Barw Barw Medical Journal 2960-1959 2026 05 30 Clinical Profile and Surgical Outcomes of Pediatric Umbilical Pilonidal Sinus 27 32 10.58742/bmj.v4i1.236 eng Imad S. Sedeeq Department of General Surgery, Balsam Private Hospital, 30-meter Street, Erbil, Iraq. Imad.sedeek@gmail.com Muhammed Bag A. Ali Department of General Surgery, Smart Health Tower (Raparin Branch), Karux Street, Ranya, Iraq. Muhammed.Ali@gmail.com Abdulwahid M. Salih Department of Head and Neck Surgery, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. A.salih@smartglobalholding.co.uk Karukh K. Mohammed Smart Health Tower (Raparin Branch), Karux Street, Ranya, Iraq. Karokh.Mohammed@gmail.com Osama A. Ali Department of Pilonidal Sinus Disease, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Osama.Ali@gmail.com Abdullah O. Hassan Department of Pilonidal Sinus Disease, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Abdullah.Hassan@gmail.com Daroo A. Kareem Department of Head and Neck Surgery, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Daroo.Kareem@gmail.com Harem A. Hama Murad Department of Pilonidal Sinus Disease, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Harem.HamaMurad@gmail.com Seema H. Ali Department of Pilonidal Sinus Disease, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Seema.Ali@gmail.com Isma R. Rashid Department of Pilonidal Sinus Disease, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Isma.Rashid@gmail.com Abdullah A. Qadir Department of Pilonidal Sinus Disease, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. Abdullah.Qadir@gmail.com Kayhan A. Najar Kscien Organization for Scientific Research (Middle East Office), Azadi Mall. Hamdi Street, Sulaymaniyah, Iraq. Kayhan.Najar@gmail.com Ahmed K. Mohammed Department of Scientific Affairs, Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Iraq. ahmadkamaran88@gmail.com 2026 03 20 Introduction Umbilical pilonidal sinus (UPS) is a rare form of pilonidal disease (PNS) predominantly affecting young individuals. Owing to its low incidence, data on risk factors and optimal management remain limited. This study aimed to investigate UPS in the pediatric age group and evaluate the efficacy of surgical management. Methods A retrospective, single-center cohort study was conducted over five years, including patients aged ≤18 years diagnosed with UPS. Clinical, demographic, and risk factor data were collected from medical records. All patients underwent surgical management under local anesthesia, with follow-up to assess healing and recurrence. Descriptive statistical analysis was performed using SPSS version 27.0. Results A total of 42 cases (mean age 16.4 ± 1.48 years) were included. Males comprised 22 (52.4%) of cases. Dense body hair was observed in 29 (69.0%) of patients, and 15 (35.7%) reported a positive family history, and obesity was common (median body mass index (BMI) was 25.9 (IQR: 22.5–29.0)). Surgical treatment achieved successful healing in 40 (95.2%) of cases, with a low recurrence rate of 1 (2.4%). Conclusion Surgical management showed favorable outcomes with high healing and low recurrence rates, supporting its effectiveness in pediatric patients. However, larger multicenter studies are needed to clarify risk factors and optimize management strategies