Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success

Several congenital disorders can cause end stage bladder disease and possibly renal damage in children. The current gold standard therapy is enterocystoplasty, a bladder augmentation using an intestinal segment. However, the use of bowel tissue is associated with numerous complications such as metab...

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Main Authors: Maya Horst, Daniel Eberli, Rita Gobet, Souzan Salemi
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2019.00091/full
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author Maya Horst
Maya Horst
Daniel Eberli
Rita Gobet
Souzan Salemi
author_facet Maya Horst
Maya Horst
Daniel Eberli
Rita Gobet
Souzan Salemi
author_sort Maya Horst
collection DOAJ
description Several congenital disorders can cause end stage bladder disease and possibly renal damage in children. The current gold standard therapy is enterocystoplasty, a bladder augmentation using an intestinal segment. However, the use of bowel tissue is associated with numerous complications such as metabolic disturbance, stone formation, urine leakage, chronic infections, and malignancy. Urinary diversions using engineered bladder tissue would obviate the need for bowel for bladder reconstruction. Despite impressive progress in the field of bladder tissue engineering over the past decades, the successful transfer of the approach into clinical routine still represents a major challenge. In this review, we discuss major achievements and challenges in bladder tissue regeneration with a focus on different strategies to overcome the obstacles and to meet the need for living functional tissue replacements with a good growth potential and a long life span matching the pediatric population.
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spelling doaj.art-6646420b67d445168d7871a486fa7ba32022-12-21T17:57:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602019-03-01710.3389/fped.2019.00091443227Tissue Engineering in Pediatric Bladder Reconstruction—The Road to SuccessMaya Horst0Maya Horst1Daniel Eberli2Rita Gobet3Souzan Salemi4Laboratory for Urologic Tissue Engineering and Stem Cell Therapy, Department of Urology, University Hospital, Zurich, SwitzerlandDivision of Pediatric Urology, Department of Pediatric Surgery, University Children‘s Hospital, Zurich, SwitzerlandDivision of Pediatric Urology, Department of Pediatric Surgery, University Children‘s Hospital, Zurich, SwitzerlandLaboratory for Urologic Tissue Engineering and Stem Cell Therapy, Department of Urology, University Hospital, Zurich, SwitzerlandDivision of Pediatric Urology, Department of Pediatric Surgery, University Children‘s Hospital, Zurich, SwitzerlandSeveral congenital disorders can cause end stage bladder disease and possibly renal damage in children. The current gold standard therapy is enterocystoplasty, a bladder augmentation using an intestinal segment. However, the use of bowel tissue is associated with numerous complications such as metabolic disturbance, stone formation, urine leakage, chronic infections, and malignancy. Urinary diversions using engineered bladder tissue would obviate the need for bowel for bladder reconstruction. Despite impressive progress in the field of bladder tissue engineering over the past decades, the successful transfer of the approach into clinical routine still represents a major challenge. In this review, we discuss major achievements and challenges in bladder tissue regeneration with a focus on different strategies to overcome the obstacles and to meet the need for living functional tissue replacements with a good growth potential and a long life span matching the pediatric population.https://www.frontiersin.org/article/10.3389/fped.2019.00091/fullmyelomeningoceleneurogenic bladderbladder augmentationtissue engineeringstem cellspediatric
spellingShingle Maya Horst
Maya Horst
Daniel Eberli
Rita Gobet
Souzan Salemi
Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success
Frontiers in Pediatrics
myelomeningocele
neurogenic bladder
bladder augmentation
tissue engineering
stem cells
pediatric
title Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success
title_full Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success
title_fullStr Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success
title_full_unstemmed Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success
title_short Tissue Engineering in Pediatric Bladder Reconstruction—The Road to Success
title_sort tissue engineering in pediatric bladder reconstruction the road to success
topic myelomeningocele
neurogenic bladder
bladder augmentation
tissue engineering
stem cells
pediatric
url https://www.frontiersin.org/article/10.3389/fped.2019.00091/full
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