clinical Research Ethics Committee (number: 2021.514.212.11).

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Availability of data and material

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Code availability

Not applicable

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ergenç, M., Uprak, T.K. Gender-specific prevalence of sacrococcygeal pilonidal sinus disease in Turkey: A retrospective analysis of a large cohort. Eur Surg 55, 43–47 (2023). https://doi.org/10.1007/s10353-022-00777-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10353-022-00777-5

Keywords

Search

Navigation