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Surgical Repair of Pubic Symphysis Diastasis

Brodersen, Mark MD*; Pettit, Paul MD; Chen, Anita MD; Levia, Juan Luis MD; Bofill, Magdalena MD

Journal of Pelvic Medicine and Surgery: May-June 2006 - Volume 12 - Issue 3 - p 157-160
doi: 10.1097/01.spv.0000217390.77432.8c
Case Series

Objective: Pubic symphysis diastasis that requires surgical repair is an uncommon condition with a frequency ranging from one in 300 to one in 30,000 vaginal deliveries with most patients responding to conservative therapy.

Methods: This report reviews a case of a 33-year-old woman diagnosed with a 3.5-cm pubic symphysis diastasis after a 22-hour labor and delivery. Despite conservative therapy, she continued to have severe pain, disability, and stress urinary incontinence.

Results: Surgical repair included open reduction and internal fixation of the pubic symphysis and a tension-free sling.

Conclusion: Management of parturition-induced pelvic structural abnormalities is not a part of daily practice for most obstetricians and gynecologists. This case highlights the role of integrated medical care for such patients.

Management of parturition-induced pelvic structural abnormalities is not a part of daily practice for most obstetricians and gynecologists. This case highlights the role of integrated medical care for such patients.

From the Departments of *Orthopedics and †Gynecologic Surgery; Mayo Clinic, Jacksonville, Florida.

Reprints: Paul Pettit, MD, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224. E-mail: paul.pettit@mayo.edu.

© 2006 Lippincott Williams & Wilkins, Inc.