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Related Experiment Videos

Surgery for osteitis pubis.

Ramin Mehin1, Robert Meek, Peter O'Brien

  • 1University of British Columbia, Vancouver General Hospital, Vancouver, BC. rmehin@hotmail.com

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|June 6, 2006
PubMed
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Surgical outcomes for osteitis pubis are uncertain, with only 60% patient satisfaction in one series. Different surgical approaches yield varied results across patient groups, including athletes and those with post-operative or infectious causes.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Osteitis pubis is a rare, self-limiting condition, but surgery is required in 5%-10% of cases.
  • The effectiveness of surgical interventions for osteitis pubis remains largely unknown.

Purpose of the Study:

  • To evaluate the success of surgical interventions for osteitis pubis.
  • To analyze outcomes in patients undergoing surgery for osteitis pubis.

Main Methods:

  • Retrospective chart review of 10 patients (10 women, mean age 40) who underwent surgery for osteitis pubis.
  • Literature search identifying 73 additional surgically managed cases of osteitis pubis.
  • Categorization of patients into elite athletes, post-operative/infectious cases, and others.

Main Results:

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  • Patients experienced a mean of 4 years of symptoms preoperatively.
  • Surgical procedures included wedge resection or symphysiodesis.
  • At an average 26-month follow-up, 60% of patients reported satisfaction, though all noted some improvement.

Conclusions:

  • Four surgical techniques exist: curettage, arthrodesis, wedge resection, and wide resection.
  • Elite athletes respond well to curettage; post-operative/infectious cases have a ~50% surgical success rate.
  • Outcomes for other patient groups undergoing surgery for osteitis pubis are unpredictable.