Use of an acellular collagen-elastin matrix to support bladder regeneration in a porcine model of peritoneocystoplasty

Carlos Gasanz, Carles Raventós, Jordi Temprana-Salvador, Marielle Esteves, Carla Fonseca, Inés de Torres, Juan Morote

Research output: Contribution to journalArticleResearchpeer-review

Abstract

© 2018, Polish Urological Association. All rights reserved. Introduction Bladder reconstruction without using the intestine remains a challenge to this day despite the development of new biomaterials and cell cultures. Human bladder engineering is merely anecdotic, and mostly in vitro and animal studies have been conducted. Material and methods In our study using a porcine model, we performed a bladder augmentation using an autologous parietal peritoneum graft (peritoneocystoplasty) and determined whether the attachment of an acellular collagen-elastin matrix (Group 1) or lack of (Group 2) had better histologic and functional results. Thus far, peritoneocystoplasty has rarely been performed or combined with a biomaterial. Results After 6 weeks, we observed different degrees of retraction of the new bladder wall in both groups, although the retraction was lower and the histological analysis showed more signs of regeneration (neo-angiogenesis and less fibrosis) in Group 1 than when compared with Group 2. No transitional cells were found in the new bladder wall in any of the groups, and no differences were observed in the functional test results. Conclusions Performing a peritoneocystoplasty is an easy and safe procedure. The data supports the benefit of an acellular collagen–elastin matrix to reinforce bladder regeneration. However, in our study we observed too much retraction of the new wall and the histologic results were not acceptable to consider it an appropriate cystoplasty technique.
Original languageEnglish
Pages (from-to)353-359
JournalCentral European Journal of Urology
Volume71
Issue number3
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • Acellular matrix
  • Biomaterial
  • Bladder regeneration
  • Peritoneocystoplasty
  • Tissue engineering

Fingerprint Dive into the research topics of 'Use of an acellular collagen-elastin matrix to support bladder regeneration in a porcine model of peritoneocystoplasty'. Together they form a unique fingerprint.

Cite this