Porcine-derived materials in urology Practical ethical guidance for caring for Muslim and Jewish patients

Porcine-derived materials are used widely in urology, including hemostatic agents, acellular dermal matrices, sutures, bulking agents, and several anticoagulant medications. Although clinically effective, their animal origin is rarely discussed during preoperative counseling or routine prescribing. For many patients whose religious or ethical values influence medical decision-making, this information is meaningful even when use is permitted. Islamic jurisprudence (Fiqh) and Jewish law (Halakhah) generally allow porcine-derived medical products when medically necessary, but many patients prefer transparent disclosure and the opportunity to consider alternatives when they exist. The central issue is supporting patient autonomy through clear, value-neutral communication.

We conducted a narrative review of porcine-derived devices and medications commonly used in urologic practice and summarized relevant ethical considerations from Islamic and Jewish perspectives, with a focus on practical implications for informed consent and shared decision-making.

Across urologic practice, porcine collagen and gelatin are most frequently encountered in hemostatic sealants, acellular dermal matrices, biologic slings, absorbable sutures, and select pharmaceutical excipients. Clinically viable non-porcine or synthetic alternatives are available in many, but not all, settings. Product origin is inconsistently disclosed in labeling, often requiring verification through manufacturer documentation or pharmacy resources when disclosure is relevant to patient preferences.

Transparent, value-neutral counseling regarding porcine-derived materials supports patient autonomy, reduces moral distress, and may mitigate medicolegal risk when product origin is important to patients. Routine awareness of commonly used porcine-derived products, coupled with reliable verification of material composition and discussion of alternatives when feasible, allows urologists to provide care that is both clinically effective and aligned with diverse patient values.