ArticleArchives of orthopaedic and trauma surgery2021
Surgical debridement of infected pubic symphysitis supports optimal outcome.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies.International orthopaedics · 2023Pooled it
- [Infectious bacterial symphysitis (purulent infection of the pubic symphysis) in a urological setting-a descriptive study and treatment algorithm].Urologie (Heidelberg, Germany) · 2026Article
- Tuberculous symphysitis masquerading as a pelvic pseudotumoral mass: A case report.International journal of surgery case reports · 2025Article
- The Diagnosis and Management of Urosymphyseal Fistula with Pubic Osteomyelitis.Current urology reports · 2025Review
- Pubic bone osteomyelitis outcomes in patients with malignancies: a case series from an academic cancer center.Journal of bone and joint infection · 2025Article
- Pubic symphysis osteomyelitis associated with costal osteitis caused bySAGE open medical case reports · 2024Article
- Article
- Orthopedic management of pubic symphysis osteomyelitis: a case series.Journal of bone and joint infection · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInfected pubic symphysitis (IPS) is a rare bacterial infection of the pubic symphysis that causes subpubic pain, disability and ultimately permanent immobility. Due to difficult diagnosis, patients present with long-standing complaints and consult several doctors. To date, no validated treatment protocol exists and most patients are treated conservatively with antibiotics. This study was aimed to assess the results after careful surgical debridement and pathogen-specific antibiotic treatment in IPS. MATERIALS AND
methodsA chart review of eight patients with proven IPS was performed. Five of eight patients filled in a specific own-developed questionnaire and could be examined clinically and radiologically at a mean of 13 months (range: 6-30 months) postoperatively.
resultsThere were six males and two females with an average age of 69 years (range: 55-80 years). The mean duration of symptoms before surgical treatment was 10.5 months (range: 1-30 months). There were no complications due to the surgical debridement. There was no recurrence of infection at the pubic symphysis during the follow-up period. The most common pathogen was Pseudomonas aeruginosa in three patients. Mean preoperative pain, measured on the visual analogue scale (VAS, range: 0-10) for the four analysed categories in the five follow-up patients was 7.2, 30 days postoperatively 2.7 and 13 months postoperatively 0.4. There was a steady increase in the quality of life (QoL) 30 days postoperatively and at the 13 months follow-up when compared to preoperative values.
conclusionsSurgical debridement is the keystone for treatment of IPS and should be combined with local and systemic antibiotic therapy.
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