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The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence
OBJECTIVE: The objective of this study is to summarise the contemporary evidence regarding the prevalence, diagnosis, and management of osteitis pubis (OP) specially from urological point of view, while proposing an algorithm for the best management based on the current evidence. METHODS: We perform...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231671/ https://www.ncbi.nlm.nih.gov/pubmed/35783593 http://dx.doi.org/10.1002/bco2.127 |
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author | Amer, Mohammed Lotfi Omar, Kawa Malde, Sachin Nair, Rajesh Thurairaja, Ramesh Khan, Muhammad Shamim |
author_facet | Amer, Mohammed Lotfi Omar, Kawa Malde, Sachin Nair, Rajesh Thurairaja, Ramesh Khan, Muhammad Shamim |
author_sort | Amer, Mohammed Lotfi |
collection | PubMed |
description | OBJECTIVE: The objective of this study is to summarise the contemporary evidence regarding the prevalence, diagnosis, and management of osteitis pubis (OP) specially from urological point of view, while proposing an algorithm for the best management based on the current evidence. METHODS: We performed a literature search using the PubMed database for the term ‘osteitis pubis’ until December 2020. We assessed pre‐clinical and clinical studies regarding the aetiology, pathophysiology, and management of OP. Case reports and case series were evaluated by study quality and patient outcomes to determine a potential clinical management algorithm. RESULTS: Osteitis pubis is a chronic painful condition of the symphysis pubis joint and its surrounding structures. Still, there is a paucity of data outlining the management plan and the possible triggers. The aetiology seems to be multifactorial with different proposals trying to explain the pathophysiology and correlate the findings to the outcome. The diagnosis is usually based on high suspicion index and clinical experience. The infective variant of the disease is aggressive and requires strict and active management. Universal consensus is still lacking regarding a formal algorithm of management of the condition, especially due to multiple specialities involved in the decision‐making process. Conservative management remains the cornerstone; nevertheless, surgical interventions may be needed in special settings. Hence, a multi‐disciplinary approach is of pivotal value in fashioning the plan for each case. The prognosis is usually satisfactory; however, a longstanding debilitating disease form is not uncommon. CONCLUSION: OP remains a rare condition with real challenges in its diagnosis. The current management is focused on conservative management; however, surgical intervention is still needed in some difficult scenarios. Continued research into the triggers of OP, multidisciplinary approach, and standardised clinical pathways can improve the quality of care for patients suffering from this condition. |
format | Online Article Text |
id | pubmed-9231671 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-92316712022-06-30 The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence Amer, Mohammed Lotfi Omar, Kawa Malde, Sachin Nair, Rajesh Thurairaja, Ramesh Khan, Muhammad Shamim BJUI Compass To Journals OBJECTIVE: The objective of this study is to summarise the contemporary evidence regarding the prevalence, diagnosis, and management of osteitis pubis (OP) specially from urological point of view, while proposing an algorithm for the best management based on the current evidence. METHODS: We performed a literature search using the PubMed database for the term ‘osteitis pubis’ until December 2020. We assessed pre‐clinical and clinical studies regarding the aetiology, pathophysiology, and management of OP. Case reports and case series were evaluated by study quality and patient outcomes to determine a potential clinical management algorithm. RESULTS: Osteitis pubis is a chronic painful condition of the symphysis pubis joint and its surrounding structures. Still, there is a paucity of data outlining the management plan and the possible triggers. The aetiology seems to be multifactorial with different proposals trying to explain the pathophysiology and correlate the findings to the outcome. The diagnosis is usually based on high suspicion index and clinical experience. The infective variant of the disease is aggressive and requires strict and active management. Universal consensus is still lacking regarding a formal algorithm of management of the condition, especially due to multiple specialities involved in the decision‐making process. Conservative management remains the cornerstone; nevertheless, surgical interventions may be needed in special settings. Hence, a multi‐disciplinary approach is of pivotal value in fashioning the plan for each case. The prognosis is usually satisfactory; however, a longstanding debilitating disease form is not uncommon. CONCLUSION: OP remains a rare condition with real challenges in its diagnosis. The current management is focused on conservative management; however, surgical intervention is still needed in some difficult scenarios. Continued research into the triggers of OP, multidisciplinary approach, and standardised clinical pathways can improve the quality of care for patients suffering from this condition. John Wiley and Sons Inc. 2022-03-11 /pmc/articles/PMC9231671/ /pubmed/35783593 http://dx.doi.org/10.1002/bco2.127 Text en © 2021 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | To Journals Amer, Mohammed Lotfi Omar, Kawa Malde, Sachin Nair, Rajesh Thurairaja, Ramesh Khan, Muhammad Shamim The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence |
title | The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence |
title_full | The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence |
title_fullStr | The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence |
title_full_unstemmed | The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence |
title_short | The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence |
title_sort | challenges in diagnosis and management of osteitis pubis: an algorithm based on current evidence |
topic | To Journals |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9231671/ https://www.ncbi.nlm.nih.gov/pubmed/35783593 http://dx.doi.org/10.1002/bco2.127 |
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