Endoscopic Pubic Symphysectomy for Recalcitrant Osteitis Pubis
Authors
Gupta A, Redmond JM, Hammarstedt JE, Suarez-Ahedo C, Martin TJ, Matsuda DK, Domb BG
DOI: 10.1016/j.eats.2014.11.015
Purpose
To present a minimally invasive endoscopic technique for pubic symphysectomy in patients with persistent osteitis pubis refractory to conservative treatments.
Methods
A detailed surgical technique is described, including removal of the fibrocartilaginous lamina and resection of approximately 1 cm of bone from the pubic symphysis.
Key Findings
- Endoscopic pubic symphysectomy effectively removes pain sources related to chronic osteitis pubis.
- The procedure offers a less invasive alternative to traditional open surgeries such as symphysiodesis or curettage.
Conclusion
Endoscopic pubic symphysectomy is a promising technique for treating recalcitrant osteitis pubis, potentially providing pain relief and functional improvement.
What This Means for Patients
Patients with stubborn pubic pain not responding to other treatments may have a new, less invasive surgical option to alleviate symptoms and restore function.