Overcoming scarring in the urethra: Challenges for tissue engineering

Urethral stricture disease is increasingly common occurring in about 1% of males over the age of 55. The stricture tissue is rich in myofibroblasts and multi-nucleated giant cells which are thought to be related to stricture formation and collagen synthesis. An increase in collagen is associated wit...

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Main Authors: Abdulmuttalip Simsek, Reem Aldamanhori, Christopher R. Chapple, Sheila MacNeil
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388218300109
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author Abdulmuttalip Simsek
Reem Aldamanhori
Christopher R. Chapple
Sheila MacNeil
author_facet Abdulmuttalip Simsek
Reem Aldamanhori
Christopher R. Chapple
Sheila MacNeil
author_sort Abdulmuttalip Simsek
collection DOAJ
description Urethral stricture disease is increasingly common occurring in about 1% of males over the age of 55. The stricture tissue is rich in myofibroblasts and multi-nucleated giant cells which are thought to be related to stricture formation and collagen synthesis. An increase in collagen is associated with the loss of the normal vasculature of the normal urethra. The actual incidence differs based on worldwide populations, geography, and income. The stricture aetiology, location, length and patient's age and comorbidity are important in deciding the course of treatment. In this review we aim to summarise the existing knowledge of the aetiology of urethral strictures, review current treatment regimens, and present the challenges of using tissue-engineered buccal mucosa (TEBM) to repair scarring of the urethra. In asking this question we are also mindful that recurrent fibrosis occurs in other tissues—how can we learn from these other pathologies? Keywords: Urethral strictures, Fibrosis, Tissue-engineered buccal mucosa, Augmentation urethroplasty
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issn 2214-3882
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spelling doaj-art-4e5490e105ec40e58a50db258067e78e2025-08-20T01:55:52ZengElsevierAsian Journal of Urology2214-38822018-04-0152697710.1016/j.ajur.2018.02.002Overcoming scarring in the urethra: Challenges for tissue engineeringAbdulmuttalip Simsek0Reem Aldamanhori1Christopher R. Chapple2Sheila MacNeil3Department of Urology, Royal Hallamshire Hospital, Sheffield, UK; Department of Materials Science & Engineering, Kroto Research Institute, University of Sheffield, Sheffield, UKDepartment of Urology, Royal Hallamshire Hospital, Sheffield, UKDepartment of Urology, Royal Hallamshire Hospital, Sheffield, UKDepartment of Materials Science & Engineering, Kroto Research Institute, University of Sheffield, Sheffield, UK; Corresponding author.Urethral stricture disease is increasingly common occurring in about 1% of males over the age of 55. The stricture tissue is rich in myofibroblasts and multi-nucleated giant cells which are thought to be related to stricture formation and collagen synthesis. An increase in collagen is associated with the loss of the normal vasculature of the normal urethra. The actual incidence differs based on worldwide populations, geography, and income. The stricture aetiology, location, length and patient's age and comorbidity are important in deciding the course of treatment. In this review we aim to summarise the existing knowledge of the aetiology of urethral strictures, review current treatment regimens, and present the challenges of using tissue-engineered buccal mucosa (TEBM) to repair scarring of the urethra. In asking this question we are also mindful that recurrent fibrosis occurs in other tissues—how can we learn from these other pathologies? Keywords: Urethral strictures, Fibrosis, Tissue-engineered buccal mucosa, Augmentation urethroplastyhttp://www.sciencedirect.com/science/article/pii/S2214388218300109
spellingShingle Abdulmuttalip Simsek
Reem Aldamanhori
Christopher R. Chapple
Sheila MacNeil
Overcoming scarring in the urethra: Challenges for tissue engineering
Asian Journal of Urology
title Overcoming scarring in the urethra: Challenges for tissue engineering
title_full Overcoming scarring in the urethra: Challenges for tissue engineering
title_fullStr Overcoming scarring in the urethra: Challenges for tissue engineering
title_full_unstemmed Overcoming scarring in the urethra: Challenges for tissue engineering
title_short Overcoming scarring in the urethra: Challenges for tissue engineering
title_sort overcoming scarring in the urethra challenges for tissue engineering
url http://www.sciencedirect.com/science/article/pii/S2214388218300109
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AT christopherrchapple overcomingscarringintheurethrachallengesfortissueengineering
AT sheilamacneil overcomingscarringintheurethrachallengesfortissueengineering