Regular epilation alone is an acceptable treatment for symptom-free pilonidal patients

Analysis of the Laser Epilation in Pilonidal Disease Trial—Reply

“…Finally, our trial included a large patient population with varying severity of pilonidal disease to allow for more generalizable results. Our results are consistent with other studies supporting the safety and efficacy of LE and current guidelines and surgical practice that support offering LE to decrease pilonidal recurrence . While additional studies may further define the level of expected benefit, withholding LE will propagate inequitable care of patients with pilonidal disease in the United States.…”

“…Our results are consistent with other studies supporting the safety and efficacy of LE and current guide-lines and surgical practice that support offering LE to decrease pilonidal recurrence. [3][4][5][6] While additional studies may further define the level of expected benefit, withholding LE will propagate inequitable care of patients with pilonidal disease in the United States. Many insurance companies in the United States will not pay for LE; therefore, only patients with the financial resources to pay out of pocket have access to this treatment.…”

Pilonidal disease in the pregnant patient: A case report

“…Our case demonstrated that asymptomatic pilonidal disease can first be managed non-operatively. In an observational study, Adams et al compared recurrence of pilonidal disease in asymptomatic patients who received epilation monotherapy to patients who received both epilation and operative management and reported no difference in recurrence rate between these two groups [ 7 ].…”