A huge percentage of all women’s visits to a urologist are in the category of patients with complaints of frequent, painful urination, cramps and pelvic pain, which have been bothersome for a long time and do not go away after a course of taking antibacterial drugs. All these symptoms represent a characteristic clinical picture of chronic inflammation of the bladder, and the urologist, first of all, will look for infection as the trigger of the disease. But in a large percentage of cases, the cause may not be an infectious agent, but a much more serious condition - leukoplakia of the bladder.
Features of the disease
Trigonitis rarely manifests itself as an independent disease; more often it occurs against the background of chronic or acute cystitis.
This is a fairly common disease that affects both adults and children, but it is mainly observed in women. The symptoms of this form of inflammation are usually mild, which slows down the process of its timely detection, and stagnant processes are also observed.
Acute trigonitis occurs as a result of pathology of the urethra and prostate gland in males. The chronic form is observed in women who have abnormalities of the genital organs, for example, displacement of the uterus or prolapse of the vaginal wall.
In the absence of proper treatment, the disease can progress and lead to complications such as the development of vesicoureteral reflux and pyelonephritis.
Causes
There are many factors that lead to the occurrence of trigonitis. The root cause of the disease is problems with blood flow in the bladder and Lieto's triangle, disruption of their functioning or infection.
The following factors can also cause trigonitis:
- Displacement of the uterus to the side, which occurs as a result of surgical intervention in the female genital organs.
- Drooping of the vaginal wall, which manifests itself after difficult childbirth, prolapse of the uterus, its removal, in the presence of weak pelvic muscles.
- Decreased immunity, which occurs as a result of frequent diseases of various types, nutritional disorders, and stress.
- Penetration of bacteria from the ureter, which during inflammatory processes can cause trigonitis.
- Complications of diseases of the genitourinary system (cystitis, prostatitis)
- The presence of tumor formations of the genitourinary system.
Trigonitis can develop due to abnormalities in the anatomy of internal organs and as a result of transmission of infection through sexual contact.
Men suffer from trigonitis of the bladder less often; it is mainly the result of acute prostatitis.
energy meridians of the body
Bladder Meridian .V The Bladder Meridian is one of the most vital in our body and in our lives.
The meridian runs from the third eye, between the eyebrows and down along the spine right to the little finger. The ancients say that the work of all organs depends on this meridian. It is so, because this meridian is responsible for the nervous system, and only it can make muscles move and organs function. The energy of the Bladder meridian is responsible for the functioning of the brain - its right and left hemispheres. And why did the ancients name this meridian after the bladder? Probably because by the work of our bladder we quickly learn about the health of our nervous system. In ancient times, even men organized a competition in which, based on the strength of the stream of urine, whoever sprayed the furthest was determined by their performance and strength. The ancients claim that this meridian is connected directly with God, who, through external signs and stimuli, gives a person tips on what to do, and a person only needs to observe the world around him, relax and listen and see the tips and do what he asks and God will cares about the person. In this meridian such qualities as sensitivity to the surrounding reality, to the surrounding world should develop. Calmness and relaxation and understanding of what the whole surrounding reality wants to tell him, feeling what is happening and understanding the role of his service and self-sacrifice.
The fact is that a person is very dependent on the work of the nervous system because when it is depleted, he becomes incapacitated and simply turns into a person physically dependent on others, who cannot move or think, and in this case, only other people can help the person.
Let's understand the causes of disharmonies in the Bladder meridian, and therefore the causes of nervous diseases, disabilities and victim conditions.
The Bladder Meridian gives the ability to move the physical body, the energy of this meridian nourishes the nervous system. Therefore, all functions related to the nervous system: the brain, spinal cord, peripheral nervous system - all are controlled by the Bladder meridian. If there is an imbalance of energy in this meridian, problems will occur with these nervous organs.
