History and evolution of the use of oral mucosa for urethral reconstruction

We report here the history and evolution of the use of oral mucosa in reconstructive urethral surgery since it was first used for urethroplasty in 1894. Since that time, many authors have contributed to develop, improve and popularize the use of oral mucosa as a substitute material. Paediatric urolo...

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Main Authors: Guido Barbagli, Sofia Balò, Francesco Montorsi, Salvatore Sansalone, Massimo Lazzeri
Format: Article
Language:English
Published: Elsevier 2017-04-01
Series:Asian Journal of Urology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388216300376
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author Guido Barbagli
Sofia Balò
Francesco Montorsi
Salvatore Sansalone
Massimo Lazzeri
author_facet Guido Barbagli
Sofia Balò
Francesco Montorsi
Salvatore Sansalone
Massimo Lazzeri
author_sort Guido Barbagli
collection DOAJ
description We report here the history and evolution of the use of oral mucosa in reconstructive urethral surgery since it was first used for urethroplasty in 1894. Since that time, many authors have contributed to develop, improve and popularize the use of oral mucosa as a substitute material. Paediatric urologists should be considered pioneers on the use of oral mucosa as they used it to repair primary and failed hypospadias. The use of oral mucosa to repair penile and bulbar urethral strictures was described, for the first time, in 1993. Important evolutions in the technique for harvesting oral mucosa from the cheek were reported in 1996. Today, oral mucosa is considered the gold standard material for any type of anterior urethroplasty in a one- or two-stage repair due to its biological and structural characteristics that make it a highly versatile that is adaptable to any environment required by the reconstructive urethral surgery. As the future approaches, tissue engineering techniques will provide patients with new materials originating from the oral epithelial mucosal cells, which are cultured and expanded into a scaffold. However, the path to reach this ambitious objective is still long and many difficulties must be overcome along the way.
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spelling doaj.art-fe045f53032b4a7d8eac043a9e8ac7862025-03-02T01:06:03ZengElsevierAsian Journal of Urology2214-38822017-04-01429610110.1016/j.ajur.2016.05.006History and evolution of the use of oral mucosa for urethral reconstructionGuido Barbagli0Sofia Balò1Francesco Montorsi2Salvatore Sansalone3Massimo Lazzeri4Centro Chirurgico Toscano, Arezzo, ItalyCentro Chirurgico Toscano, Arezzo, ItalyDivision of Oncology/Unit of Urology, IRCCS Ospedale San Raffaele, Milan, ItalyDepartment of Experimental Medicine and Surgery, University of Tor Vergata, Rome, ItalyDepartment of Urology, Istituto Clinico Humanitas IRCCS, Clinical and Research Hospital, Rozzano, ItalyWe report here the history and evolution of the use of oral mucosa in reconstructive urethral surgery since it was first used for urethroplasty in 1894. Since that time, many authors have contributed to develop, improve and popularize the use of oral mucosa as a substitute material. Paediatric urologists should be considered pioneers on the use of oral mucosa as they used it to repair primary and failed hypospadias. The use of oral mucosa to repair penile and bulbar urethral strictures was described, for the first time, in 1993. Important evolutions in the technique for harvesting oral mucosa from the cheek were reported in 1996. Today, oral mucosa is considered the gold standard material for any type of anterior urethroplasty in a one- or two-stage repair due to its biological and structural characteristics that make it a highly versatile that is adaptable to any environment required by the reconstructive urethral surgery. As the future approaches, tissue engineering techniques will provide patients with new materials originating from the oral epithelial mucosal cells, which are cultured and expanded into a scaffold. However, the path to reach this ambitious objective is still long and many difficulties must be overcome along the way.http://www.sciencedirect.com/science/article/pii/S2214388216300376Oral mucosaCheekUrethraUrethroplastyTissue engineeringReconstructive urology
spellingShingle Guido Barbagli
Sofia Balò
Francesco Montorsi
Salvatore Sansalone
Massimo Lazzeri
History and evolution of the use of oral mucosa for urethral reconstruction
Asian Journal of Urology
Oral mucosa
Cheek
Urethra
Urethroplasty
Tissue engineering
Reconstructive urology
title History and evolution of the use of oral mucosa for urethral reconstruction
title_full History and evolution of the use of oral mucosa for urethral reconstruction
title_fullStr History and evolution of the use of oral mucosa for urethral reconstruction
title_full_unstemmed History and evolution of the use of oral mucosa for urethral reconstruction
title_short History and evolution of the use of oral mucosa for urethral reconstruction
title_sort history and evolution of the use of oral mucosa for urethral reconstruction
topic Oral mucosa
Cheek
Urethra
Urethroplasty
Tissue engineering
Reconstructive urology
url http://www.sciencedirect.com/science/article/pii/S2214388216300376
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AT salvatoresansalone historyandevolutionoftheuseoforalmucosaforurethralreconstruction
AT massimolazzeri historyandevolutionoftheuseoforalmucosaforurethralreconstruction