No. PNS is not a serious or life threatening condition. It is more like an irritant due to its
recurrent nature and affects social life and hygeine in that area. The infection is usually limited
to the skin, and does not go down to the bone.

Yes very often Pilonidal disease occurs in females who are hairless in the back or between the
buttocks

The exact cause is not known. Initially it was thought to be a congenital condition, but now it is
recognized as an acquired disease with pioneering work done by a Greek physician Dr George
Karydakis.It is caused by shed hair collecting in between the buttocks. This hair then enters the
skin in that area, and causes inflammation and infection.

Some predisposing factors are obesity, deep cleft between buttocks, excess hair in the area
between buttocks or even excess back hair, sitting for long

Yes, with a well chosen procedure it can be cured. The recurrence rate has decreased from 20-
30% to less than 2%

Here the surgical scars remain in the midline
1 Wide excision : wound is left open and heals gradually in over more than a month .The
resultant scar is in the midline between the buttocks
2 Pit picking : This is an OPD procedure with excision of just the sites of the pits. Againg the
wounds heal gradually and small scars are in midline.