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Infectious osteitis pubis

E Bouza, D J Winston, W L Hewitt

    Urology
    |December 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Osteitis pubis, a pelvic girdle inflammation, may stem from pubic osteomyelitis, particularly after urinary device implantation. Bone biopsy and culture are recommended for accurate diagnosis and effective antibiotic treatment.

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    Area of Science:

    • Urology
    • Orthopedic Surgery
    • Infectious Disease

    Background:

    • Osteitis pubis is a painful inflammation of the anterior pelvic girdle with an unclear etiology.
    • Urinary anti-incontinence device implantation is a potential predisposing factor.

    Observation:

    • Three patients with osteitis pubis post-urinary device implantation underwent pubic bone biopsy and culture.
    • Infection was identified in these patients, consistent with pubic osteomyelitis.

    Findings:

    • Pubic osteomyelitis was diagnosed in patients with osteitis pubis following urinary anti-incontinence device implantation.
    • Antibiotic therapy was effective in treating the identified pubic osteomyelitis.

    Implications:

    • Bone biopsy and culture should be considered for diagnosing osteitis pubis, especially after device implantation.

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  • This diagnostic approach may improve treatment outcomes compared to empirical therapies.
  • Identifying infection as a cause can guide targeted antibiotic treatment for osteitis pubis.