Biocompatibility properties of a new braided biodegradable urethral stent: a comparison with a biodegradable spiral and a braided metallic stent in the rabbit urethra

• Published in: BJU international Vol. 97; no. 4; pp. 856 - 859
• Main Authors: ISOTALO, TAINA M., NUUTINE, JUHA‐PEKKA, VAAJANEN, ANU, MARTIKAINEN, PAULA M., LAURILA, MARITA, TÖRMÄLÄ, PERTTI, TALJA, MARTTI, TAMMELA, TEUVO L.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.04.2006; Blackwell
• Subjects: Absorbable Implants; Animals; biocompatibility; Biocompatible Materials - therapeutic use; biodegradable; Biological and medical sciences; Diseases of the urinary system; Hyperplasia - etiology; Inflammation - etiology; Male; Medical Laboratory Science; Medical sciences; Metals - adverse effects; Nephrology. Urinary tract diseases; rabbit; Rabbits; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); stent; Stents - adverse effects; Urethra; Urethral Stricture - therapy; Urinary Retention - therapy; Endoprosthesis; Spiral shape; Nephrology; biodegradable; Rabbit; Instrumentation therapy; Urinary tract; Metal; Lagomorpha; Stent; Urology; Vertebrata; Mammalia; Urinary system; Urethra; Animal; Biocompatibility; Comparative study
• ISSN: 1464-4096; 1464-410X
• DOI: 10.1111/j.1464-410X.2006.06000.x

OBJECTIVE To compare the biocompatibility properties of a new braided biodegradable self‐reinforced poly‐l‐lactic acid (SR‐PLLA) urethral stent to the former spiral biodegradable SR‐PLLA stent and the stainless steel stent in a rabbit model. MATERIALS AND METHODS In all, 54 male New Zealand White rabbits were anaesthetized and stents inserted into the prostatic urethra, three of each kind for each sample time. The rabbits were killed after 1, 3, 6, 9, 12 or 15 months and light microscopy and scanning electron microscopy used to analyse the effects. RESULTS The disintegration of the braided SR‐PLLA stent was more closely controlled than that of the spiral SR‐PLLA stent. The metallic stent induced epithelial hyperplasia and polyposis earlier than the biodegradable stents, and in these rabbits the polyposis disappeared after the disintegration process. There were no differences in the histological analyses between the biodegradable stents, whereas the metallic stents caused the strongest inflammatory reactions. CONCLUSIONS The braided SR‐PLLA urethral stent functioned well in the rabbit urethra and clinical studies are already planned.