ABSTRACT
Pilonidal sinus usually occurs in the sacrococcygeal area and can also be seen in other hairy areas. But scrotal location has not been reported previously. Here we report the first case of scrotal pilonidal sinus. A 21-year-old healthy male patient, presented to our urology department with the complaint of milky white discharge from the right hemiscrotum. He had no history of previous systemic and/or genital tuberculosis, epididymo-orchitis, sexually transmitted disease, scrotal trauma, surgery and urethral catheterization. Physical examination demonstrated milky white discharge from an orifice located in the right hemiscrotum. Microbiological investigations, urogenital ultrasonography and chest X-ray were normal. Scrotal exploration was decided to diagnose the clinical condition and 4 cm long fistula tract lying subcutaneously was excised from the right hemiscrotum. Pathologic examination demonstrated pilonidal sinus. Complete recovery was achieved by surgical excision without any complication. Scrotal pilonidal sinus must be kept in mind as one of the rare cause for scrotal discharge. Surgical excision is the best treatment option