Skip to main content

Tissue Engineering in the Genitourinary System

  • Chapter
Synthetic Biodegradable Polymer Scaffolds

Abstract

In general, genitourinary tissue has traditionally been replaced with autologous tissues harvested from other sites of the body (Atala and Retik, 1994). However, these approaches rarely replace the entire function of the original tissue. Congenital defects occur more often in the genitourinary system than in any other system within the human body. The genitourinary system, composed of the kidneys, ureters, bladder, urethra, and genital organs, is exposed to a variety of possible injury sites as the fetus develops. Some of the congenital abnormalities require early reconstruction with nonurologic tissues. For example, a baby born with bladder exstrophy, a condition wherein the bladder develops outside the abdominal wall, requires prompt surgical intervention and possibly reconstruction of the bladder with nonurologic tissues, such as gastrointestinal segments. Similarly, baby girls born with vaginal maldevelopment, may require reconstruction with intestinal segments or skin (Atala and Hendren, 1994; Hendren and Atala, 1994). Boys born with hypospadias, a condition wherein the urethra does not develop normally, require early creation of a neo-urethra with skin or mucosa from multiple body sites (Atala and Retik, 1996; Retik et al, 1994).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Atala A (1993): Laparoscopic technique for the extravesical correction of vesicoureteral reflux. Dial Ped Urol 16:12

    Google Scholar 

  • Atala A (1994): Use of non-autologous substances in VUR and incontinence treatment. Dial Ped Urol 17:11–12

    Google Scholar 

  • Atala A (1995): Tissue engineering in the urinary tract. Dial Ped Urol 18:1

    Google Scholar 

  • Atala A, Casale, AJ (1990): Management of primary vesicoureteral reflux. Inf Urol 2:39–2

    Google Scholar 

  • Atala A, Hendren WH (1994): Reconstruction with bowel segments. Dial Ped Urol 17:7

    Google Scholar 

  • Atala A, Retik A (1994): Pediatric urology—future perspectives. In: Clinical Urology, Krane RJ, Siroky MB, Fitzpatrick JM, ed. Philadelphia: J.B. Lippincott

    Google Scholar 

  • Atala A, Retik AB (1996): Hypospadias. In: Reconstructive Urologic Surgery, Libertino JA, Zinman L, eds. Baltimore: The Williams and Wilkins Co

    Google Scholar 

  • Atala A, Bauer SB, Dyro FM, Shefner J, Shillito J, Sumeer S, Scott MR (1992a): Bladder functional changes resulting from lipomyelomeningocele repair. J Urol 148:592

    PubMed  CAS  Google Scholar 

  • Atala A, Peters CA, Retik AB, Mandell J (1992b): Endoscopic treatment of vesicoureteral reflux with a self-detachable balloon system. J Urol 148:724–728

    PubMed  CAS  Google Scholar 

  • Atala A, Vacanti JP, Peters CA, Mandell J, Retik AB, Freeman MR (1992c): Formation of urothelial structures in vivo from dissociated cells attached to biodegradable polymer scaffolds in vitro.J Urol 148:658–662

    PubMed  CAS  Google Scholar 

  • Atala A, Bauer SB, Hendren WH, Retik AB (1993a): The effect of gastric augmentation on bladder function.J Urol 149:1099

    PubMed  CAS  Google Scholar 

  • Atala A, Cima LG, Kim W, Paige KT, Vacanti JP, Retik AB, Vacanti CA (1993b): Injectable alginate seeded with chondrocytes as a potential treatment for vesicoureteral reflux. J Urol 150:745–747

    PubMed  CAS  Google Scholar 

  • Atala A, Freeman MR, Vacanti JP, Shepard J, Retik AB (1993c): Implantation in vivo and retrieval of artificial structures consisting of rabbit and human urothelium and human bladder muscle.J Urol 150:608–612

    PubMed  CAS  Google Scholar 

  • Atala A, Kavoussi LR, Goldstein DS, Retik AR, Peters CA (1993d): Laparoscopic correction of vesicouretral reflux. J Urol 150:748

    PubMed  CAS  Google Scholar 

  • Atala A, Wible JH, Share JC, Carr MC, Retik AB, Mandell J (1993e): Sonography with sonicated albumin in the detection of vesicoureteral reflux. J Urol 150:756- 758

    PubMed  CAS  Google Scholar 

  • Atala A, Cilento BG, Paige KT, Retik AB (1994a): Injectable alginate seeded with human bladder muscle cells as a potential treatment for vesicoureteral reflux. J Urol 151(suppl):5

    Google Scholar 

  • Atala A, Kim W, Paige KT, Vacanti CA, Retik AB (1994b): Endoscopic treatment of vesicoureteral reflux with chondrocyte-alginate suspension. J.Urol 152:641–643

    PubMed  CAS  Google Scholar 

  • Atala A, Share JC, Paltiel HJ, Grant R, Retik A (1994c): Sonicated albumin in the detection of vesicoureteral reflux in humans. Soc Ped Urol Newsl 8:6–7

    Google Scholar 

  • Atala A, Shepard JA, Retik AB (1994d): Endoscopic treatment of reflux with autologous bladder muscle cells. In: Proceedings, Pediatric Urology Section, American Academy of Pediatrics.

