Current evidence regarding alternative techniques for enterocystoplasty using regenerative medicine methods: a systematic review

Eur J Med Res. 2024 Mar 12;29(1):163. doi: 10.1186/s40001-024-01757-z.

Abstract

Enterocystoplasty is the most commonly used treatment for bladder reconstruction. However, it has some major complications. In this study, we systematically reviewed the alternative techniques for enterocystoplasty using different scaffolds. A comprehensive search was conducted in PubMed, Embase, and Cochrane Library, and a total of 10 studies were included in this study. Five different scaffolds were evaluated, including small intestinal submucosa (SIS), biodegradable scaffolds seeded with autologous bladder muscle and urothelial cells, dura mater, human cadaveric bladder acellular matrix graft, and bovine pericardium. The overall results revealed that bladder reconstruction using regenerative medicine is an excellent alternative method to enterocystoplasty regarding the improvement of bladder capacity, bladder compliance, and maximum detrusor pressure; however, more large-scale studies are required.

Keywords: Regenerative medicine; Urinary bladder; Urologic surgical procedures.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Animals
  • Cattle
  • Humans
  • Muscles
  • Plastic Surgery Procedures*
  • Regenerative Medicine*
  • Urinary Bladder / physiology
  • Urinary Bladder / surgery
  • Urologic Surgical Procedures / methods