At the psychological level, the bladder meridian will show a person as a physical instrument performing a certain service or work on earth. The fact is that the Bladder meridian is an energy channel that transforms atmanic (spiritual) energy into physical energy. In this channel, a person fulfills the will of God - he serves. Here a person is given a physical body and this is a tool for accomplishing something important on earth both for the person himself and for the Creator. In the first place to this important service is service to the body - caring for your body, hygiene, performing everyday activities, because we do all this with the help of our physical body.
At the physical level, the Bladder meridian is responsible, first of all, for the activity of the brain - its right and left hemispheres, the right hemisphere of the brain reacts emotionally, and the left hemisphere logically, they give a signal, along nerve fibers, about what the physical body should do. The nervous system and brains must always be turned on, walking down the street and, for example, seeing that a bicycle is rushing towards us, the brains must react and give a signal to the nervous system that affects the necessary muscles and we will quickly jump to the side. But this is a simple comparison, in general, the nervous system must sense everything: smells, sounds, others, be attentive to people, based on signals and signs of people’s external behavior, determine what kind of person is in front of you. The nervous system is the investigator, psychologist and observer inside each of us. With a well-functioning nervous system, we can determine by external signs a person’s intentions, the quality of food, make a diagnosis, find a missing person, and at the same time, a healthy nervous system allows us to feel what we need for good performance: rest or maybe go to the bathhouse, or maybe you need to eat, or go in for sports. The nervous system is primarily responsible for maintaining the performance and integrity of its own physical body.
And meanwhile, even when in good shape, the Bladder meridian symbolizes sacrifice. Because we are dependent on our physical body and are forced to keep it in shape. This meridian encourages us to observe ourselves and those around us, to be able to relax between work. Relax and feel your body.
Two main problems cause diseases of the nervous system, excess or lack of energy in the Bladder meridian.
Excess energy indicates an overexcited nervous system, a hyper reaction to the world around us. The muscles are tense and spasming. This can cause inflammation of the sciatic nerve, curvature of the spine, headaches and other problems of the nervous system. Psychologically, a person wants to do everything and help everyone. He does his own and other people's work. He does something for others. Most likely he serves, cleans, serves without rest. In this case, relaxation is simply necessary, first of all, relaxation of the brain. In this case, a person sees even non-existent details from the outside world and reacts instantly. The hyperexcited system reacts to any irritants and contracts the muscles. This condition is characterized by muscle hypertonicity.
A lack of energy in the Bladder meridian results in poor observation of the outside world. poor observation of one's body, decreased reaction to the outside world. This condition always occurs to us when there is not enough sugar in the blood and the nervous system weakens, we lose the ability to observe the environment. If this condition continues after eating sweets or food, then we can talk about disability. That is, the brain and nervous system do not work. This is a condition when a person cannot work physically fully or partially. When the Bladder meridian is below normal and does not rise after, for example, drinking Coca-Cola, then we can talk about emotional and/or physical depression. About the sacrificial state in which a person is dependent on others.
To summarize, if the Bladder meridian is in excess, then a person performs sacrificial work, serves, helps, works for others, his muscles are in spasm and nervous diseases are observed. If the Bladder meridian is deficient and does not rise after drinking sweet cold water, then this is a physical or mental disability, this is already a real victim, a person in need of help.
In general, there are 6 main disharmonies associated with the Bladder Meridian. All of them are shown in the table. But the main goal, after all, is to keep your Bladder meridian normal. Let's return again to the main meanings of this meridian - this is observing the world around us and feeling where our help is needed and where it is not needed, feeling our physical body - what it needs to be in shape - sleep, eat, run or maybe relax and listen to music or watch a movie. Thus, with the help of self-observation, the physical body’s own performance is preserved.
Clinical picture
The symptoms of trigonitis are ambiguous and do not manifest themselves particularly clearly.
Depending on the form of the disease, symptoms appear with varying intensity. The clinical picture is characterized by the following indirect symptoms:
- Constant urge to empty the bladder, regardless of the time of day.
- False urge to urinate, accompanied by heaviness in the lower abdomen.
- There are blood spots in the urine.
- The presence of red blood cells in urine, the urine acquires a pinkish tint.
- Discomfort before and after urination.
