A biomimetic mesh for treating female stress urinary incontinence

作者:Lai, Kuilin; Zhang, Jiazhen; Wang, Guoshuai; Luo, Xin; Liu, Man; Zhang, Xinzhi; Yuan, Yuyu; Liu, Bin*; Xu, Tao*
来源:Biofabrication, 2017, 9(1): 015008.
DOI:10.1088/1758-5090/aa515e

摘要

For patients with medium to severe incontinence, sub-urethral support surgery has a high cure rate, but using synthetic meshes leads to some complications such as mesh erosion/exposure and thigh pain. Autologous or acellular extracellular matrix grafts present few complications but have a high recurrence rate. Regensling (TM) is a new sling product made of a synthetic material with a biomimetic structure, aiming to provide long-term mechanical support with a lower complication rate. To assess the safety and effectiveness of Regensling (TM), both in vitro and in vivo experiments were performed. The mesh was implanted in the subcutaneous, intramuscular and sub-urethral regions of rabbits. At 4, 12, and 26 weeks post-implantation, the animals were executed and the implants were studied for their mechanical and biocompatible properties. Compared to the control material, the Regensling (TM) was covered by a thin layer of fibrous tissue with good compliance, and had a milder inflammatory response. During the period of the experiment, Regensling (TM) showed stable strength with an increasing trend over time.