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Application of amniotic membrane as xenograft for urethroplasty in rabbit

  • Urology - Original Paper
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Abstract

Objectives

Uroepithelium repair has always been the subject of discussion in urology surgeries. Using human amniotic membrane allograft has already proved to be useful in other fields. In this study, we use amniotic membrane to repair uroepithelium injuries in rabbits.

Methods

Twenty healthy rabbits underwent surgery to induce a 10-mm incision, 10 mm from the meatus on ventral part of the urethra. Then a 5 × 10 mm patch of amniotic membrane was sutured to the incised urethra. All of the rabbits were catheterized for a week and then the patches were removed. The rabbits were studied for a month for any signs of infection and fistula formation.

Results

All samples revealed complete re-epithelialization of reconstructed urethra by transitional epithelium. There was one case of infection and following fistula (5%). There were two cases of urethral strictures (10%).

Conclusion

The result from this study suggests that amniotic membrane is an inexpensive, easy, and biodegradable graft with very little antigen effect which seems to be the ideal solution for urethroplasty.

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References

  1. Ennemosor O, Colleselli R, Russigl A et al (1997) Post traumatic posterior urethral stricture repair: anatomy, surgical approach and long-term results. J Urol 157:499–505. doi:10.1016/S0022-5347(01)65187-5

    Article  Google Scholar 

  2. Atala A, Guzman L, Retik AB (1999) A novel inert collagen matrix for hypospadias repair. J Urol 162:1148–1150. doi:10.1016/S0022-5347(01)68105-9

    Article  CAS  PubMed  Google Scholar 

  3. Chen F, Yoo JJ, Atala A (2000) Experimental and clinical experience using tissue regeneration for urethral reconstruction. World J Urol 18:67–70. doi:10.1007/s003450050012

    Article  CAS  PubMed  Google Scholar 

  4. De-Filippo RE, Yoo JJ et al (2002) Urethral replacement using cell seeded tabularized collagen matrices. J Urol 168:1789–1793. doi:10.1016/S0022-5347(05)64414-X

    Article  CAS  PubMed  Google Scholar 

  5. Santurcci RA, Barber TD (2005) Resorbable extracellular matrix grafts in urologic reconstruction. Braz J Urol Int 31(3):192–203

    Google Scholar 

  6. Bhargava S, Chapple C (2004) Buccal mucosal urethroplasty: is it the new gold standard? BJU Int 93:1191–1193. doi:10.1111/j.1464-410X.2003.04860.x

    Article  CAS  PubMed  Google Scholar 

  7. Mehrsai A, Djaladat H, Salem S et al (2007) Outcome of buccal mucosal graft urethroplasty for long and repeated stricture repair. Urology 69(1):17–21. doi:10.1016/j.urology.2006.09.069

    Article  PubMed  Google Scholar 

  8. Nelson CP, Bloom DA, Kinast R et al (2005) Long-term patient reported outcome and satisfaction after oral mucosa graft urethroplasty for hypospadias. J Urol 174(3):1075–1078. doi:10.1097/01.ju.0000169421.27043.f2

    Article  PubMed  Google Scholar 

  9. Barbagli G, De Angelis M, Romano G et al (2008) The use of lingual mucosal graft in adult anterior urethroplasty: surgical steps and short-term outcome. Eur Urol 54(3):671–676

    Google Scholar 

  10. Simonato A, Gregori A, Lissiani A et al (2006) The tongue as an alternative donor site for graft urethroplasty: a pilot study. J Urol 175(2):589–592. doi:10.1016/S0022-5347(05)00166-7

    Article  PubMed  Google Scholar 

  11. Aggarwal SK, Goel D, Gupta CR et al (2002) The use of pedicled appendix graft for substitution of urethra in recurrent urethral stricture. J Pediatr Surg 37(2):246–250. doi:10.1053/jpsu.2002.30265

    Article  PubMed  Google Scholar 

  12. Kim JC, Tseng SCG (1995) Transplantation of preserved human amniotic membrane for surface reconstruction in severely damaged rabbit corneas. Cornea 14:473–484. doi:10.1097/00003226-199509000-00006

    Article  CAS  PubMed  Google Scholar 

  13. Bleggi LF, Werner B, Piazza MJ (1997) Ultra structural study of the neovagina following the utilization of human amniotic membrane for treatment of congenital absence of the vagina. Braz J Med Biol Res 30(7):861–864. doi:10.1590/S0100-879X1997000700007

    Google Scholar 

  14. Rao TV, Chandrasekharam V (1981) Use of dry amnion and bovine amnion as a biological dressing. Arch Surg 116:891–896

    CAS  PubMed  Google Scholar 

  15. Trelford JD, Trelford-Sauder M (1979) The amnion in surgery, past and present. Am J Obstet Gynecol 134:833–845

    CAS  PubMed  Google Scholar 

  16. Chao YC, Humphreys S, Penfield W (1940) A new method of preventing adhesions. The use of amnioplastin after craniotomy. BMJ 1:517–519

    Article  Google Scholar 

  17. Sangwan VS, Burman S, Tejwani S et al (2007) Amniotic membrane transplantation: a review of current indications in the management of ophthalmic disorders. Indian J Ophthalmol 55(4):251–260

    Article  PubMed  Google Scholar 

  18. Hasegawa M, Fujisawa H, Hayashi Y et al (2004) Autologous amnion graft for repair of myelomeningocele: technical note and clinical implication. J Clin Neurosci 11(4):408–411. doi:10.1016/j.jocn.2003.11.006

