alexa Osteomyelitis of the Pubic Symphysis as a Complication of Bladder Neck Suspension Procedure with Use of Bone Anchors: A Case Report | OMICS International | Abstract
ISSN: 2161-1149

Rheumatology: Current Research
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Case Report

Osteomyelitis of the Pubic Symphysis as a Complication of Bladder Neck Suspension Procedure with Use of Bone Anchors: A Case Report

Tomoaki Koakutsu1*, Masanori Kawamura1, Ko Takada2 and Eiji Itoi1

1Department of Orthopaedic Surgery, Tohoku University Hospital, Sendai, Japan

2Department Urology, Iwate Prefectural Central Hospital, Morioka, Japan

*Corresponding Author:
Tomoaki Koakutsu
Department of Orthopaedic Surgery
Tohoku University Hospital
1-1 Seiryo-machi, Aoba-ku
Sendai 980-8574, Japan
Tel: +81-22-717-7245
Fax: +81-22-717-7248
E-mail: [email protected]

Received date: March 04, 2013; Accepted date: May 21, 2013; Published date: May 31, 2013

Citation: Koakutsu T, Kawamura M, Takada K, Itoi E (2013) Osteomyelitis of the Pubic Symphysis as a Complication of Bladder Neck Suspension Procedure with Use of Bone Anchors: A Case Report. Rheumatol Curr Res S16:002. doi: 10.4172/2161-1149.S16-002

Copyright: © 2013 Koakutsu T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Bladder neck suspension procedure using bone anchors in the pubic bone is employed as the standard treatment for stress urinary incontinence. A 76-year-old woman who had an osteomyelitis of the pubic symphysis following this procedure is presented. She complained of lower abdomen, suprapubic, and left groin pain after she had received an operation for urinary incontinence. The pain persisted and gradually led to gait disturbance. Hematology showed mild inflammation, plain radiograph and computed tomography of the pelvis revealed osteomyelitis of the pubic symphysis and retropubic abscess. Bone anchors and the attached suture material were removed, necrotic bone was curetted. After the surgery, her pain decreased and urinary incontinence remained improved. Osteomyelitis of the pubic bone is uncommon entity that must be recognized in elderly women who received an operation for stress urinary incontinence.

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