Evidence map›Paper›PMID 26981860›Full record

ArticlePloS one2016

Developing Repair Materials for Stress Urinary Incontinence to Withstand Dynamic Distension.

Christopher J Hillary, Sabiniano Roman, Anthony J Bullock, Nicola H Green, Christopher R Chapple, Sheila MacNeil

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Tissue-engineered repair material for pelvic floor dysfunction.Frontiers in bioengineering and biotechnology · 2022
    Review
  6. Article
  7. Review
  8. Review
  9. Scaffolds for Pelvic Floor Prolapse: Logical Pathways.International journal of biomaterials · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christopher J HillaryKroto research Institute, University of Sheffield, Broad Lane, Sheffield, United Kingdom.
Sabiniano RomanKroto research Institute, University of Sheffield, Broad Lane, Sheffield, United Kingdom.
Anthony J BullockKroto research Institute, University of Sheffield, Broad Lane, Sheffield, United Kingdom.
Nicola H GreenKroto research Institute, University of Sheffield, Broad Lane, Sheffield, United Kingdom.
Christopher R ChappleRoyal Hallamshire Hospital, Glossop Road, Sheffield, United Kingdom.
Sheila MacNeilKroto research Institute, University of Sheffield, Broad Lane, Sheffield, United Kingdom.
University of Sheffield · GBRoyal Hallamshire Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolypropylene mesh used as a mid-urethral sling is associated with severe clinical complications in a significant minority of patients. Current in vitro mechanical testing shows that polypropylene responds inadequately to mechanical distension and is also poor at supporting cell proliferation. AIMS AND

objectivesOur objective therefore is to produce materials with more appropriate mechanical properties for use as a sling material but which can also support cell integration.

methodsScaffolds of two polyurethanes (PU), poly-L-lactic acid (PLA) and co-polymers of the two were produced by electrospinning. Mechanical properties of materials were assessed and compared to polypropylene. The interaction of adipose derived stem cells (ADSC) with the scaffolds was also assessed. Uniaxial tensiometry of scaffolds was performed before and after seven days of cyclical distension. Cell penetration (using DAPI and a fluorescent red cell tracker dye), viability (AlamarBlue assay) and total collagen production (Sirius red assay) were measured for ADSC cultured on scaffolds.

resultsPolypropylene was stronger than polyurethanes and PLA. However, polypropylene mesh deformed plastically after 7 days of sustained cyclical distention, while polyurethanes maintained their elasticity. Scaffolds of PU containing PLA were weaker and stiffer than PU or polypropylene but were significantly better than PU scaffolds alone at supporting ADSC.

conclusionsTherefore, prolonged mechanical distension in vitro causes polypropylene to fail. Materials with more appropriate mechanical properties for use as sling materials can be produced using PU. Combining PLA with PU greatly improves interaction of cells with this material.

Indexed as

Surgical MeshCells, CulturedHumansMaterials TestingMicroscopy, Electron, ScanningMicroscopy, FluorescencePolypropylenesPolyurethanesTissue ScaffoldsUrinary Incontinence, StressPolypropylenesPolyurethanes

Identifiers

PMID26981860
PMCPMC4794140
OpenAlexW2301320533

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.