Interesting Blog regarding Coloplast Virtue sling Inventor

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Regular Member

Date Joined Nov 2009
Total Posts : 134
   Posted 12/8/2009 12:55 AM (GMT -6)   
UPDATED October 2009

My doctor, Dr. Nitti, had to cancel my 3:30 appointment on Monday October 19, 2009 and so Lainie and I struck out at 4:00 AM to catch the 6:30 Lucky Star bus from South Station. They were great about changing the tickets and off we went.
We then walked the 2.3 miles to the doctor's office (23rd and Lexington, just up Bowery and Park Ave - a nice day for it) and were seen almost right away at about 12:00 noon. After discussions with his beautiful assistant, Dr. Nitti came in and confirmed most of my conclusions and dashed any hopes of attempting the new Coloplast Virtue Incontinence Sling for Men. He says there is no data on it. He doesn't even know if it works the way it should and he was one of the inventors. He implies that, although a good product, it has received more positive hype than it clinically deserves. So, for me it isn't a good option at this time. Coloplast pitches it for those with moderate to severe incontinence - severe is what I have. He thinks that claim is a bit optimistic especially in the light of the lack of any real world data yet. They are selling it as one might the Sham-Wow, on personal testimonial only. It would not be appropriate for me to be a test rat.

BTW Dr. Nitti is one of seven inventors involved in the design of the Coloplast Virtue sling. His facility is also listed as one of the eight sites recruiting for Coloplast Virtue Clinic Trials in the USA and he is listed as a principal investigator.

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 12/8/2009 9:22 PM (GMT -6)   
MSP, I was also in the severe catagory. I tried the AMS Advance Sling mainly because I was afrade of the AUS. In hind sight I wish I would have saved the time, money, time off work, and PAIN, and just had the AUS done first. I would really give the AUS some thought.
    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
     Dec. 2006 – Oct. 2008 Cystoscope, Two Collagen injections,Second Opinion   
    Consultation for Incontinance at OU Medical Center, Bio-Feedback       
    training, Chiropractic, Accupuncture , AdVance Male Sling, Two More Collagen 
    injections, AUS Installed and Activated (Dr. Morey at UT Southwestern Dallas TX)
    All to try to resolve incontinence (using 6-8 Depends Guards a day)

    To Date All PSA's 0.00.

New Member

Date Joined Oct 2006
Total Posts : 16
   Posted 12/14/2009 2:06 PM (GMT -6)   
I was very interested in the 12/07 post about the new male sling "Virtue" and Dr. Nitti
I just had the new "Virtue installed by the same -Dr. Nitti
I had a radical prostectomy about 3 years ago at Memorial Sloan Kettering , and have had a high degree of incontinence since. I've used pads, clamps, you name it, since then. I was interested in the Advance male sling, and Dr. Nitti, was willing to insert it. By the way, 1 1/2 years ago, Memorial Sloan kettering were still only using the Invance, which in my opinion is not quite as effective.
I  did very extensive research on this entire matter.
Anyway, Dr. Nitti also told me that this is relatively new, but in my case I might get better results with this procedure "Virtue," but of course, there are no real guarantees. On the surgery day, I decided to go with "Virtue"
I am totally dry!!! It seems to be working perfectly
I found Dr. Nitti to be very professional in all respects,. By the way, he has placed about 200  male slings in patients. I would highly recommend him

Regular Member

Date Joined Nov 2009
Total Posts : 134
   Posted 12/14/2009 7:15 PM (GMT -6)   

I found the October 2009 post on another website and copied it to Healingwell's Prostate Cancer site as a posting of interest to those that are considering sling surgery.

I was implanted with a Coloplast Virtue sling 5 months ago tomorrow. It has been a horrible experience for me because of continuous intolerable pain.

I am scheduled for surgery in 3 days at The Cleveland Clinic to have as much of the the Virtue sling removed from body as possible.

I am hoping the surgeon will be able to implant an AdVance sling following the removal procedure this Thursday. If healing needs to occur first, I will return in the spring for the AdVance sling.

I am grateful that you are now dry. I truly hope that pain does not become an issue for you.

Happy Holidays,


New Member

Date Joined Oct 2006
Total Posts : 16
   Posted 12/14/2009 9:06 PM (GMT -6)   
Dear John
I had seen the post you are referring to and went ahead anyway with the Virtue surgery
While I'm sure that person is in pain, I would wonder about the following...
Who did the surgery and when?
How many slings had been done by that doctor before this one?
Type of pain, location etc

I'm not pushing or selling this procedure, and anyone who feels it is too new should not try it, but a few other things should be kept in mind....
There are doctors across the country doing this procedure now and this is the only negative post I can find.

Also, "Virtue" is very similar to "Advance," except it has one more 'arm" holding the sphincter area up to promote compression. So doctors who have placed a large number of "Advances" would have pretty much the same procedures for "Virtue" and therefore their experience counts.Anyway, I hope that person finds a good solution and I hope this procedure will help others as it has helped me

Regular Member

Date Joined Oct 2009
Total Posts : 417
   Posted 12/19/2009 2:51 PM (GMT -6)   
Your message and experience are very encouraging for Virtue. My Dr. has recommended this sling for me. Says I am too "moderate" in score for Advance to be of much help. So she says do either InVance or Virtue. She has done about 70 Advance and InVance and only 6 Virtues.
Given the other post about removing Virtue...this concerns me somewhat. My Dr. said that I could always go to the AUS Pump if the sling does not work out. Since Virtue bonds to the tissue I was wondering if that is really practical.
Can you give me a little more information about your history and situation to compare to mine?
If you would be willing to talk further in more detail I would appreciate a private email response at
64  year old male in excellent physical condition.
No serious illness of any kind.
PSA jumped from 3 to 8 in one year between annual physicals.
Biopsy/pathology confirmed postate cancer.
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci prostatectomy, Robotic surgery July 23, 2008.
Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Largest tumor nodule: 1.3 cm
All surgical margins were negative.
Seminal vesicles uninvolved by tumor.
Urinary incontinence incurred immediately followin surgery. Dry at nights but no control during day. Tried drugs imipremine and detrol but no help and caused side effects so stopped them.
Unable to obtail erection from beginning. Viagra and Cialis were used in low dose but caused headache so discontinued. Using pump for erection effectively with rubber clamp.Very loving relationship with wife and we are both fine with this situation as it is.
Underwent physical therapy and kegal exercises with no results for incontinence.
Uideo fluoroscopic urodynamics and cystourethroscopy testing in Oct. 2009. Resulted in recommendation for surgery to insert InVance Male Sling System for incontinence cure. Alternative is new sling called Virtue by Coloplast. Planning this surgery for January 2010.

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