2 Questions.....

Hello. I recently had my bladder inspected for abdominal distension and starting a Urinary stream.The report says inspection of the bladder revealed 1+ trabeculation ( and a very tight bladder neck).There were no stones or tumours seen in the bladder.There was no evidence of infection and both ureteral orifices were visualized and normal.He had a small residual with a small prostate gland on rectal exam.....(cystoscopy)

Secondly I was to have a urodynamic study done where catheters were inserted into the bladder and rectum...15 seconds into this test (about 153 to 165 cc salt solution had been put in I started to begin very faint and almost passed out)They stopped the test...I get lightheaded a lot and was referred by a neuro for this.

My first question is what's 1+ trabeculation mean and what's its' significance?

Secondly, what could have happened during the Urodynamic study?...I felt great until about 15 seconds into the test and then almost passed out (cold clammy wobbly legs, very lightheaded...)

Thank you for your time.

[hfhs M.D.-AK]

Dear Kev,
     Trabeculation is a cystoscopic finding of ridges or hypertrophy of the bladder seen in the wall.  Trabeculation in itself is not a problem, particularly mild (1+) trabectulation, but it can lead to other problems if this condition become more severe.  Occassionally, a heavy trabeculated bladder can be associated with reflux, diverticulae, or infection.  Often, high pressures developing in the bladder from outlet obstruction or inappropriate emptying lead to the development of this condition.
     In regards to your episode of passing-out.  This could have been a simple Vagel reaction for the stress of the situation.  Other than that, I was not at the episode so it is hard to comment.  Ask your urologist.  
The information provided in this forum is presented for general educational purposes only. Specific questions you have pertaining to your health should always be directed to your personal physician.


Sincerely,
HFHS M.D.-AK
*keyword:urinary evaluation