The Coloplast Virtue male sling is a minimally invasive treatment for mild or severe stress urinary incontinence (SUI) in male patients. It combines technologically advanced design, construction, materials and surgical approach. Virtue is the only male sling that utilises a unique four-arm approach designed to provide confident compression. The four-arm design and strong mesh made of 100% monofilament polypropylene provide bidirectional compression and elevation of the bulbous urethra.

DESIGN

Virtue is the only male sling that utilises a four-arm approach to alleviate stress urinary incontinence.

Four arm components contribute to continence (cf. 1, 2)
Elevated and elongated compression of the bulbar urethra

DEPENDABILITY

Virtue data suggests that it can be successfully used for all ranges of incontinent men.

• High patient satisfaction 78% of patients are very much or much improved at 6 months (cf. 2)
• Efficacy: 86% median pad weight reduction at 6 months (cf. 2)
• Success rates are dispersed between mild, moderate and severely incontinent patients (cf. 2)

DELIVERY

Virtue is easy to use and offers distinct features to minimise complications.

• Suture loops provide easy removal of sling from introducer
• Suture knobs provide secure attachment of arms to introducer
• Alexis® wound protector/retractor holds the incision site open to allow easy access and maximum visibility to the operative field (cf. 3)

DELINEATION

• Virtue can be effectively evaluated intra-operatively.
• Mesh body positioning is consistent, predictable, and reproducible
• Quadratic fixation offers a dual mechanism of action (cf. 1)

References

1. Comiter, Craig et al. A New Quadratic Sling for Male Stress Incontinence: Retrograde Leak Point Pressure as a Measure of Urethral Resistance. J. Urol. 2012; 187(2):563-568.
2. Comiter, Craig V. Virtue Quadratic Sling, a Product of Sling Evolution. AUA 2012.
3. Alexis statement references:
   Horiuchi T, MD, PhD et al. A Wound Protector Shields Incision Sites from Macterial Invasion. Surg Infect (Larchmnt). 2010 Dec; 11(6):501-503. Epub 2010 Sept.
   Reid K, B.Med et al. Barrier Wound Protection Decreases Surgical Site infection in Open Elective Colorectal Surgery: A Randomized Clinical Trial. Dis Colon Rectum. 2010 Oct; 53(10):1374-1380.
   Lee P, MD et al. Use of Wound-Protection System and Postoperative Wound-Infection Rates in Open Appendectomy. Arch Surg. 2009 Sep; 144(9):872-875.
   Horiuchi T, MD, PhD et al. A wound retractor/protector can prevent infection by keeping tissue moist and preventing tissue damage at incision sites. Helix Review Series: Infectious Diseases. 2007; 3:17-23.
   Horiuchi T, MD, PhD et al. Randomized Controlled Investigation of the Anti-Infective Properties of the Alexis Retractor/Protector of Incision Sites. J Trauma. 2007 Jan; 61(1):212-215.