Family History of Pilonidal Sinus Predisposes to Earlier Onset of Disease and a 50% Long-Term Recurrence Rate

Patients with a positive family history need closer surgical monitoring because primary disease will manifest earlier. A remarkable long-term recurrence rate exceeding 50% after 25 years places a much higher disease burden on patients with a positive family history. All available interventions known to reduce recurrence rate should be applied to this group of patients.