Osteochondroma of the Pubic Ramus Presenting with Sexual Dysfunction: A Case Report.


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Article DOI: https://doi.org/10.64573/torgj2510001

Authors: Kidanemariam Abrha Teka, MD¹*; Mezgebu Aregawi Gebrehawariat, MD¹; Kahsay Gebrearegai Weldemihret, MD¹; Seare Halefom Kahsay, MD²; Zeamanuel Berihu Teshome, MD³

1Department of Orthopedics, Mekelle University, Mekele, Tigray, Ethiopia.
2Department of Neurosurgery, Mekelle University, Mekele, Tigray, Ethiopia.
3Department of Radiology, Mekelle University, Mekele, Tigray, Ethiopia.

Cite:

  • APA (7th edition): Teka, K. A., Gebrehawariat, M. A., Weldemihret, K. G., Kahsay, S. H., & Teshome, Z. B. (2025, November 30). Osteochondroma of the pubic ramus presenting with sexual dysfunction: A case report. The Operating Room Global Journal (TORGJ), 1(2). https://doi.org/10.64573/torgj2510001
  • Harvard: Teka, K.A., Gebrehawariat, M.A., Weldemihret, K.G., Kahsay, S.H. and Teshome, Z.B., 2025. Osteochondroma of the pubic ramus presenting with sexual dysfunction: A case report. The Operating Room Global Journal (TORGJ), 1(2). Published 30 November. Available at: https://doi.org/10.64573/torgj2510001
  • Vancouver: Teka KA, Gebrehawariat MA, Weldemihret KG, Kahsay SH, Teshome ZB. Osteochondroma of the pubic ramus presenting with sexual dysfunction: A case report. The Operating Room Global Journal (TORGJ). 2025 Nov 30;1(2). https://doi.org/10.64573/torgj2510001
  • MLA (9th edition): Teka, Kidanemariam Abrha, et al. “Osteochondroma of the Pubic Ramus Presenting with Sexual Dysfunction: A Case Report.” The Operating Room Global Journal (TORGJ), vol. 1, no. 2, 30 Nov. 2025, https://doi.org/10.64573/torgj2510001
  • Chicago (Author–Date): Teka, Kidanemariam Abrha, Mezgebu Aregawi Gebrehawariat, Kahsay Gebrearegai Weldemihret, Seare Halefom Kahsay, and Zeamanuel Berihu Teshome. 2025. “Osteochondroma of the Pubic Ramus Presenting with Sexual Dysfunction: A Case Report.” The Operating Room Global Journal (TORGJ) 1 (2), November 30. https://doi.org/10.64573/torgj2510001
ABSTRACT
Background; Osteochondroma is the most common benign bone tumor, usually affecting long bones. While solitary osteochondromas are usually benign, they can occasionally cause complications such as compression of adjacent structures, vascular or neurological impingement, or, in rare cases, malignant transformation into secondary chondrosarcoma. Pelvic osteochondromas are rare but can sometimes lead to significant functional and psychosocial distress.
Observation: We present a 21-year-old female patient with a six-year history of progressively enlarging pelvic osteochondroma in the right groin. The tumor caused difficulty in wearing fitted clothing, mechanical obstruction during sexual intercourse, and marital and social stigma. Despite its large size, there were no urinary or neurological symptoms. Surgical excision provided complete symptomatic relief and improved her quality of life.
Conclusion: This case highlights the atypical presentation and location of a benign bone tumor. Early surgical intervention should be considered in cases where the tumor leads to significant distress, even in the absence of pain or compression. This case reinforces the need to prioritize patient quality of life and highlights the significant role of surgical management in improving both functional and psychological well-being.
Key words: Osteochondroma, Pubic Ramus, Sexual Dysfunction.

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