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Int Braz J Urol ; 43(2): 335-344, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-27819753

RESUMEN

OBJECTIVE: To validate the application of the bacterial cellulose (BC) membrane as a protecting bar-rier to the urethra. MATERIALS AND METHODS: Forty female Wistar rats (four groups of 10): Group 1 (sham), the urethra was dissected as in previous groups and nothing applied around; Group 2, received a 0.7cm strip of the BC applied around the urethra just below the bladder neck; Group 3, received a silicon strip with the same dimensions as in group 2; Group 4, had a combination of 2 and 3 groups being the silicon strip applied over the cellulosic material. Half of the animals in each group were killed at 4 and 8 months. Bladder and urethra were fixed in formalin for histological analysis. RESULTS: Inflammatory infiltrates were more intense at 4 months at lymphonodes (80% Grade 2), statistically different in the group 2 compared with groups 1 (p=0.0044) and 3 (p=0.0154). At 8 months, all samples were classified as grade 1 indicating a less intense inflammatory reaction in all groups. In group 2, at 8 months, there was a reduction in epithelial thickness (30±1µm) when com-pared to groups 1 (p=0.0001) and 3 (p<0.0001). Angiogenesis was present in groups 2 and 4 and absent in group 3. In BC implant, at 4 and 8 months, it was significant when comparing groups 4 with 1 (p=0.0159). CONCLUSION: BC membrane was well integrated to the urethral wall promoting tissue remodeling and strengthening based on morphometric and histological results and may be a future option to prevent urethral damage.


Asunto(s)
Bacterias/química , Materiales Biocompatibles/farmacología , Celulosa/farmacología , Implantación de Prótesis/efectos adversos , Uretra/lesiones , Enfermedades Uretrales/prevención & control , Esfínter Urinario Artificial/efectos adversos , Animales , Femenino , Membranas , Modelos Animales , Ratas Wistar , Reproducibilidad de los Resultados , Siliconas/farmacología , Factores de Tiempo , Resultado del Tratamiento , Uretra/patología , Enfermedades Uretrales/patología , Incontinencia Urinaria/cirugía
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