Misdiagnosis Analysis of 23 Males with Osteitis Pubis

CHENG Wen-long; PING Hao; JI Shi-qi; ZHANG Hai-jian; HAN Zhi-xing; LIU Qing-jun; WANG Jian-wen

doi:10.3969/j.issn.1002-3429.2017.08.008

Abstract：Objective To investigate clinical characteristics, misdiagnosed causes and preventative measures of males with osteitis pubis (OP).Methods Clinical data of 23 male misdiagnosed patients with OP admitted during February 2015 and September 2016 was retrospectively analyzed.Results All patients visited doctors for testicular and inguinal pains.The total score of chronic prostatitis symptom index (CPSI) was 18.13 ± 2.69, and physical examination showed 17 patients with medium pain and 16 patients with severe pain in pelvis and pubis.Homopleural testis was induced referred pain when above area of pubic symphysis had tenderness.All patients had been diagnosed as having chronic prostatitis/chronic pelvic pain syndromes (CP/CPPS), but patients'' symptoms did not be improved after corresponding treatment for more than six months.OP was confirmed after detailed history collection, carefully physical examinations and compositive conditions analysis, and they were diagnosed as osteitis pubis clinically.After treatments of correcting etiology, rehabilitation training and oral administration of activating blood flow and removing blood stasis for two weeks, symptoms were relieved in 19 patients.With 6 months of follow-up, no recurrence was found in patients;4 patients'' symptoms such as pains were not obviously improved, and antiinflammatory agents were given for two weeks, and the symptoms were slightly improved, but the symptoms were relapsed after withdrawal.Conclusion Clinical symptoms of male OP and CP/CPPS are similar, and it is easily be misdiagnosed.Clinicians should suspect OP for patients have testicular and inguinal pains and tenderness in pubic tubercle area, and it can induce testicular referred pain.Correcting etiology, rehabilitation training and oral activating blood flow and removing blood stasis of traditional Chinese medicine is conducive to improving symptoms.