Suprapubic

Suprapubic
Specialty	Urology
Symptoms	Pain, tenderness, or discomfort in the suprapubic region
Complications	Urinary tract infection, bladder dysfunction
Causes	Bladder distension, urinary retention, cystitis
Diagnostic method	Physical examination, ultrasound, CT scan
Treatment	Catheterization, antibiotics, surgery

The term suprapubic refers to the anatomical region located above the pubic bone in the lower part of the abdomen. This area is clinically significant as it is often associated with various medical conditions and procedures, particularly those involving the urinary bladder.

Anatomy

The suprapubic region is part of the lower abdomen and is bordered by the umbilical region superiorly and the inguinal region laterally. It is situated just above the pubic symphysis, which is the joint connecting the left and right pubic bones.

Clinical Significance

The suprapubic area is of particular interest in urology and gynecology. It is a common site for pain and tenderness in conditions such as urinary tract infections (UTIs), bladder distension, and cystitis.

Suprapubic Catheterization

One of the most common medical procedures involving the suprapubic region is suprapubic catheterization. This procedure involves the insertion of a catheter directly into the bladder through the abdominal wall, bypassing the urethra. It is often used in patients who have urinary retention or require long-term bladder drainage.

Indications

• Urinary retention
• Neurogenic bladder
• Urethral stricture
• Post-surgical bladder drainage

Procedure

The procedure is typically performed under local anesthesia. A small incision is made in the suprapubic region, and a catheter is inserted into the bladder. The catheter is then secured in place to allow continuous drainage of urine.

Suprapubic Pain

Pain in the suprapubic region can be indicative of several conditions, including:

• Cystitis
• Bladder stones
• Prostatitis
• Pelvic inflammatory disease

Diagnosis

Diagnosis of conditions affecting the suprapubic region often involves a combination of:

• Physical examination
• Ultrasound imaging
• CT scan
• Urinalysis

Treatment

Treatment depends on the underlying cause of the suprapubic condition. Options may include:

• Antibiotics for infections
• Catheterization for urinary retention
• Surgery for structural abnormalities

Also see

• Urinary bladder
• Pelvic pain
• Urology
• Catheterization

Classification