Reconstructive urology and tissue engineering: Converging developmental paths

Reconstructive urology is a complex and demanding branch of modern urology. Complicated cases, necessity of microsurgical approach, and constant exposure to urine make urinary reconstruction especially difficult. With impaired healing, excessive scarring, and recurring fibrosis, functional results a...

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Veröffentlicht in:Journal of tissue engineering and regenerative medicine 2019-03, Vol.13 (3), p.522-533
Hauptverfasser: Adamowicz, Jan, Kuffel, Blazej, Van Breda, Shane Vontelin, Pokrwczynska, Marta, Drewa, Tomasz
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container_end_page 533
container_issue 3
container_start_page 522
container_title Journal of tissue engineering and regenerative medicine
container_volume 13
creator Adamowicz, Jan
Kuffel, Blazej
Van Breda, Shane Vontelin
Pokrwczynska, Marta
Drewa, Tomasz
description Reconstructive urology is a complex and demanding branch of modern urology. Complicated cases, necessity of microsurgical approach, and constant exposure to urine make urinary reconstruction especially difficult. With impaired healing, excessive scarring, and recurring fibrosis, functional results are still not satisfying. For better, more successful outcomes, a novel tissue engineering technology‐based solutions are being gradually investigated. The use of tissue engineering is the most promising strategy to improve results of reconstructive urology procedures due to possibility of designing organ‐specific grafts. Moreover, targeted modification of healing environment by stem cells and growth factors is a unique opportunity that might bring reconstructive urology on molecular level. This review defined limitations and problems encountered in reconstructive urology and discussed relevant tissue engineering‐based achievements in the field of urethra, urinary bladder, and ureter regeneration. The background justifying tissue engineering approach to urethra, urinary bladder, and ureter reconstruction was discussed. Then, the wide range of experimental methods utilising biomaterials and cell seeding was deliberated to show readers the current tools offered by tissue engineering. At the end, we characterised major challenges that are needed to be addressed before tissue entering would become standard technology in urological departments.
doi_str_mv 10.1002/term.2812
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Complicated cases, necessity of microsurgical approach, and constant exposure to urine make urinary reconstruction especially difficult. With impaired healing, excessive scarring, and recurring fibrosis, functional results are still not satisfying. For better, more successful outcomes, a novel tissue engineering technology‐based solutions are being gradually investigated. The use of tissue engineering is the most promising strategy to improve results of reconstructive urology procedures due to possibility of designing organ‐specific grafts. Moreover, targeted modification of healing environment by stem cells and growth factors is a unique opportunity that might bring reconstructive urology on molecular level. This review defined limitations and problems encountered in reconstructive urology and discussed relevant tissue engineering‐based achievements in the field of urethra, urinary bladder, and ureter regeneration. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects acellular matrix
Animals
Biomaterials
Biomedical materials
Bladder
Experimental methods
Fibrosis
graft
Grafts
Growth factors
Healing
Humans
Reconstruction
Reconstructive Surgical Procedures
reconstructive urology
Regeneration
Regenerative medicine
scaffold
Scars
Stem cells
Technology
Tissue Engineering
Translational Medical Research
Ureter
Urethra
Urinary bladder
Urine
Urology
title Reconstructive urology and tissue engineering: Converging developmental paths
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