eMedicine Specialties > Urology > Infections and Related Inflammatory Conditions
Trigonitis: Follow-up
Updated: May 13, 2009
Follow-up
Further Inpatient Care
- In higher-risk patients with biopsy-proven keratinizing metaplasia, perform annual cystoscopy and urinary cytologic examinations.
Deterrence/Prevention
- Chronic indwelling instrumentation of the bladder should be discouraged if better alternatives for bladder drainage are feasible.
Complications
- Progression to frank squamous cell carcinoma of the bladder may occur in patients with keratinizing squamous metaplasia of the trigone.
Prognosis
- The prognosis for the nonkeratinizing variant is excellent. This variant is not likely to represent a pathologic state.
- The keratinizing lesion also is benign, but it should be checked at regular intervals.
Patient Education
- For excellent patient education resources, visit eMedicine's Cancer and Tumors Center. Also, see eMedicine's patient education article Bladder Cancer.
Miscellaneous
Medicolegal Pitfalls
- Failure to differentiate malignancy from the benign disease is possible, particularly if an inadequate tissue sample was taken during biopsy in at-risk patients.
More on Trigonitis |
| Overview: Trigonitis |
| Differential Diagnoses & Workup: Trigonitis |
| Treatment & Medication: Trigonitis |
Follow-up: Trigonitis |
| Multimedia: Trigonitis |
| References |
| Further Reading |
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References
Heymann A. Die cystitis trigoni der frau. Zentralbl Kr Harn Sex. 1905;16:422-33.
Cifuentes L. Epithelium of vaginal type in the female trigone: the clinical problem of trigonitis. J Urol. 1947;57:1028-37.
Neimark AI, Vasil'chenko SI, Il'inskaia EV, Taranina TS, Lebedeva RN, Isachenko SI, et al. [Special features of chronic cystitis with leukoplasional changes of a mucous environment women's urinary bladder]. Voen Med Zh. Jun 2007;328(6):58-61. [Medline].
Sugaya K, Nishijima S, Oda M, et al. Transabdominal vesical sonography of urethral syndrome and stress incontinence. Int J Urol. Jan 2003;10(1):36-42. [Medline].
Benson RC Jr, Swanson SK, Farrow GM. Relationship of leukoplakia to urothelial malignancy. J Urol. Mar 1984;131(3):507-11. [Medline].
Henry L, Fox M. Histological findings in pseudomembranous trigonitis. J Clin Pathol. Oct 1971;24(7):605-8. [Medline].
Jost SP, Gosling JA, Dixon JS. The fine structure of human pseudomembranous trigonitis. Br J Urol. Nov 1989;64(5):472-7. [Medline].
Locke JR, Hill DE, Walzer Y. Incidence of squamous cell carcinoma in patients with long-term catheter drainage. J Urol. Jun 1985;133(6):1034-5. [Medline].
Long ED, Shepherd RT. The incidence and significance of vaginal metaplasia of the bladder trigone in adult women. Br J Urol. Apr 1983;55(2):189-94. [Medline].
Mueller SC, Thueroff JW, Rumpelt HJ. Urothelial leukoplakia: new aspects of etiology and therapy. J Urol. May 1987;137(5):979-83. [Medline].
Murphy WM. Diseases of the urinary bladder, urethra, ureters, and renal pelves: squamous metaplasia. Urological Pathology. 1997;60-2.
Tyler DE. Stratified squamous epithelium in the vesicle trigone and urethra: findings correlated with menstrual cycle and age. Am J Anat. 1962;111:319-25.
Further Reading
Clinical guidelines
ACR Appropriateness Criteria® recurrent lower urinary tract infections in women.
American College of Radiology - Medical Specialty Society. 1995 (revised 2005). 6 pages. [NGC Update Pending] NGC:004608
Referral guidelines for suspected cancer in adults and children.
National Collaborating Centre for Primary Care - National Government Agency [Non-U.S.]. 2005 Jun. 791 pages. NGC:004465
Clinical trials
Evaluation of Non-Invasive Assay(s) for the Detection of Bladder Cancer
Quantitative and Qualitative Changes in Neural Efferent Receptors
Quality of Life and Symptom Management in Patients With Bladder Cancer
Related eMedicine topics
Keywords
trigonal squamous metaplasia, pseudomembranous trigonitis, bladder leukoplakia, bladder cancer, cystitis trigoni, true trigonal membrane, trigonal nonkeratinizing squamous metaplasia, trigone leukoplakia, trigonal leukoplakia, squamous trigonal metaplasia, bladder disorder, trigone disorder
Follow-up: Trigonitis