Virtue®

The Coloplast Virtue® male sling is a less invasive treatment designed for all ranges of stress urinary incontinence (SUI) in male patients. It combines technologically advanced design, construction, materials and surgical approach. Virtue® is the only male sling that utilizes 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 utilizes 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 adult incontinent men.

• 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 help minimize 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 Bacterial 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.