[Reconstruction of penile function with tissue engineering techniques].
Tissue engineering techniques, with their potential applied value for penile reconstruction, are of special interest for andrologists. The purpose of this review is to appraise the recent development and publications in this field. In the past few years, great efforts have been made to develop corpus cavernosum tissues by combining smooth muscle and endothelial cells seeded on biodegradable polyglycolic acid polymer (PGA) or acellular corporal collagen matrices scaffolds. Animal experiment demonstrated that the engineered corpus cavernosum achieved adequate structural and functional parameters. Engineered cartilage rods as an alternative for the current clinical standard of semirigid or inflatable penile implants could be created by seeding chondrocyte cylindrical PGA. A series of studies showed that, compared to commercially available silicone implants, the engineered rods were flexible, elastic and stable. Besides, a variety of decellularized biological materials have been used as grafts not only for substitution of tunica albuginea but also for penile enhancement, with promising results. For treating erectile dysfunction, a new approach to recovering erectile function by cell-based therapy could be the injection of functional cells into corpus cavernosum, which seemed to be promising when combined with cell manipulation by gene therapy prior to cell transfer.
Song
Lu-jie
LJ
Department of Urology, Sixth Peoples Hospital, Shanghai Jiaotong University, Shanghai 200233, China. lujiesong@yahoo.com.cn
Pan
Lian-jun
LJ
Xu
Yue-min
YM
D017690:Cell Transplantation; D042783:Endothelial Cells / Q000637:transplantation; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D009130:Muscle, Smooth / Q000166:cytology; D015917:Penile Prosthesis; D010413:Penis / Q000502:physiology* / Q000601:surgery; D023822:Tissue Engineering