Osteomyelitis of the pubic symphysis after urologic surgery.
Osteomyelitis represents a pyogenic infection of the bone and marrow. The diagnosis is based on specific criteria and often is difficult to make. Herein we present 2 cases initially thought to represent osteitis pubis but subsequently proved to be osteomyelitis and compare the 2 entities with emphasis on differential diagnosis and treatment. Despite certain differentiating characteristics the correct diagnosis is often uncertain without histologic examination. Since the treatment of these 2 entities is quite different equivocal cases should undergo surgical exploration and bone curettage. This procedure will enable definite diagnosis to be made and proper treatment to be instituted.
D003475:Curettage; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010000:Osteitis / Q000000981:diagnostic imaging; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D011183:Postoperative Complications; D011631:Pubic Symphysis / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D014515:Ureteral Diseases / Q000601:surgery; D014545:Urinary Calculi / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery