Biomaterials for pelvic floor reconstructive surgery: How can we do better? - Abstract

Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) are major health issues that detrimentally impact the quality of life of millions of women worldwide.

Surgical repair is an effective and durable treatment for both conditions. Over the past two decades there has been a trend to enforce or reinforce repairs with synthetic and biological materials. The determinants of surgical outcome are many, encompassing the physical and mechanical properties of the material used, and individual immune responses, as well surgical and constitutional factors. Of the current biomaterials in use none represents an ideal. Biomaterials that induce limited inflammatory response followed by constructive remodelling appear to have more long term success than biomaterials that induce chronic inflammation, fibrosis and encapsulation. In this review we draw upon published animal and human studies to characterize the changes biomaterials undergo after implantation and the typical host responses, placing these in the context of clinical outcomes.

Written by:
Gigliobianco G, Roman Regueros S, Osman NI, Bissoli J, Bullock AJ, Chapple CR, MacNeil S.   Are you the author?
Material Science Engineering, University of Sheffield, Sheffield S1 3JD, UK; Royal Hallamshire Hospital, Sheffield S10 2JF, UK; Hospital das Clínicas da Faculdade de Medicina, Universidade de Sao Paulo, 05410-020 São Paulo, Brazil.

Reference: Biomed Res Int. 2015;2015:968087.
doi: 10.1155/2015/968087

PubMed Abstract
PMID: 25977927 Trauma & Reconstruction Section

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