title: Pubic osteomyelitis and granuloma after bone anchor placement.
abstract: The use of bone anchors as a superior fixation for suburethral slings is becoming popular. We present a case report of pubic osteomyelitis and granuloma after bone anchor placement. A 71-year-old woman underwent placement of a vaginal wall sling using pubic bone anchors placed through a suprapubic incision. Recurrent swelling of the mons pubis required re-exploration and removal of the anchors from an infected pubic bone. When symptoms persisted over the following 10 months, the patient underwent repeat surgery and excision of a pubic bone granuloma. The use of bone anchors in suburethral sling surgery is associated with possible increase in patient morbidity, and no benefit to the patient has been shown.
authors.affiliation: Section of Urogynecology, Rush Medical College, Chicago, IL, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: FitzGerald
authors.forename: S
authors.initials: S
authors.lastname: Gitelis
authors.forename: L
authors.initials: L
authors.lastname: Brubaker
mesh_terms: D000368:Aged; D001858:Bone Nails / Q000009:adverse effects*; D005260:Female; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D010019:Osteomyelitis / Q000209:etiology* / Q000503:physiopathology; D011630:Pubic Bone / Q000473:pathology*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014621:Vagina / Q000473:pathology / Q000601:surgery