Infectious osteitis pubis

Urology. 1978 Dec;12(6):663-9. doi: 10.1016/0090-4295(78)90428-4.


Osteitis pubis is a well-recognized painful inflammation involving the structures of the anterior half of the pelvic girdle, but its cause remains controversial. Biopsy and culture of the pubic bone in 3 patients with osteitis pubis after implantation of a urinary anti-incontinence device were consistent with pubic osteomyelitis which responded to antibiotic therapy. Infection was also found in almost all previously reported cases of osteitis pubis subjected to similar biopsy and culture. Bone biopsy and culture should be strongly considered before initiating frequently unsuccessful empirical therapy in patients with osteitis pubis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Humans
  • Male
  • Osteitis / diagnosis
  • Osteitis / drug therapy
  • Osteitis / etiology*
  • Prostheses and Implants / adverse effects
  • Pseudomonas Infections* / diagnosis
  • Pseudomonas Infections* / drug therapy
  • Pubic Bone*
  • Silicone Elastomers
  • Urinary Incontinence / surgery


  • Anti-Bacterial Agents
  • Silicone Elastomers