{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:57:17Z","timestamp":1767974237741,"version":"3.49.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Urosymphyseal fistula (USF) is a very uncommon but catastrophic condition which typically occurs in the setting of previous radiation treatment for prostate cancer. As a result, USF has only been described in male populations. For the first time, we characterize this phenomenon in a series consisting of four women managed at our quaternary institution. We found that most patients presented with pubic pain and all were diagnosed with USF on CT or MRI. Imaging commonly demonstrated features suggesting osteomyelitis which was confirmed on histology. Patients experienced significant decreases in peri-operative pain scores following extirpative surgery with urinary diversion, bone debridement\/resection and tissue interposition. This case series highlights the rarity of USF in women in order to help promote increased recognition and timely management.<\/jats:p>","DOI":"10.1093\/jscr\/rjab331","type":"journal-article","created":{"date-parts":[[2021,7,15]],"date-time":"2021-07-15T19:09:42Z","timestamp":1626376182000},"source":"Crossref","is-referenced-by-count":2,"title":["Urosymphyseal fistulas in women: identification and characterization of a previously undescribed phenomenon"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3509-7856","authenticated-orcid":false,"given":"Uzoma A","family":"Anele","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hadley M","family":"Wood","sequence":"additional","affiliation":[{"name":"Center for Genitourinary Reconstruction, Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth W","family":"Angermeier","sequence":"additional","affiliation":[{"name":"Center for Genitourinary Reconstruction, Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,10]]},"reference":[{"key":"2021081021104995600_ref1","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.juro.2015.08.074","article-title":"Fistulation into the pubic symphysis after treatment of prostate cancer: an important and surgically correctable complication","volume":"195","author":"Bugeja","year":"2016","journal-title":"J Urol"},{"key":"2021081021104995600_ref2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.urology.2017.12.020","article-title":"Urosymphyseal fistulas resulting from endoscopic treatment of radiation-induced posterior urethral strictures","volume":"114","author":"Shapiro","year":"2018","journal-title":"Urology"},{"key":"2021081021104995600_ref3","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1007\/s00345-016-1983-3","article-title":"Radiation-induced complex anterior urinary fistulation for prostate cancer: a retrospective multicenter study from the Trauma and Urologic Reconstruction Network of Surgeons (TURNS)","volume":"35","author":"Osterberg","year":"2017","journal-title":"World J Urol"},{"key":"2021081021104995600_ref4","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.urology.2012.04.036","article-title":"Pubovesical fistula: a rare complication after treatment of prostate cancer","volume":"80","author":"Matsushita","year":"2012","journal-title":"Urology"},{"key":"2021081021104995600_ref5","doi-asserted-by":"crossref","DOI":"10.1111\/bju.15333","article-title":"Pubectomy and urinary reconstruction provides definitive treatment of urosymphyseal fistula following prostate cancer treatment","author":"Andrews","year":"2021","journal-title":"BJU Int"},{"key":"2021081021104995600_ref6","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.urology.2014.11.020","article-title":"Pubic symphysis osteomyelitis in the prostate cancer survivor: clinical presentation, evaluation, and management","volume":"85","author":"Gupta","year":"2015","journal-title":"Urology"},{"key":"2021081021104995600_ref7","first-page":"939","article-title":"Pubic symphysitis secondary to fistula. 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