Surgical Repair of Pubic Symphysis Diastasis

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Abstract

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.

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