[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
December 13, 1958


Author Affiliations

Long Beach, Calif.

From the Spinal Cord Injury Service, Veterans Administration Hospital, Long Beach, and the Department of Surgery (Urology) of the School of Medicine of the College of Medical Evangelists and the University of California at Los Angeles.

JAMA. 1958;168(15):2000-2003. doi:10.1001/jama.1958.03000150042010

Removal of the ischium is the generally accepted method of treating ischial decubitus ulcer in patients with spinal cord injuries. Perineal urethral diverticulum has been observed in 22 of 48 patients after removal of the ischium (46 % ). It results from interference with the suspension of the triangular ligament and removal of the ischial tuberosities, thus exposing the pars diaphragmatica and the pars nuda urethrae to pressure. The diagnosis is made clinically (ischial sinus, perineal swelling, or ulcer), urethrocystographically, and urethroscopically. In the majority of cases treatment consists of introducing an indwelling catheter and of improving the general condition of the patient.