Osteitis Pubis Treated by Cortisone

Daw, William J.; Funke, Alvin H.

doi:10.1016/s0022-5347(17)68131-x

Cited by 10 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thereafter, use of cortisone preparations has been reported in several publications with good results. 36 , 54 , 55 However, steroids with minimal mineralocorticoid effects such as dexamethasone are usually the preferred choice. A maximum daily dose of 8 to 10 mg of dexamethasone provides a dramatic response in the symptoms, particularly pain, within 24 to 48 h. The duration of therapy has not been specified but has to be tailored according to severity of symptoms with a 10‐ to 14‐day course usually sufficient in mild cases while longer protocols of treatment may be needed in severe cases.…”

Section: Treatmentmentioning

confidence: 99%

“…Treatment with adrenocorticotrophic hormone (ACTH) was first reported by Marshall et al 53 for osteitis pubis that developed after urologic procedures. Thereafter, use of cortisone preparations has been reported in several publications with good results 36,54,55 . However, steroids with minimal mineralocorticoid effects such as dexamethasone are usually the preferred choice.…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

The challenges in diagnosis and management of osteitis pubis: An algorithm based on current evidence

et al. 2022

View full text Add to dashboard Cite

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.

show abstract

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%