Trigonitis Clinical Presentation

Updated: Aug 24, 2020
  • Author: Wellman W Cheung, MD, FACS; Chief Editor: Edward David Kim, MD, FACS  more...
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Patients with squamous metaplastic changes in the bladder may be asymptomatic or may present with irritative voiding symptoms (generally characterized by frequency, urgency, and dysuria), recurrent urinary tract infections (UTIs), hematuria, or pelvic pain. Specific attention should be directed at establishing the presence and pattern of specific voiding symptoms.


Physical Examination

A complete genitourinary exam may be helpful in ruling out other causes of symptoms that bring the patient to medical attention. However, it is important to realize that trigonitis can only be diagnosed by cystoscopy.