1999
DOI: 10.1007/s001929970014
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Pubic Osteomyelitis and Granuloma After Bone Anchor Placement

Abstract: The use of bone anchors as a superior fixation for suburethral slings is becoming popular. We present a case report of pubic osteomyelitis and granuloma after bone anchor placement. A 71-year-old woman underwent placement of a vaginal wall sling using pubic bone anchors placed through a suprapubic incision. Recurrent swelling of the mons pubis required re-exploration and removal of the anchors from an infected pubic bone. When symptoms persisted over the following 10 months, the patient underwent repeat surger… Show more

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Cited by 28 publications
(8 citation statements)
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“…Previous reports of pubic osteomyelitis associated with bone anchors described symptoms presenting 10 days to 12 months postoperatively with typical pathogens including Streptococcus, Staphylococcus, Citrobacter, and Pseudomonas [1][2][3][4][5]. After a thorough search utilizing Medline and Pubmed of all pertinent literature of the English language, we were unable to find any previous reports of pubic osteomyelitis caused by Actinomyces.…”
Section: Discussionmentioning
confidence: 80%
“…Previous reports of pubic osteomyelitis associated with bone anchors described symptoms presenting 10 days to 12 months postoperatively with typical pathogens including Streptococcus, Staphylococcus, Citrobacter, and Pseudomonas [1][2][3][4][5]. After a thorough search utilizing Medline and Pubmed of all pertinent literature of the English language, we were unable to find any previous reports of pubic osteomyelitis caused by Actinomyces.…”
Section: Discussionmentioning
confidence: 80%
“…There are numerous reports of bone anchor-related complications associated with female incontinence surgery in the urologic, gynecologic, and orthopedic scientific literature [56][57][58][59][60][61]. Graham et al [60] reported on nine cases of pubic osteomyelitis following bone anchor placement elsewhere referred for definitive therapy.…”
Section: Bone Anchor-related Complicationsmentioning
confidence: 97%
“…Methods such as transvaginal needle suspension and, more recently, transvaginal slings have achieved attention for their minimal invasiveness and relatively good short-term success rates [72,73]. However, concerns regarding the use of synthetic materials about the urethra [69], complications from the use of bone anchors [74], and lack of longterm follow-up detract from its appeal. Laparoscopy has been explored as an alternative, which potentially offers the support advantage of a retropubic colposuspension without a large incision.…”
Section: Stress Urinary Incontinencementioning
confidence: 99%