What is Bladder Trabeculation?

Bladder trabeculation refers to the presence of raised, thickened ridges on the inner lining of the bladder. It occurs when the bladder muscle (detrusor muscle) becomes overactive and contracts frequently, causing the bladder to form pouches or sac-like structures. These ridges or bands can be seen during cystoscopy, a procedure where a small camera is inserted into the bladder to examine its lining.

Bladder trabeculation is often associated with underlying conditions affecting the bladder or other parts of the urinary tract. Some common causes include:

Obstruction: Bladder trabeculation can occur if there is an obstruction that prevents the smooth flow of urine, such as an enlarged prostate in men or a stricture (narrowing) of the urethra.

Neurological conditions: Neurogenic bladder dysfunction, which is the inability to properly control the bladder due to nerve damage, can lead to bladder trabeculation. This can occur in conditions like multiple sclerosis, spinal cord injury, or Parkinson's disease.

Chronic inflammation: Chronic inflammation of the bladder, known as chronic cystitis, can cause bladder trabeculation. This may be due to recurrent urinary tract infections (UTIs), certain medications, or autoimmune disorders.

Bladder outlet obstruction (BOO): BOO is a condition in which the flow of urine is obstructed at the bladder outlet, often due to an enlarged prostate in men. This obstruction can lead to increased pressure in the bladder and cause trabeculation.

Symptoms associated with bladder trabeculation may include:

- Frequent urination

- Difficulty starting urination

- Weak urine stream

- Incomplete bladder emptying

- Urinary urgency

- Urinary incontinence

The treatment for bladder trabeculation depends on the underlying cause. Treatment may involve medications to relax the bladder muscle, surgery to correct an obstruction, or management of the underlying medical condition.

If you are experiencing symptoms suggestive of bladder trabeculation, it's important to see a healthcare professional for evaluation and appropriate management.