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Medical Questions » Trigonitis
Name: 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.
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