Recurrent Pelvic Abscess and Osteomyelitis in an 82-Year-Old Man, Osteomyelitis Pubis with Urinary Tract–Urinary Fistula
Osteomyelitis pubis with urinary tract urinary fistula Osteomyelitis pubis with urinary tract–urinary fistula is a rare but serious condition that involves infection of the pubic bone (osteomyelitis) complicated by an abnormal fistulous communication between the urinary tract and surrounding tissues, often leading to further infection and complex urological issues. 1. Cause and Etiology Osteomyelitis pubis is an inflammatory bone infection of the pubic symphysis and adjacent rami. When complicated by a urinary tract–urinary fistula, the etiology typically involves: Iatrogenic injury : Pelvic surgeries (e.g., prostatectomy, cystectomy, urethral surgery), catheterization, or radiation therapy can damage the urinary tract and pubic bone, predisposing to infection and fistula formation. Trauma : Pelvic fractures, especially those involving the pubic symphysis, can cause both bony infection and urinary tract disruption. Chronic urinary trac...