    Google Scholar 

  • Dallas, TX Atala A, Schlussel RN, Retik AB (1995): Renal cell growth in vivo after attachment to biodegradable polymer scaffolds. J. Urol 153 (suppl):4

    Google Scholar 

  • Atala A, Yoo J, Raab G, Klagsburn M, Freeman MR (1996): Regulated secretion of an engineered growth factor by human urothelial cells in primary culture. J Urol 155(suppl):5

    Google Scholar 

  • Barrera DA, Zylstra E, Lansbury PT, et al. Synthesis and RGD peptide modification of a new biodegradable copolymer: Poly (lactic acid-co-lysine). J Am Chem Soc 115:11010–11011

    Google Scholar 

  • Bauer SB, Reda EF, Colodny AH, Retik AR (1986): Detrusor instability: A delayed complication in association with the artificial sphincter. J Urol 135:1212

    PubMed  CAS  Google Scholar 

  • Berg S (1973): Urethroplastie par injection de polytef. Arch Surg 107:379.21

    Google Scholar 

  • Buckley JF, Scott R, Aitchison M, et al. (1991): Periurethral microparticulate silicone injection for stress incontinence and vesicoureteric reflux. Min Inv Ther 1 (suppl):72

    Google Scholar 

  • Cilento BJ, Freeman MR, Schneck FX, Retik AB, Atala AN (1994): Phenotypic and cytogenetic characterization of human bladder urothelia expanded in vitro. J Urol 152:665–670

    PubMed  CAS  Google Scholar 

  • Cilento BG, Retik AB, Atala A (1995): Urethral reconstruction using a polymer mesh. J Urol 153(suppl):4

    Google Scholar 

  • Claes H, Stroobants D, Van Meerbeek J, Verbeken E, Knockaert D, Beart L (1989): Pulmonary migration following periurethral polytetrafluoroethylene injection for urinary incontinence. J Urol 142:821–822

    PubMed  CAS  Google Scholar 

  • Freeman MR, Schneck FX, Soker S, Raab G, Tobin M, Yoo J, Klagsbrun M, Atala A (1995a): Human urothelial cells secrete and are regulated by heparin-binding epidermal growth factor-like growth factor (HB-EGF). J Urol 153(suppl):4

    Google Scholar 

  • Freeman MR, Schneck FX, Klagsbrun M, Atala A (1995b): Growth factor biology of human urothelial cells grown under serum-free conditions. JUrol 153(suppl):4

    Google Scholar 

  • Hendren WH, Atala A (1994): Use of bowel for vaginal reconstruction. J Urol 152:752–755

    PubMed  CAS  Google Scholar 

  • Henly DR, Barrett DM, Weiland TL, O’Connor MK, Malizia AA, Wein AJ (1995): Particulate silicone for use in periurethral injections: Local tissue effects and search for migration. J Urol 153:2039–2043

    Article  PubMed  CAS  Google Scholar 

  • Hubbell JA, (1995): Biomaterials in tissue engineering. Bio/Technology 13:565–576

    Article  PubMed  CAS  Google Scholar 

  • Hubbell JA, Massia SP, Desai NP (1991): et al. Endothelial cell-selective materials for tissue engineering in the vascular graft via a new receptor. Bio/Technology 9:568–572

    Article  PubMed  CAS  Google Scholar 

  • Langer R (1990): New methods of drug delivery. Science 249:1527

    Article  PubMed  CAS  Google Scholar 

  • Langer R, Vacanti JP (1993): Tissue engineering. Science 260:920–926

    Article  PubMed  CAS  Google Scholar 

  • Leonard MP, Canning DA, Peters CA, Gearhart JP, Jeffs RD (1991): Endoscopic injection of glutaraldehyde cross-linked bovine dermal collagen for correction of vesicoureteral reflux. J Urol 145:115–119

    PubMed  CAS  Google Scholar 

  • Malizia AA, Reiman HM, Myers RP, Sande JR, Barham SS, Benson RC, Dewanjee MK, Utz WJ (1984): Migration and granulomatous reaction after periurethral injection of polytef (Teflon). JAMA 251:3277–3281

    Article  PubMed  Google Scholar 

  • Messing EM, Hanson P, Ulrich P, Erturk E (1987): Epidermal growth factor—Interactions with normal and malignant urothelium: In vivo and in situ studies. J Urol 138:1329

