Osteomyelitis of the pubic symphysis after urologic surgery

J Urol. 1977 Nov;118(5):803-5. doi: 10.1016/s0022-5347(17)58201-4.


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.

Publication types

  • Case Reports

MeSH terms

  • Curettage
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteitis / diagnostic imaging
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / etiology*
  • Osteomyelitis / surgery
  • Osteomyelitis / therapy
  • Postoperative Complications*
  • Pubic Symphysis* / diagnostic imaging
  • Pubic Symphysis* / surgery
  • Radiography
  • Ureteral Diseases / surgery
  • Urinary Calculi / surgery
  • Urinary Incontinence, Stress / surgery