    Article  PubMed  Google Scholar 

  19. Samandari MH, Yaghmaei M, Ejlali M (2004) Use of amnion as a graft material in vestibuloplasty: a preliminary report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(5):574–578. doi:10.1016/j.tripleo.2003.10.031

    Article  PubMed  Google Scholar 

  20. Koziak A, Salagierski M, Marcheluk A et al (2007) Early experience in reconstruction of long ureteral strictures with allogenic amniotic membrane. Int J Urol 14(7):607–610. doi:10.1111/j.1442-2042.2007.01781.x

    Article  PubMed  Google Scholar 

  21. Memmelaar J (1947) Use of bladder mucosa in one-stage repair of hypospadias. J Urol 58:68–73

    Google Scholar 

  22. Coleman JW, Mcgovern JH, Marshall VF (1981) The bladder mucosal graft technique for hypospadias repair. Urol Clin North Am 8:457–462

    CAS  PubMed  Google Scholar 

  23. Mollard P, Mouriquand P, Bringeon G et al (1989) Repair of hypospadias using bladder mucosal graft in 76 cases. J Urol 142:1548–1550

    CAS  PubMed  Google Scholar 

  24. Kinkead TM, Borzi PA, Duffy PG et al (1994) Long-term follow-up of bladder mucosa graft for male urethral reconstruction. J Urol 151:1056–1058

    CAS  PubMed  Google Scholar 

  25. Barbagli G, Palminten E, Guazzori G et al (2005) Bulbar urethroplasty using buccal mucosa grafts placed on the ventral, dorsal or lateral surface of the urethra: are results affected by surgical technique? J Urol 174:955–958. doi:10.1097/01.ju.0000169422.46721.d7

    Article  PubMed  Google Scholar 

  26. Morey AF, McAninch JW (1996) When and how to sue the buccal mucosal grafts in adult bulbar urethroplasty. Urology 48:194–198. doi:10.1016/S0090-4295(96)00154-9

    Article  CAS  PubMed  Google Scholar 

  27. Fichtner J, Fisch M, Filipas D et al (1998) Refinements in buccal mucosal grafts urethroplasty for hypospadias repair. World J Urol 16:192–194. doi:10.1007/s003450050051

    Article  CAS  PubMed  Google Scholar 

  28. Pansadoro V, Emiliozzi P, Gaffi M et al (1999) Buccal mucosa urethroplasty for the treatment of bulbar urethral strictures. J Urol 161:1501–1503. doi:10.1016/S0022-5347(05)68938-0

    Article  CAS  PubMed  Google Scholar 

  29. Lara RC, Lucon AM, Arap S (2004) Urethroplasty using a bovine pericardium graft: an experimental study using normal urethra from dogs. Braz J Med Biol Res 37:327–331. doi:10.1590/S0100-879X2004000300006

    Article  CAS  PubMed  Google Scholar 

  30. Kropp BP, Ludlow JK, Spicer D et al (1998) Rabbit urethral regeneration using small intestinal submucosa onlay grafts. Urology 52:138–142. doi:10.1016/S0090-4295(98)00114-9

    Article  CAS  PubMed  Google Scholar 

  31. Lee SH, Tseng SC (1997) Amniotic membrane transplantation for persistent epithelial defect with ulceration. Am J Ophthalmol 123:303–312

    CAS  PubMed  Google Scholar 

  32. Dua HS, Gomes JA, King AJ et al (2004) The amniotic membrane in ophthalmology. Surv Ophthalmol 49:51–77. doi:10.1016/j.survophthal.2003.10.004

    Article  PubMed  Google Scholar 

  33. Mc Intyre JA, Faulk WP (1979) Antigens of human trophoblastic effects of heterologous and antitrophoblast sera on lymphocyte response in utero. J Exp Med 149:824–836. doi:10.1084/jem.149.4.824

    Article  CAS  Google Scholar 

  34. Walker A, Cooney DR, Allen JE (1977) Use of fresh amnion as a burn dressing. J Pediatr Surg 12:391–395. doi:10.1016/0022-3468(77)90015-X

    Article  CAS  PubMed  Google Scholar 

  35. Saebs BP, Stern CMM (1979) Activity and characterization of a low molecular weight fraction in human amniotic fluid: broad spectrum antibiotic activity. Br J Obstet Gynaecol 86:81–86

    Google Scholar 

  36. Lopes JF, Schned A, Eellsworth PL et al (2001) Histological analysis of urethral healing after tabularized incised plate urethroplasty. J Urol 166:1014–1017. doi:10.1016/S0022-5347(05)65908-3

    Article  CAS  PubMed  Google Scholar 

  37. Hafez AT, Herz D, Bagli D et al (2003) Healing of unstented tubularized incised plate urethroplasty: an experimental study in rabbit model. BJU Int 91:84–85. doi:10.1046/j.1464-410X.2003.03084.x

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgement

This study was funded by The Shiraz Nephro-Urology Research Center of Shiraz University of Medical Sciences.

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Correspondence to Sezaneh Haghpanah.

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Shakeri, S., Haghpanah, A., Khezri, A. et al. Application of amniotic membrane as xenograft for urethroplasty in rabbit. Int Urol Nephrol 41, 895–901 (2009). https://doi.org/10.1007/s11255-009-9532-2

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  • DOI: https://doi.org/10.1007/s11255-009-9532-2

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