Pilonidal Disease
Conditions
Keywords
Pilonidal Surgery, Pilonidal Excision, Pilonidal recurrence
Brief summary
The goal is to evaluate whether surgical excision of the pilonidal disease is needed after resolution of the initial symptoms when the patient follows regular hair removal regimen such as laser epilation.
Detailed description
The goal is to evaluate whether surgical excision of the pilonidal disease is needed after resolution of the initial symptoms when the patient follows regular hair removal regimen such as laser epilation. Patients with pilonidal disease can have significant pain and drainage at the gluteal cleft, and recurrent disease in this teenage and young adult population often leads to social embarrassment, isolation, and time off from work or school. Effective therapy to prevent recurrent disease is urgently needed. The current standard of care is excision of pilonidal cyst. The research will consist of randomized 1:1 controlled trial comparing regular epilation regimen only vs. regular epilation regimen with surgical excision. The research will consist of patient surveys and clinical notes. Surgical excision is not needed to be part of this research. All patients will receive surveys and their charts will be reviewed. At the point of treatment decision making, the patients will be randomized to one of the two options.
Interventions
PROCEDURERegular Epilation Regimen
Epilation using laser device
PROCEDURESurgical excision
Excision of pilonidal pit with trephine
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
The research will consist of randomized 1:1 controlled trial comparing regular epilation regimen only vs. regular epilation regimen with surgical excision
Eligibility
Sex/Gender
ALL
Age
8 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients at Stanford Healthcare with pilonidal disease. * Patients over the age of 8yrs.
Exclusion criteria
* Inability to read, write or understand English \*\*\*or Spanish * Intellectual disability precluding the patient from being able to comprehend or respond to the questionnaire
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with recurrent symptoms of pilonidal disease | Up to 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants requiring antibiotic treatment | Up to 1 year | — |
| Time taken off from school or work due to pilonidal disease | Up to 1 year | — |
| Effect on parent's daily activities | Baseline to 1 year | Parents measure the effect of caring for afflicted children on a 0-10 rating scale, higher scores correspond to more difficulties. |
| Number of participants requiring additional surgical intervention | Up to 1 year | — |
Countries
United States
Contacts
Primary ContactBill Chiu, MD
Outcome results
None listed