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Transvaginal Ultrasonography for Trigonitis Diagnosis in Women by Leopoldo Alves Ribeiro‐Filho; Natalia Doratioto Serrano Faria Braz; Caio Vinicius Suartz; Amaury Padilha Balsimelli; Felipe Hirasaki; Eduardo Miranda; Matheus Siqueira; Anuar Ibrahim Mitre; Cristiano Mendes Gomes; William Carlos Nahas is a Medicine article available to read on EtoBox.
What is Transvaginal Ultrasonography for Trigonitis Diagnosis in Women about?
## 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 agree
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- Author
- Leopoldo Alves Ribeiro‐Filho; Natalia Doratioto Serrano Faria Braz; Caio Vinicius Suartz; Amaury Padilha Balsimelli; Felipe Hirasaki; Eduardo Miranda; Matheus Siqueira; Anuar Ibrahim Mitre; Cristiano Mendes Gomes; William Carlos Nahas
- Publisher
- Wiley
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)