Many patients ask us what they should do if they have visible evidence of pilonidal disease without pain, drainage or bleeding.
Unfortunately, there is no firm answer, and the individual patient needs to impose his or her philosophy on the situation and direct their own treatment plan. This comes up with many other general surgical problems. Do you fix an asymptomatic hernia? Asymptomatic gallstones? The answer usually depends on whether you are someone who tends to be proactive in preventing problems, or someone who wants to wait and see what kind of problems develop.
However, it is important that you have enough facts to make an intelligent decision about how to proceed.
Here are some facts that you can use to help in your decision making process.
So, this really comes down to whether you want to be proactive, and get this taken care of so that it is not a problem in the future; or you want to wait and see what happens.
Either course of action is appropriate, but if you choose a wait and see approach, you have to be philosophical if it acts up at a time that causes you to cancel some important plans so you can deal with it as needed.
It is our opinion that if you have surgery, a cleft-lift is the option with the quickest recovery and least chance of recurrence.