
Comprehensive diagnostic methods to accurately identify and assess pilonidal sinus.
Detailed discussion of symptoms, duration, and any previous episodes or treatments.
Visual inspection of the natal cleft to identify pits, sinuses, or abscesses.
Magnetic resonance imaging to assess the extent and complexity of sinus tracts.
Non-invasive imaging to evaluate abscesses and sinus tract depth.
Gentle probing under local anesthesia to map the sinus tract and identify branches.
Pilonidal sinus must be distinguished from other conditions like hidradenitis suppurativa or anal fistulas.