International Urology and Nephrology

, Volume 31, Issue 3, pp 313–319 | Cite as

The Use of Polytetrafluoroethylene (Gore-Tex) Grafts in Reconstruction of the Urinary Bladder

  • F. M. Senel
  • R. Y. Akman
  • A. Y. Arikan
  • M. Gürdal
  • C. Can
Article

Abstract

The safety and histopathologic effects of polytetrafluoroethylene (Gore-Tex) grafts in reconstruction of the urinary bladder were examined. Following partial excision of the bladder Gore-Tex was placed, and the rats were sacrificed at days 7, 14 and 30. Gore-Tex did not cause urine infection, and there was no peritonitis or sepsis in any of the rats. Inflammation around the Gore-Tex diminished after four weeks. Some mononuclear cells and exudate were observed on the inner surface of the Gore-Tex. There was no inflammation or fibrosis in the mucosa and muscular layers of the remaining bladder. In this study the Gore-Tex graft was found to be an infection resistant, urine impermeable material, with no adverse effects on the urinary bladder. Gore-Tex is suggested as a safe material for the reconstruction of the urinary bladder.

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References

  1. 1.
    Ehler, W. J., Cissik, J. H., Smith, V. C., Hubbard, G. B.: Evaluation of Gore-Tex graft material in the repair of right ventricular outflow tract defect. J. Invest. Surg., 3, 119 (1990).Google Scholar
  2. 2.
    Huang, W. J., Hu, F. R., Chang, S. W.: Clinicopathologic study of Gore-Tex patch graft in corneoscleral surgery. Cornea, 13, 82 (1994).Google Scholar
  3. 3.
    Backer, C. L., Pensler, J. M., Tobin, G. R., Mavroudis, C.: Vascularized muscle flaps for life-threatening mediastinal wounds in children. Ann. Thorac, Surg., 57, 797 (1994).Google Scholar
  4. 4.
    Dawidson, I. J., Ar'Rajab, A., Melone, L. D., Poole, T., Griffin, D., Risser, R.: Early use of the Gore-Tex Stretch Graft. Blood Purif., 14, 337 (1996).Google Scholar
  5. 5.
    Kenney, D. A. et al.: Performance of a longitudinally compliant PTFE vascular prosthesis in an ovine A-V fistula model. ASAIO Trans., 36, M761-3 (1990).Google Scholar
  6. 6.
    Jaffers, G., Angstadt, J. D., Bowman, J. S.: Early cannulation of plasma TFE and Gore-Tex grafts for hemodialysis: A prospective randomized study. Am. J. Nephrol., 11, 369 (1991).Google Scholar
  7. 7.
    Fisch, M., Wammack, R., Thüroff, J., Hohenfellner, R.: The “Mainz pouch” technique (bladder augmentation with ileum and cecum) for bladder augmentation, bladder substitution, and continent urinary diversion. Arch. Esp. Urol., 45, 903 (1992).Google Scholar
  8. 8.
    Lauvetz, R. W., Monda, J. M., Kramer, S. A., Husmann, D. A.: Urinary pH and urea concentration correlate to the bacterial colonization rate in gastric, colonic, ileal and myoperitoneal bladder augmentation. J. Urol., 154,2, 899 (1995).Google Scholar
  9. 9.
    Tizzoni, G., Foggi, A.: Die Wiederherstellung der Harnblase. Zentralbl. Chir., 15, 921 (1888).Google Scholar
  10. 10.
    Gleason, D. M., Gittes, R. F., Bottaccini, M. R.: Energy balance of voiding after cecal cystoplasty. J. Urol., 108, 259 (1972).Google Scholar
  11. 11.
    Elder, J. S., Snyder, H. M., Hulbert, W. C., Duckett, J. W.: Perforation of the augmented bladder in patients undergoing clean intermittent catheterization. J. Urol., 140, 1159 (1988).Google Scholar
  12. 12.
    Debodinance, P., De Bièvre, P., Parmentier, D., Dubrulle, R., Querleu, D., Crépin, G.: The “hazards” of using a Gore-Tex sling in the treatment of stress urinary incontinence. J. Gynecol. Obstet. Biol. Reprod. (Paris), 23, 665 (1994).Google Scholar
  13. 13.
    Virseda Chamorro, M., González Meli, B., Salinas Casado, J., Mellado, F., Galán Torres, J. A., García Marcos, J., Diz Pintado, M.: Experimental bladder augmentation with Gore-Tex amine: Biomechanical, biochemical and biostructural aspects. Arch. Esp. Urol., 47, 958 (1994).Google Scholar
  14. 14.
    Drekion, K., Liobelenz, J.: Alloplastic replacement of the canine ureter by expanded polytetrafluoroethylene (Gore-Tex) grafts. Eur. Urol., 4, 379 (1978).Google Scholar
  15. 15.
    Peters, J. J., Shingleton, W. B., Morgan, D., Allen, B., Fowler, J. E. Jr.: Neointimized Gore-Tex graft for ureteral prosthesis in the dog. Urology, 48, 379 (1996).Google Scholar
  16. 16.
    Verdon, S. L., Chaikof, E. L., Coleman, J. E., Hayes, L. L., Connolly, R. J., Ramberg, K., Merrill, E. W., Callow, A. D.: Scanning electron microscopy analysis of polyethylene oxide hydrogels for blood contact. Scanning Microsc., 4, 341, discussion 349-50 (1990).Google Scholar

Copyright information

© Kluwer Academic Publishers 1999

Authors and Affiliations

  • F. M. Senel
    • 1
  • R. Y. Akman
    • 1
  • A. Y. Arikan
    • 2
  • M. Gürdal
    • 3
  • C. Can
    • 4
  1. 1.Department of UrologyAbant Izzet Baysal University, Düzce Medical SchoolDüzce
  2. 2.Department of General SurgeryAbant Izzet Baysal University, Düzce Medical SchoolDüzce
  3. 3.Department of UrologyHaydarpaşa Numune HospitalIstanbul
  4. 4.Department of PathologyGülhane Military Medical SchoolAnkaraTurkey

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