Gomella Patrick, Mufarrij Patrick
Department of Urology, George Washington UniversityWashington, DC.
Rev Urol. 2017;19(3):156-163. doi: 10.3909/riu0767.
Osteitis pubis is a noninfectious inflammatory condition affecting the pubic symphysis. First described in a series of patients undergoing urologic procedures, it is an uncommon cause of lower abdominal and suprapubic pain. However, this condition can cause significant morbidity in patients affected, often requiring lengthy recovery periods. Given its rarity, the diagnosis and management is challenging, as many urologists are unfamiliar with the condition and may ascribe the constellation of symptoms as expected side effects from a recent surgical procedure. This review describes the urologic considerations for osteitis pubis, its potential etiologies, and clinical findings, and identifies treatment strategies for this potentially debilitating condition.
耻骨炎是一种影响耻骨联合的非感染性炎症性疾病。最初在一系列接受泌尿外科手术的患者中被描述,它是下腹部和耻骨上区疼痛的罕见原因。然而,这种疾病会给受影响的患者带来严重的发病率,通常需要较长的恢复期。鉴于其罕见性,诊断和管理具有挑战性,因为许多泌尿外科医生不熟悉这种疾病,可能会将症状归因于近期手术预期的副作用。这篇综述描述了耻骨炎的泌尿外科相关因素、潜在病因和临床表现,并确定了针对这种可能使人衰弱的疾病的治疗策略。