Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis

Low urinary tract dysfunctions and symptoms (LUTS) affect both men and woman, with the incidence increasing with age. Among the LUTS, urinary incontinence (UI) is a common dysfunction, characterised by the involuntary loss of urine. These medical conditions become debilitating, with a severe impact...

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Main Authors: António Diogo André, Bruno Areias, Ana Margarida Teixeira, Sérgio Pinto, Pedro Martins
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/21/10842
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author António Diogo André
Bruno Areias
Ana Margarida Teixeira
Sérgio Pinto
Pedro Martins
author_facet António Diogo André
Bruno Areias
Ana Margarida Teixeira
Sérgio Pinto
Pedro Martins
author_sort António Diogo André
collection DOAJ
description Low urinary tract dysfunctions and symptoms (LUTS) affect both men and woman, with the incidence increasing with age. Among the LUTS, urinary incontinence (UI) is a common dysfunction, characterised by the involuntary loss of urine. These medical conditions become debilitating, with a severe impact on patients’ routines and overall well-being. To mitigate LUTS-associated symptoms, the mechanical behaviour of both normal and LUTS-affected urethrae can be an important tool. The current work approaches the porcine urethra as a mechanical replacement candidate for the human urethra. It aims to provide a framework based on in silico (numerical) simulations and experimental data, to compare the candidate’s mechanical behaviour against the human urethra. Porcine urethral samples were mechanically evaluated through low-cycle fatigue tests in both circumferential and longitudinal orientations. The specimens were collected from porcine urethrae from crossbred pigs raised for human consumption. The experimental results were compared with human references found in the literature, with similar experimental conditions. The experimental data were used as the input for the mechanical properties estimation (nonlinear fitting to hyperelastic constitutive models) and for the simulation of the urethral tensile behaviour, using those models. In the longitudinal orientation, the results for the porcine and human urethra were in good agreement, while in the circumferential direction, the differences increased with deformation. Previous data on the mechanical behaviour of the equine urethra is in line with these findings. The nonlinear mechanical behaviour of a porcine urethra was modelled using the finite element method (FEM) and hyperelastic constitutive models. For the longitudinal urethra, the simulation results approximate experimental data for stretches up to <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>λ</mi><mo>≈</mo><mn>1.5</mn></mrow></semantics></math></inline-formula> (50% deformations), whereas for the circumferential urethra, the same was true for stretches up to <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>λ</mi><mo>≈</mo><mn>1.35</mn></mrow></semantics></math></inline-formula> (35% deformations). The hyperelastic models with a higher number of parameters performed better with the third-order Ogden model (six parameters), displaying the best performance among the studied models. The pig urethra is a suitable candidate for an implant targeted at human urethra replacement or as a model to study the human urinary system. Nevertheless, the data available on the circumferential mechanical behaviour need to be consolidated with additional mechanical tests. The tensile behaviour of the porcine urethra over large deformations can be modelled using the third-order Ogden model; however, to extend the modelling capabilities to larger deformations requires the use of hyperelastic models more adequate to soft tissue behaviour.
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spelling doaj.art-13b75d8ba75f44e7bae289dcd86f128e2023-11-24T03:33:48ZengMDPI AGApplied Sciences2076-34172022-10-0112211084210.3390/app122110842Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative AnalysisAntónio Diogo André0Bruno Areias1Ana Margarida Teixeira2Sérgio Pinto3Pedro Martins4Faculty of Engineering, University of Porto, 4200-465 Porto, PortugalFaculty of Engineering, University of Porto, 4200-465 Porto, PortugalFaculty of Engineering, University of Porto, 4200-465 Porto, PortugalDTx—Laboratório Colaborativo em Transformação Digital, 4800-058 Guimarães, PortugalAssociated Laboratory of Energy, Transports and Aeronautics (LAETA), Institute of Science and Innovation in Mechanical and Industrial Engineering (INEGI), Faculty of Engineering, University of Porto, 4200-465 Porto, PortugalLow urinary tract dysfunctions and symptoms (LUTS) affect both men and woman, with the incidence increasing with age. Among the LUTS, urinary incontinence (UI) is a common dysfunction, characterised by the involuntary loss of urine. These medical conditions become debilitating, with a severe impact on patients’ routines and overall well-being. To mitigate LUTS-associated symptoms, the mechanical behaviour of both normal and LUTS-affected urethrae can be an important tool. The current work approaches the porcine urethra as a mechanical replacement candidate for the human urethra. It aims to provide a framework based on in silico (numerical) simulations and experimental data, to compare the candidate’s mechanical behaviour against the human urethra. Porcine urethral samples were mechanically evaluated through low-cycle fatigue tests in both circumferential and longitudinal orientations. The specimens were collected from porcine urethrae from crossbred pigs raised for human consumption. The experimental results were compared with human references found in the literature, with similar experimental conditions. The experimental data were used as the input for the mechanical properties estimation (nonlinear fitting to hyperelastic constitutive models) and for the simulation of the urethral tensile behaviour, using those models. In the longitudinal orientation, the results for the porcine and human urethra were in good agreement, while in the circumferential direction, the differences increased with deformation. Previous data on the mechanical behaviour of the equine urethra is in line with these findings. The nonlinear mechanical behaviour of a porcine urethra was modelled using the finite element method (FEM) and hyperelastic constitutive models. For the longitudinal urethra, the simulation results approximate experimental data for stretches up to <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>λ</mi><mo>≈</mo><mn>1.5</mn></mrow></semantics></math></inline-formula> (50% deformations), whereas for the circumferential urethra, the same was true for stretches up to <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mi>λ</mi><mo>≈</mo><mn>1.35</mn></mrow></semantics></math></inline-formula> (35% deformations). The hyperelastic models with a higher number of parameters performed better with the third-order Ogden model (six parameters), displaying the best performance among the studied models. The pig urethra is a suitable candidate for an implant targeted at human urethra replacement or as a model to study the human urinary system. Nevertheless, the data available on the circumferential mechanical behaviour need to be consolidated with additional mechanical tests. The tensile behaviour of the porcine urethra over large deformations can be modelled using the third-order Ogden model; however, to extend the modelling capabilities to larger deformations requires the use of hyperelastic models more adequate to soft tissue behaviour.https://www.mdpi.com/2076-3417/12/21/10842porcine urethramechanical behaviourlow-cycle fatiguetensile testfinite element method
spellingShingle António Diogo André
Bruno Areias
Ana Margarida Teixeira
Sérgio Pinto
Pedro Martins
Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis
Applied Sciences
porcine urethra
mechanical behaviour
low-cycle fatigue
tensile test
finite element method
title Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis
title_full Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis
title_fullStr Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis
title_full_unstemmed Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis
title_short Mechanical Behaviour of Human and Porcine Urethra: Experimental Results, Numerical Simulation and Qualitative Analysis
title_sort mechanical behaviour of human and porcine urethra experimental results numerical simulation and qualitative analysis
topic porcine urethra
mechanical behaviour
low-cycle fatigue
tensile test
finite element method
url https://www.mdpi.com/2076-3417/12/21/10842
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