Surgical Repair of Pubic Symphysis Diastasis

    loading  Checking for direct PDF access through Ovid



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.


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.


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


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.

Related Topics

    loading  Loading Related Articles