Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.110
Peer-review started: September 25, 2019
First decision: November 11, 2019
Revised: November 18, 2019
Accepted: November 27, 2019
Article in press: November 27, 2019
Published online: January 6, 2020
Core tip: Widening of the pubic joint of more than 10 mm is diagnostic and defined as pubic symphysis diastasis and is considered a complication of vaginal childbirth or pregnancy. As it is a rare pathology and no gold standard treatment is defined, we present two cases with severe pain in the pubic region after labour, accompanied by complicated locomotion. Pubic symphysis diastasis was confirmed radiologically in both cases and conservative treatment was recommended. No benefit following conservative treatment was observed, thus surgical treatment was selected and internal pubic synthesis was performed. These cases show that standardisation of conservative and surgical treatment or studies of possible complications have not been defined; therefore, postoperative infections are likely to complicate surgical treatment. Overall, our findings demonstrate the significance of an accurate choice between conservative and surgical treatment due to possible complications after surgical intervention such as infection, loose screws, fistula and repeated surgical management.