Functional and anatomical outcomes of Yamane technique-based scleral fixation after complicated cataract surgery versus IOL extraction.

Pilonidal sinus disease (PSD) is a clinical condition characterized by recurrent inflammation, pain, and discharge in the presacral region that predominantly affects the young male population []. With the increasing rates of sedentary lifestyles and obesity, the incidence of PSD has reached 39 per 100,000 in Northern Europe today, while its prevalence in Turkey has risen to as high as 7% among young, healthy populations [, ]. Although traditional excisional methods have been preferred for the treatment of this disease, the reported high recurrence rates with prolonged follow-up, along with extended healing times, high rates of wound site complications, prolonged treatment durations, and thus increased loss of workforce, have made minimally invasive methods particularly popular after the 2000s [, ]. The most widely used among the minimally invasive methods are crystallized phenol treatment (CPT) and sinus laser closure (SiLaC), with SiLaC gaining significant attention in surgical practice over the past decade due to its high success rates []. Both approaches allow for same-day treatment, faster recovery times, and fewer complications. However, comparative studies, particularly those assessing quality of life (QoL) between the two, remain scarce []. Moreover, PSD is not a single entity, and multiple classification methods have been proposed to categorize the disease []. A contemporary disease scoring system that also analyzes the characterization of study groups provides the opportunity to reveal more comprehensive results []. In light of these considerations, this study aimed to compare the early term outcomes of patients treated with CPT or SiLaC for PSD, with a particular focus on early postoperative patient satisfaction, health-related QoL, and symptom burden.