Study |
Type of regenerative medicine |
Urological application |
Conclusion |
Morgante et al., 2021 [7] |
Biomaterials |
Urethra to treat hypospadias |
Evidence that implanted non-crosslinked acellular matrices readily incorporate to support surgical repair. Acellular matrix onlay grafts enhance repair quality and reduce complications |
Orabi et al., 2013 [8] |
Biomaterials |
Urethral reconstruction |
Preclinical evidence of cell-seeded tubularized scaffolds for reconstructing long urethral defects. Bladder-derived acellular collagen matrix with autologous cells led to normal urethral tissue development over time |
Raya-Rivera et al., 2011 [9] |
A tissue biopsy |
Urethral reconstruction |
Urethral biopsies revealed a normal architecture 3 months post-implantation. Tubularized urethras can be engineered and remain functional for as long as six years in a clinical setting |
Garcia-Arranz et al., 2020 [10] |
Mesenchymal stem cells |
Treatment of urinary incontinence |
A 70% to 80% subjective improvement from baseline. No adverse effects were observed. Intraurethral application of stem cells derived from adipose tissue is a safe and feasible treatment for postradical prostatectomy or female SUI |
Gotoh et al., 2013 [11] |
ADRCs |
Treatment of SUI |
There was a 59.8% decrease in leakage volume in the 24 h pad test. The mean maximum urethral closing pressure and functional profile length increased from 35.5 to 44.7 cmH2O and 20.4 to 26.0 mm, respectively. Periurethral autologous ADRC injection is a safe and feasible treatment for male SUI, and likely for female SUI as well |
Yamamoto et al., 2012 [12] |
Autologous adipose tissue-derived regenerative cells |
SUI |
Maximum urethral closing pressure and functional profile length increased; progressive increase in blood flow to the injected area. No significant adverse events were observed. Urinary incontinence improved from two weeks post-injection up to six months |
Gokce et al., 2014 [13] |
ADSCs |
Prevention and treatment of ED |
Significantly higher ICP/MAP and total ICP in response to cavernous nerve stimulation CNS. Local ADSC injection prevented/reduced Peyronie's-like changes. Research confirms ADSC benefits on penile fibrosis and erectile function |
Castiglione et al., 2012 [14] |
ADSCs |
ADSCs on improving erectile function |
Erectile function significantly improved with ADSC treatment. PD animals' fibrosis and elastosis areas were prevented by ADSC treatment. ADSC injection prevents fibrosis and elastosis in the TA and corpus cavernosum |
Huang et al., 2010 [15] |
ADSCs |
Treatment of ED |
ADSC ameliorates nerve and endothelial abnormalities, promising a potential therapy for ED |
Das et al., 2014 [16] |
Stem and stromal cells |
Treating ED |
Human SVF treatment significantly increased cavernous endothelial and smooth muscle cell contents, induced eNOS phosphorylation, and restored penile nNOS-positive nerve fibers. Erectile function significantly improved in diabetic mice treated with human SVF and SVF lysate |
Ryu et al., 2012 [17] |
SVF from epididymal adipose |
Restoration erectile function |
SVF increased cavernous endothelial cell proliferation, eNOS phosphorylation, and cGMP expression. SVF promotion of cavernous angiogenesis and erectile function was abolished with VEGF-Trap, a VEGF-A neutralizing antibody |
Bodin et al., 2010 [18] |
UDSCs |
Urinary bladder reconstruction |
Porous BC scaffolds enable 3D USC growth, forming a multilayered urothelium and cell-matrix infiltration. Cell-seeded BC scaffolds hold promise for tissue-engineered urinary conduits in urinary reconstruction |
Horst et al., 2015 [19] |
Hybrid microfibrous PEU and poly lactic-co-glycolic acid scaffolds |
Bladder tissue formation |
PEU-hybrid scaffolds promote bladder tissue formation with excellent integration and low inflammation. PEU is a promising biomaterial for tissue engineering |
Adamowicz et al., 2020 [20] |
A novel biocomposite |
Urinary bladder wall regeneration |
The graphene layer significantly increased biocomposite electrical conductivity. The graphene layer efficiently stimulated SMC with a strong cell-to-biomaterial interface |
Zhao et al., 2020 [21] |
Differentiated human-USCs |
Ureter reconstruction |
Ultimately, a layered ureter structure with multilayered urothelium over organized smooth muscle tissue. Tissue-engineered graft formed multilayered urothelium and organized smooth muscle tissue after ureteral reconstruction |
Koch et al., 2015 [22] |
Decellularized ureters |
Reconstructing ureteric defects |
In vitro: CDI and genipin GP scaffolds had more ingrown 3T3 and rat SMCs than untreated scaffolds. In vivo: implants were mainly infiltrated by fibroblasts and M2 anti-inflammatory macrophages. CDI was the most beneficial for crosslinking ECM scaffolds. Results aid in developing a biocompatible ureteral xenograft |