The Use of Small Intestinal Submucosa as an off-the-shelf Urethral Sling Material for Pediatric Urinary Incontinence

No AccessJournal of UrologyAugmentation/Reconstruction1 Oct 2002The Use of Small Intestinal Submucosa as an off-the-shelf Urethral Sling Material for Pediatric Urinary Incontinence James R. Colvert, Bradley P. Kropp, Earl Y. Cheng, John C. Pope, John W. Brock, Mark C. Adams, Paul Austin, Peter D. Furness, and Martin A. Koyle James R. ColvertJames R. Colvert More articles by this author , Bradley P. KroppBradley P. Kropp More articles by this author , Earl Y. ChengEarl Y. Cheng More articles by this author , John C. PopeJohn C. Pope More articles by this author , John W. BrockJohn W. Brock More articles by this author , Mark C. AdamsMark C. Adams More articles by this author , Paul AustinPaul Austin More articles by this author , Peter D. FurnessPeter D. Furness More articles by this author , and Martin A. KoyleMartin A. Koyle More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64433-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Use of autologous rectus fascia for urethral slings in the pediatric population has produced reliable and predictable results. However, the potential morbidity and complications associated with harvesting the autologous rectus fascia have driven efforts to find a reliable off-the-shelf material for urethral slings. Small intestinal submucosa is a collagen based material that has been shown to promote tissue specific regeneration in a variety of organs. We report the clinical experience at 4 institutions with small intestinal submucosa for urethral slings. Materials and Methods: A total of 20 patients 3 to 18 years old (mean age 8.7) received urethral slings using the commercially available form of small intestinal submucosa (STRATASIS, Cook Urologic Spencer, Indiana) via a sling suspension procedure from a suprapubic approach. Results: The material was consistently uniform to work with and user-friendly. All 20 patients tolerated the procedure well with no intraoperative complications. Postoperative followup has ranged from 9 to 26 months (mean 13), and 14 (70%) patients are completely dry (85% in females and 43% in males). Of the 14 dry patients 13 are on intermittent catheterization and 1 female with epispadias voids spontaneously. Conclusions: This report is the largest and longest followup series using small intestinal submucosa as an “off the shelf” urethral sling material in children. These continence rates are equal to autologous fascia without additional morbidity of graft harvest. 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(2018) EDITORIAL COMMENTJournal of Urology, VOL. 170, NO. 4 Part 2, (1578-1579), Online publication date: 1-Oct-2003.DIK P, KLIJN A, van GOOL J and de JONG T (2018) Transvaginal Sling Suspension of Bladder Neck in Female Patients With Neurogenic Sphincter IncontinenceJournal of Urology, VOL. 170, NO. 2, (580-582), Online publication date: 1-Aug-2003. Volume 168Issue 4 Part 2October 2002Page: 1872-1876 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsbladder, urinary incontinencebladder, neurogenicMetrics Author Information James R. Colvert More articles by this author Bradley P. Kropp More articles by this author Earl Y. Cheng More articles by this author John C. Pope More articles by this author John W. Brock More articles by this author Mark C. Adams More articles by this author Paul Austin More articles by this author Peter D. Furness More articles by this author Martin A. 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