The Diagnosis and Management of Urosymphyseal Fistula with Pubic Osteomyelitis.

ABSTRACT:

Purpose of review

Urosymphyseal Fistula (USF) is a rare, often debilitating condition in which the urinary tract fistulizes with the pubic bone, resulting in recurrent pubic osteomyelitis (POM) from urinary tract seeding. These injuries commonly arise in the setting of pelvic radiation and are generally preceded by instrumentation of the lower urinary tract for obstruction. USFs tend to be recognized only after patients fail to recover from multiple lower urinary tract infections, resulting in repeat hospital readmissions. While fistula closures with urinary tract reconstruction have been described, treatment of USF is often complex and is best treated via urinary diversion with pubic bone debridement in the setting of preoperative optimization and long-term postoperative antibioti

SUBMITTER: Haas C 

PROVIDER: S-EPMC12484387 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature