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 |
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container_title | Journal of tissue engineering and regenerative medicine |
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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. 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.</description><identifier>ISSN: 1932-6254</identifier><identifier>EISSN: 1932-7005</identifier><identifier>DOI: 10.1002/term.2812</identifier><identifier>PMID: 30658008</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>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</subject><ispartof>Journal of tissue engineering and regenerative medicine, 2019-03, Vol.13 (3), p.522-533</ispartof><rights>2019 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4542-a13eca22d8ca4529464c2a08244b2e81697f7dd431337ec0e9911ed457c973403</citedby><cites>FETCH-LOGICAL-c4542-a13eca22d8ca4529464c2a08244b2e81697f7dd431337ec0e9911ed457c973403</cites><orcidid>0000-0003-2479-7133</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fterm.2812$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fterm.2812$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30658008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adamowicz, Jan</creatorcontrib><creatorcontrib>Kuffel, Blazej</creatorcontrib><creatorcontrib>Van Breda, Shane Vontelin</creatorcontrib><creatorcontrib>Pokrwczynska, Marta</creatorcontrib><creatorcontrib>Drewa, Tomasz</creatorcontrib><title>Reconstructive urology and tissue engineering: Converging developmental paths</title><title>Journal of tissue engineering and regenerative medicine</title><addtitle>J Tissue Eng Regen Med</addtitle><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.</description><subject>acellular matrix</subject><subject>Animals</subject><subject>Biomaterials</subject><subject>Biomedical materials</subject><subject>Bladder</subject><subject>Experimental methods</subject><subject>Fibrosis</subject><subject>graft</subject><subject>Grafts</subject><subject>Growth factors</subject><subject>Healing</subject><subject>Humans</subject><subject>Reconstruction</subject><subject>Reconstructive Surgical Procedures</subject><subject>reconstructive urology</subject><subject>Regeneration</subject><subject>Regenerative medicine</subject><subject>scaffold</subject><subject>Scars</subject><subject>Stem cells</subject><subject>Technology</subject><subject>Tissue Engineering</subject><subject>Translational Medical Research</subject><subject>Ureter</subject><subject>Urethra</subject><subject>Urinary bladder</subject><subject>Urine</subject><subject>Urology</subject><issn>1932-6254</issn><issn>1932-7005</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1Lw0AQBuBFFFurB_-ABLzooe1-JZv1JqV-gEUo9bxsN9OYkuzG3aTSf29qqwfB0wzDw8vwInRJ8IhgTMcN-GpEU0KPUJ9IRocC4_j4sCc05j10FsK6O8ZJzE5Rj-EkTjFO-2g2B-NsaHxrmmIDUetd6fJtpG0WNUUILURg88IC-MLmd9HE2Q347pBHGWygdHUFttFlVOvmPZyjk5UuA1wc5gC9PUwXk6fhy-vj8-T-ZWh4zOlQEwZGU5qlRvOYSp5wQzVOKedLCilJpFiJLOOMMCbAYJCSEMh4LIwUjGM2QDf73Nq7jxZCo6oiGChLbcG1QVEiJBOMUdHR6z907Vpvu-86JQUlWLCkU7d7ZbwLwcNK1b6otN8qgtWuY7XrWO067uzVIbFdVpD9yp9SOzDeg8-ihO3_SWoxnc--I78AGreFtg</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Adamowicz, Jan</creator><creator>Kuffel, Blazej</creator><creator>Van Breda, Shane Vontelin</creator><creator>Pokrwczynska, Marta</creator><creator>Drewa, Tomasz</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2479-7133</orcidid></search><sort><creationdate>201903</creationdate><title>Reconstructive urology and tissue engineering: Converging developmental paths</title><author>Adamowicz, Jan ; Kuffel, Blazej ; Van Breda, Shane Vontelin ; Pokrwczynska, Marta ; Drewa, Tomasz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4542-a13eca22d8ca4529464c2a08244b2e81697f7dd431337ec0e9911ed457c973403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>acellular matrix</topic><topic>Animals</topic><topic>Biomaterials</topic><topic>Biomedical materials</topic><topic>Bladder</topic><topic>Experimental methods</topic><topic>Fibrosis</topic><topic>graft</topic><topic>Grafts</topic><topic>Growth factors</topic><topic>Healing</topic><topic>Humans</topic><topic>Reconstruction</topic><topic>Reconstructive Surgical Procedures</topic><topic>reconstructive urology</topic><topic>Regeneration</topic><topic>Regenerative medicine</topic><topic>scaffold</topic><topic>Scars</topic><topic>Stem cells</topic><topic>Technology</topic><topic>Tissue Engineering</topic><topic>Translational Medical Research</topic><topic>Ureter</topic><topic>Urethra</topic><topic>Urinary bladder</topic><topic>Urine</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adamowicz, Jan</creatorcontrib><creatorcontrib>Kuffel, Blazej</creatorcontrib><creatorcontrib>Van Breda, Shane Vontelin</creatorcontrib><creatorcontrib>Pokrwczynska, Marta</creatorcontrib><creatorcontrib>Drewa, Tomasz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of tissue engineering and regenerative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adamowicz, Jan</au><au>Kuffel, Blazej</au><au>Van Breda, Shane Vontelin</au><au>Pokrwczynska, Marta</au><au>Drewa, Tomasz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstructive urology and tissue engineering: Converging developmental paths</atitle><jtitle>Journal of tissue engineering and regenerative medicine</jtitle><addtitle>J Tissue Eng Regen Med</addtitle><date>2019-03</date><risdate>2019</risdate><volume>13</volume><issue>3</issue><spage>522</spage><epage>533</epage><pages>522-533</pages><issn>1932-6254</issn><eissn>1932-7005</eissn><abstract>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. 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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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