Medical Questions » Trigonitis
|Also known as: |
|Inflammation of the lower part (trigone) of the bladder around the opening of the urethra (tube leading out of the bladder). Usually occurs in women.|
|Causes of Trigonitis|
Lack of oestrogen after the menopause or after a total hysterectomy causes the tissue of the vagina and adjacent bladder base to become thin, less supple, easily damaged and the sensory nerves in the bladder base become exposed to urine.
|Symptoms of Trigonitis|
Painful frequent passage of urine and aching pain in the lower belly. The involuntary passage of urine with a cough or exercise is also common.
|Tests for Trigonitis|
Diagnosed by cystoscopy (passing a tube into the bladder through which it can be inspected).
|Treatment for Trigonitis|
Long term oestrogen supplementation by local application of cream in the vagina, tablets, patches, implants or injection. Progestogens may need to be given as additional treatment with the oestrogen.
|Complications of Trigonitis of its treatment|
Bladder and urinary tract bacterial infections can easily occur.
|Likely Outcome of Trigonitis|
Good while oestrogen hormone replacement therapy is continued.