Mp25-13 experience With Complete Trigonal Electrofulguration for Women With Recurrent Urinary Tract Infections: Two Years Follow-Up

Ribeiro-Filho, Leopoldo; Hirasaki, Felipe; Miranda, Eduardo Foschini; Siqueira, Matheus; Gomes, Cristiano Mauro Assis; Srougi, Miguel; Nahas, William Carlos

doi:10.1097/ju.0000000000002022.13

Cited by 1 publication

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“…Our group has been performing complete electrofulguration of the vesical trigone mucosa and bladder neck in women with RUTI since 2006. 6,7 In our initial study, we evaluated the rate of UTIs during the initial 2 years of follow-up in 73 patients (age from 17 to 76 years old) after fulguration based on symptoms and a positive urine culture. All patients had previously failed multiple antibiotic courses.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Although fulguration of trigonitis lesions is still controversial and is not currently recommended by urinary infection treatment guidelines, our group has been successfully cauterizing trigonitis lesions for RUTI treatment in women over the last 15 years. 6,7 The diagnosis of trigonitis is usually made through cystoscopy. However, this is an invasive and expensive procedure.…”

Section: Introductionmentioning

confidence: 99%

“…There is increasing evidence that women who have vesical trigonitis may be more susceptible to develop RUTI 4,5 . Although fulguration of trigonitis lesions is still controversial and is not currently recommended by urinary infection treatment guidelines, our group has been successfully cauterizing trigonitis lesions for RUTI treatment in women over the last 15 years 6,7 …”

Section: Introductionmentioning

confidence: 99%

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Transvaginal ultrasonography for trigonitis diagnosis in women

et al. 2023

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Objective Chronic trigonitis (CT) is usually diagnosed through cystoscopy which is invasive and expensive. Thus, an accurate non‐invasive diagnostic method is necessary. The objective of this study is to determine the efficacy of transvaginal bladder ultrasound (TBU) for CT diagnosis. Methods Between 2012 and 2021, 114 women (17–76 years old) with recurrent urinary tract infection (RUTI) and history of antibiotic resistance were evaluated with TBU by a single ultrasonographer. As a control group, TBU was performed in 25 age‐matched women with no previous history of UTI, urological or gynecological conditions. All patients with RUTI had undergone a cystoscopy with biopsy for diagnostic confirmation at the time of trigone cauterization. Results Thickening of trigone mucosa (>3 mm) was detected in all patients with RUTI and represented the most relevant criteria for trigonitis diagnosis on TBU. Other TBU findings in CT are: irregular and interrupted mucosa lining (96.4%), free debris in the urine (85.9%), increased blood flow at doppler (81.5%), mucosa shedding and tissue flaps. Biopsy showed CT with erosive pattern (58%) or non‐keratinizing metaplasia (42%). Diagnostic agreement index between TBU and cystoscopy was 100%. In the control group, normal trigone mucosa is ultrasonographically regular, continuous, with thickness ≤3 mm and there is no debris in the urine. Conclusions TBU proved to be an efficient, inexpensive and minimally invasive method to diagnose CT. To our knowledge, this is the first article that reports the use of transvaginal ultrasound as an alternative method for diagnosing trigonitis.

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Section: Discussionmentioning

confidence: 99%