@Article{,
AUTHOR = {Ladin A. Yurteri-Kaplan, Danielle D. Antosh, Cheryl B. Iglesia, 
Andrew I. Sokol, David Shveiky, Robert E. Gutman},
TITLE = {Significance of cystoscopic bladder trabeculations in women undergoing midurethral sling},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {22},
YEAR = {2015},
NUMBER = {4},
PAGES = {7890--7895},
URL = {http://www.techscience.com/CJU/v22n4/61237},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> To determine the significance of bladder 
trabeculations seen on preoperative cystoscopy prior to 
midurethral sling surgery with respect to lower urinary 
tract symptoms and sling outcomes.<br/>
<b>Materials and methods:</b> This retrospective study 
included women with preoperative cystoscopy who 
underwent midurethral slings for urinary incontinence 
from 2006-2009. Cystoscopic findings of bladder 
trabeculations, as well as pre and postoperative urinary 
symptoms were recorded. Patients with and without 
bladder trabeculations were compared with respect to 
baseline characteristics, lower urinary tract symptoms, 
and sling outcomes. <br/>
<b>Results: </b>Of the 241 women included in the study, 
14.9% had trabeculations on preoperative cystoscopy. 
At baseline, women with trabeculations were more likely 
to be older (64.8 years versus 57.8 years, p < 0.01), and 
have lower mean maximum cystometric capacity (341 mL 
± 136 versus 436 mL ± 148, p < 0.01), compared 
to those without trabeculations. More women with 
trabeculations had mixed incontinence (p < 0.01) and 
less pure stress incontinence (p < 0.01) preoperatively. 
There was no difference between women with and without 
trabeculations with respect to pre and postoperative 
symptoms of urgency, frequency, and nocturia. Women 
with preoperative trabeculations were more likely to have 
preoperative treatment with anticholinergics (p = 0.02) 
and had a three times higher risk of postoperative sling 
failure (HR 2.95 [CI 1.11-7.85], p = 0.03). <br/>
<b>Conclusions:</b> Preoperative cystoscopic bladder 
trabeculations are associated with significantly higher 
rate of midurethral sling failure. Trabeculations were 
not associated with pre or postoperative lower urinary 
tract symptoms.},
DOI = {}
}