- Pain in the lower abdomen.
- Weakness, deterioration in general health.
In the absence of timely treatment, urine movement in the opposite direction may occur, which is fraught with dangerous complications.
These symptoms are not accurate signs by which trigonitis of the bladder can be diagnosed. To do this, a qualified specialist will prescribe certain procedures that will help isolate the disease and make an accurate diagnosis.
Treatment of trigonitis in St. Petersburg
How your trigonitis is treated will depend on the type of symptoms, their severity, duration of existence, and response to a particular treatment regimen. Frequently used schemes:
- antibiotics if there is bacteria in the urine
- low doses of antidepressants, which may help control pain
- muscle relaxants to relieve bladder spasms
- anti-inflammatory drugs
- intravesical therapy (instillations)
- combination therapy
The doctor may also recommend cystoscopy with fulguration or other methods of cauterization of benign epithelial growths. This method works according to the theory that damaged tissue dies and is replaced by healthy tissue. In one study, 76% of women who underwent this procedure had resolution of trigonitis, but this method is not always justified and has a 100% good outcome.
Diagnostics
During the diagnosis, a comprehensive examination is carried out. The doctor collects anamnesis and collects information from the patient about complaints and symptoms of the disease.
The following examination methods are prescribed:
- General blood analysis.
- Laboratory urine analysis.
- Bacteriological examination of urine.
- Ultrasound of the bladder.
- Cystoscopy.
, the cystoscopy method is the most important, because ultrasound examination is sometimes unable to detect bladder problems. This method is able to show the presence of tumors, the localization of inflammation and damaged areas of the organ mucosa.
In the chronic form of the disease, a general urine test will show a normal number of leukocytes; in the acute form, their concentration will be increased.
Late diagnosis of the disease is fraught with the development of many complications, manifested in the form of diseases of the genitourinary system. Also, trigonitis can become chronic; it is more difficult to treat, and it can also reappear during severe hypothermia. A complete lack of treatment can lead to the development of cancer.
Diagnosis of leukoplakia of the bladder
Cystoscopy does not reveal inflammatory changes in the area of the bottom, apex and walls of the bladder. At the same time, the mucous membrane of the bladder triangle and the neck of the bladder was covered with a white coating like snow
, clearly demarcated from the normal, non-hyperemic rest of the bladder mucosa. Histological examination of such areas showed signs of chronic cystitis, with pronounced and widespread squamous metaplasia of the transitional type epithelium, focal sclerosis of the mucous membrane.
Treatment
The course of treatment for trigonitis of the bladder is quite long and ranges from two to four weeks.
Traditional methods of treatment act only as an auxiliary mechanism for drug treatment. Drug therapy is characterized by taking the following drugs
- Antibacterial (monural, ofloxacin)
- Immunomodulatory (imudon)
- Painkillers (spasmalgon)
- Anti-inflammatory (diclofenac)
- Vitamins and minerals.
The use of antibiotics is more effective when administered by vaginal suppositories than in the form of oral tablets. When using tablets, it is necessary to take prebiotics in parallel due to the harmful effects of antibacterial drugs on the intestinal microflora.
It is also recommended to give up bad habits during illness. It is necessary to adhere to a diet, during which you should give up spicy and smoked foods, carbonated drinks, and alcohol. In the absence of concomitant dangerous illnesses, it is permissible not to follow a dietary diet.
Recommendations for the treatment of metaplasia of the bladder mucosa
Such active treatment tactics, aimed at surgical removal of the altered bladder mucosa, are quite widely used by urologists. Laser ablation of the bladder mucosa is more often used than electrocoagulation. We believe that laser exposure is preferable, since laser ablation of the bladder, on the one hand, suppresses the hyperactivity of many receptors located in the neck of the bladder, significantly reducing urgent symptoms, and on the other hand, does not cause scarring of the mucosa.
Thus, with metaplasia of the mucous membrane of the bladder neck, the method of laser ablation of the bladder can be successfully used in the complex treatment of chronic cystitis in women.
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