• Isr Med Assoc J · Mar 2005

    Coccygectomy for intractable coccygodynia.

    • Zeev Feldbrin, Menachem Singer, Ori Keynan, Valentine Rzetelny, and David Hendel.
    • Department of Orthopedics, Wolfson Medical Center, Holon, Israel.
    • Isr Med Assoc J. 2005 Mar 1; 7 (3): 160-2.

    BackgroundCoccygectomy is an uncommon procedure that many surgeons are reluctant to perform due to its proximity to the anus and the risk of rectal perforation and infection.ObjectivesTo evaluate the diagnostic accuracy and outcome of coccygectomy.MethodsWe retrospectively reviewed the operative results in nine patients (seven females and two males) who underwent coccygectomy for coccygodynia in the last 5 years following failure of conservative treatment.ResultsThe outcome of the procedure was excellent in five patients, good in one patient and poor in two patients.ConclusionsIt is mandatory to perform bone scanning in every patient with coccygodynia and before coccygectomy in order to rule out the presence of malignancy. Coccygectomy is recommended for patients with isolated coccygodynia.

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