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 pubic symphysectomy technique for patients with osteitis pubis refractory to conservative treatment.
Methods:
- Detailed surgical description including removal of fibrocartilaginous lamina and resection of ~1 cm of pubic symphysis bone.
Key Findings:
- Effectively removes pain generators related to chronic osteitis pubis.
- Offers a less invasive alternative to traditional open symphysiodesis or curettage.
What Does This Mean for Providers?
- Endoscopic pubic symphysectomy provides a promising minimally invasive option for refractory osteitis pubis.
- May reduce morbidity compared to open surgery while achieving pain relief and functional improvement.
- Consider this technique for patients with persistent symptoms after conservative management.