    PubMed  CAS  Google Scholar 

  • Mikos AG, Sarakinos G, Lyman MD (1993): et al. Prevascularization of porous biodegradable polymers. Biotechnol Bioeng 42:716–723

    Article  PubMed  CAS  Google Scholar 

  • Mooney DJ, Organ G, Vacanti JP, Langer R (1994): Design and fabrication of biodegradable polymer devices to engineer tubular tissues. Cell Transplant 3:438–446

    Google Scholar 

  • Mooney DJ, Breuer C, McNamara K (1996a): et al. Fabricating tubular tissues with devices of poly(D,L-lactic-co-glycolic acid). Tissue Eng: in press

    Google Scholar 

  • Mooney D, Kaufmann PM, Sano S, McNamara K, Schwendeman S, Vacanti JP, Langer R (1996b): Localized delivery of epidermal growth factor improves the survival of transplanted hepatocytes. Submitted

    Google Scholar 

  • Mooney DJ, Mazzoni CL, Breuer C, McNamara K, Hern D, Vacanti JP, Langer R (1996c): Stabilized polyglycolic acid fiber-based devices for tissue engineering. Biomaterials: in press

    Google Scholar 

  • Mooney D, Park S, Kaufmann PM, Sano S, McNamara K, Vacanti JP, Langer R (1996d): Biodegradable sponges for hepatocyte transplantation. J Biomed Mat Res: in press

    Google Scholar 

  • O’Donnell B, Puri P (1984): Treatment of vesicoureteric reflux by endoscopic injection of Teflon. Br Med J 289:7–9

    Article  Google Scholar 

  • Olsen L, Bowald S, Busch C, Carlsten J, Eriksson I (1992): Urethral reconstruction with a new synthetic absorbable device. Scan J Urol Nephrol 26:323–326

    Article  CAS  Google Scholar 

  • Politano VA (1982): Periurethral polytetrafluoroethylene injection for urinary incontinence. J Urol 127:439–442

    PubMed  CAS  Google Scholar 

  • Prigent SA (1992): The type 1 (EGFR-related) family of growth factor receptors and their ligands.Prog Growth Factor Res 4:1–24

    Article  PubMed  CAS  Google Scholar 

  • Retik AB, Bauer SB, Mandell J, Peters CA, Colodny A, Atala A (1994): Management of severe hypospadias with a 2-stage repair. J Urol 152:749–751

    PubMed  CAS  Google Scholar 

  • Riehmann M, Gasser TC, Bruskewitz RC (1993): The hydroflex penile prosthesis: A test case for the introduction of new urological technology. J Urol 149:1304–1307

    PubMed  CAS  Google Scholar 

  • Tachibana M, Nagamatsu GR, Addonizio JC (1985): Ureteral replacement using collagen sponge tube grafts. J Urol 133:866–869

    PubMed  CAS  Google Scholar 

  • Thiiroff JW, Bazeed MA, Schmidt RA, Luu DJ, Tanagho EA (1983): Cultured rabbit vesical smooth muscle cells for lining of dissolvable synthetic prosthesis. Urol 21:155–158

    Article  Google Scholar 

  • Tobin MS, Freeman MR, Atala A (1994): Maturational response of normal human urothelial cells in culture is dependent on extracellular matrix and serum additives. Surg For 45:786

    Google Scholar 

  • Wesolowski SA, Fries CC, Karlson KE (1961): et al. Porosity: Primary determinant of ultimate fate of synthetic vascular grafts. Surg 50:91–96

    CAS  Google Scholar 

  • White RA, Hirose FM, Sproat RW et al. Histopathologic observations after short-term implantation of two porous elastomers in dogs. Biomaterials 2:171–176

    Google Scholar 

  • Yoo J, Satar N, Retik AB, Atala A (1995): Ureteral replacement using biodegradable polymer scaffolds seeded with urothelial and smooth muscle cells. J Urol 153 (suppl):4

    Google Scholar 

  • Yoo JJ, Satar N, Atala A (1996): Bladder augmentation using biodegradable polymer scaffolds seeded with urothelial and smooth muscle cells. J Urol 155(suppl):5

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Birkhäuser Boston

About this chapter

Cite this chapter

Atala, A. (1997). Tissue Engineering in the Genitourinary System. In: Atala, A., Mooney, D.J. (eds) Synthetic Biodegradable Polymer Scaffolds. Birkhäuser Boston. https://doi.org/10.1007/978-1-4612-4154-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-4154-6_8

  • Publisher Name: Birkhäuser Boston

  • Print ISBN: 978-1-4612-8677-6

  • Online ISBN: 978-1-4612-4154-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics