The YAMA UroPatch sling for treatment of female stress urinary incontinence: a pilot study.
OBJECTIVE
We report our initial experience using a new suburethral sling made from bovine pericardium for the treatment of urinary incontinence. To prevent rolling and curling of the sling, a unique anti-roll clip is incorporated into the UroPatch. In addition, the sling has a series of perforations that create evenly distributed tissue integration and avoid delayed seroma or hematoma formation, thereby reducing the risk of sling rejection, infection, and erosion.


METHODS
Twenty-two female patients underwent suburethral sling procedures using the UroPatch. All patients demonstrated urethral hypermobility, intrinsic sphincteric deficiency, or both. Five patients had previous surgical treatment for urinary incontinence.


RESULTS
All operations were completed successfully. No intraoperative or postoperative complications occurred. There was no evidence of local or systemic reaction to the UroPatch in any of the patients. With a mean follow-up of 20 months, sling rejection, erosion, or infection has not been demonstrated, and no sling required removal to date. Urinary incontinence was corrected in all but one case.


CONCLUSIONS
The results of this pilot study suggest that the UroPatch is a promising alternative to current slings for the treatment of female urinary incontinence.
Pelosi
Marco A
MA
Pelosi Women's Medical Center, Bayonne, New Jersey 07002, USA. marcop@tao.agoron.com
Pelosi
Marco A
MA
Pelekanos
Michael
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002417:Cattle; D005260:Female; D006801:Humans; D008875:Middle Aged; D010496:Pericardium; D010865:Pilot Projects; D019736:Prostheses and Implants; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*