Suprapubic pain

Introduction The suprapubic area is also called the bladder area. When the bladder is ill, the area usually has pain and discomfort, and sometimes it radiates to the perineum and penis. The nature of the pain is often a burning sensation, a knife-like feeling, dull pain, pain, etc., depending on the severity of the lesion. The bladder area may have a feeling of pain during acute urinary retention. When there is inflammation in the bladder, especially in the acute phase, there is pain in the bladder area during urination. When the bladder stones are affected, the stones hit the urethral opening, which can cause sphincter spasm and cause pain, and cause the flow of urine to be interrupted. After prostate or bladder surgery, due to blood clots, blood stimulation or improper bladder irrigation, it can cause bladder spasm, which can also cause pain in the suprapubic area.

Cause

The bladder area may have a feeling of pain during acute urinary retention. When there is inflammation in the bladder, especially in the acute phase, there is pain in the bladder area during urination. When the bladder stones are affected, the stones hit the urethral opening, which can cause sphincter spasm and cause pain, and cause the flow of urine to be interrupted. After prostate or bladder surgery, due to blood clots, blood stimulation or improper bladder irrigation, it can cause bladder spasm, which can also cause pain in the suprapubic area. Similar symptoms can also be caused by advanced bladder tumors that invade the deep muscle layer of the bladder. Extra-bladder diseases such as chronic prostatitis may have hidden pain in the bladder area due to nerve reflexes. Female patients may also have pain in the bladder area when they have a pelvic infection.

an examination

The diagnosis is mainly based on clinical symptoms, and some imaging examinations, such as X-ray photography of the pelvis (post-production), ultrasound examination (pregnancy), or MRI scan, pubic pain can be used as an auxiliary. Diagnostic tool.

Differential diagnosis

Physical examination sometimes has discomfort on the pubic bone, but there is no tenderness in the lower back. Men with epididymitis or urethritis. Women have pelvic inflammatory disease and are prone to recurrent attacks. The symptoms of chronic cystitis are similar to those of acute cystitis, but there is no high fever. Symptoms can last for several weeks or intermittent attacks, which makes the patient weak and thin, and the waist, abdomen and bladder area are uncomfortable or dull. Sometimes dizziness occurs. Symptoms of neurasthenia such as dizziness.

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