Evidence map›Paper›PMID 35220315›Full record

ArticleUrologia internationalis2023

Comparison of Morphological and Histological Characteristics of Human and Sheep: Sheep as a Potential Model for Testing Midurethral Slings in vivo.

Ilaha Isali, Ahmad Osama Khalifa, Subba Shankar, Stanley Dannemiller, Walter Horne, Michelle Evancho-Chapman, Phillip McClellan, Gregory T MacLennan, Ozan Akkus, Adonis Hijaz

Open access · greenAbstract read
In one paragraph

Article in Urologia internationalis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

10 authors at 4 institutions in 2 countries.

Ilaha IsaliDepartment of Urology, Case Western Reserve University, Cleveland, Ohio, USA, ixi22@case.edu.
Ahmad Osama KhalifaDepartment of Urology, Colchester Hospital University, East Suffolk and North Essex NHS Foundation Trust, Colchester, UK.
Subba ShankarCollaMedix Inc., Cleveland, Ohio, USA.
Stanley DannemillerComparative Medicine Unit, Northeast Ohio Medical University, Rootstown, Ohio, USA.
Walter HorneComparative Medicine Unit, Northeast Ohio Medical University, Rootstown, Ohio, USA.
Michelle Evancho-ChapmanResearch, Sponsored Programs and Innovation, Summa Health System, Akron, Ohio, USA.
Phillip McClellanDepartment of Urology, Case Western Reserve University, Cleveland, Ohio, USA.
Gregory T MacLennanDepartment of Pathology, Case Western Reserve University, Cleveland, Ohio, USA.
Ozan AkkusDepartment of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Adonis HijazDepartment of Urology, Case Western Reserve University, Cleveland, Ohio, USA.
Case Western Reserve University · USNortheast Ohio Medical University · USEast Suffolk and North Essex NHS Foundation Trust · GBSumma Health System · US

Funding

TRAINING PROGRAM IN MUSCULOSKELETAL RESEARCHT32AR007505 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI TRIOLO, RONALD J · 1986 to 2023
$6.3M
KUH-TN Training CoreTL1DK132770 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI Evi X. Stavrou · 2021 to 2026
$2.5M
Immunoregenerative treatment of Stress Urinary Incontinence by Autologous Macrophage TherapyR21HD095439 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI AKKUS, OZAN, HIJAZ, ADONIS K · 2018 to 2019
$440k
NIAMS NIH HHS T32 AR007505NICHD NIH HHS R21 HD095439NIDDK NIH HHS TL1 DK132770
6 · The paper itself

Abstract

introductionThe sheep was evaluated as a potential model for preclinical evaluation of urethral slings in vivo based on: (1) anatomical measurements of the sheep vagina and (2) histological tissue integration and host response to polypropylene (PP) slings.

methodsEight female, multiparous sheep were utilized. Three of 8 animals underwent surgery mimicking human tension-free vaginal tape protocols for midurethral slings and were euthanized at 6 months. The following measurements were obtained: vaginal length, maximum vaginal width with retraction, symphysis pubis length, and distance from the pubic bone to incision. Explanted sling samples from sheep and human were stained with hematoxylin and eosin for host reaction assessment.

resultsGeometric measurements were similar between humans and sheep. Sheep vaginal anatomy allowed sling placement similar to procedures in human surgeries, and all sheep recovered without problems. Comparative histology between the sheep and human indicated similar host reaction and collagen deposition around implants, confirming suitability of the sheep model for biomaterial response assessment.

conclusionSheep vaginal length is comparable to humans. Tissue integration and host response to PP slings showed chronic inflammation with rich collagen deposition around the material in both sheep and human specimens, highlighting the sheep as a potential animal model for preclinical testing of midurethral slings.

Indexed as

Suburethral SlingsUrinary Incontinence, StressAnimalsFemaleHumansPolypropylenesSheepUrologic Surgical ProceduresVaginaPolypropylenesMidurethral slingPreclinical testingSheep modelStress urinary incontinence

Identifiers

PMID35220315
PMCPMC10123539
OpenAlexW4214734635

What OpenQuestion holds

Textmetadata
LicenceTDM
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.