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The Journal of Bone and Joint Surgery 81:1736-40 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Osteomyelitis of the Pubis Following Suspension of the Neck of the Bladder with Use of Bone Anchors. A Report of Four Cases*

MARK ENZLER, M.D.{dagger}, HOWARD J. AGINS, M.D.{dagger}, MONICA KOGAN, M.D.{dagger}, JAMES KUDURNA, M.D.{dagger}, PETER SAND, M.D.{dagger}, REBECCA WURTZ, M.D.{dagger} and PATRICK CULLIGAN, M.D.{dagger}, EVANSTON, ILLINOIS

Investigation performed at Evanston Hospital, Evanston


   Introduction
 
We report on four patients who had a retropubic abscess (three with osteomyelitis) with involvement of the adjacent soft tissues following a procedure to correct stress urinary incontinence with use of pelvic bone screws to serve as anchors for sutures that were placed to support the bladder neck. The ages of the patients ranged from seventy-one to eighty years old. None of the patients had a known previous urinary tract infection. Two of the procedures were performed at our institution, and two were performed at different outside institutions. The patients were seen because of suprapubic pain, swelling, and erythema between four and twenty-four weeks after the procedure. Two had received courses of orally administered antibiotics because of wound drainage within a week to ten days after the original procedure. Computerized tomography scans of the pelvis showed soft-tissue swelling behind the symphysis pubis and erosion of the adjacent bone. The abscess . . . [Full Text of this Article]


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