A tubular or non-tubular implant or prosthetic is provided to prevent or mitigate infection when implanted into a living body. The implant or prosthetic includes a textile layer comprising a plurality of interstices and/or pores and defining an interfacing surface and an opposing surface. The implant or prosthetic also includes a sealing layer comprising a non-porous, non-organic polymer adhered to the interfacing surface. The non-porous, non-organic polymer is formed of a material configured to prevent transmission or migration of bacteria through the sealing layer. The implant or prosthetic may also be configured to be anti-wetting and therefore provide for easier explantation from the body, to protect the textile layer from damage from electrocautery energy, and also to prevent leakage as well as transmural communication or migration through the graft body or wall while still allowing ingrowth of tissue along at least a portion of implant or prosthetic for secured anchoring.

A lattice or solid structure for a medical device includes a first layer of first filaments discretely formed from at least one medical-grade silicone material. The first filaments are arranged in a predetermined pattern and may be directly adjacent to one another or spaced apart. Additional layers of filaments may be provided adjacent to the first layer, and chemically bonded thereto to form an integrated structure that is without interruption or with interstices therebetween.

An incontinence underwear including a crotch area hosting a stitching, a first layer, a second layer, a third layer, a fourth layer, a fifth layer, a sixth layer, and a seventh layer, wherein the first layer is innermost, wherein the seventh layer is outermost, wherein the second layer extends between the first layer and the third layer, wherein the fourth layer extends between the third layer and the fifth layer, wherein the sixth layer extends between the fifth layer and the seventh layer, wherein the stitching extends through the first layer, the second layer, the sixth layer, and the seventh layer, wherein the stitching avoids extending through the third layer, the fourth layer, and the fifth layer, wherein the second layer is bonded or adhered to the third layer.