ABSTRACT

I. Introduction ...................................................................................................................... 355

II. Importance of Biomaterials ............................................................................................. 355

III. Design and Selection of Biomaterials ............................................................................. 356

IV. Classification of Biomaterials ......................................................................................... 357

V. Biomaterials Utilized to Engineer Genitourinary Tissues .............................................. 359

A. Kidneys .................................................................................................................... 359

B. Ureters ...................................................................................................................... 359

C. Bladder ..................................................................................................................... 360

D. Urethra ..................................................................................................................... 361

E. Genital Tissue .......................................................................................................... 363

F. Injection Therapies .................................................................................................. 363

VI. Future Directions ............................................................................................................. 364

References .................................................................................................................................... 365

Lost or malfunctioning genitourinary tissues have traditionally been reconstructed with native

nonurologic tissues (e.g., gastrointestinal segments,

skin,

peritoneum,

fascia,

omentum,

and

dura

) or synthetic prostheses (silicone,

polyvinyl,

and Teflon

). Although

reconstructive therapies using these materials have saved and improved countless lives, they

remain imperfect solutions. Reconstruction with nonurologic native tissues rarely replaces the

entire function of the original tissue and bears the risk of complications, including metabolic

abnormalities, infection, perforation, and malignancy.