Biomaterials play a critical role in the engineering of new functional geni
tourinary tissues for the replacement of lost or malfunctioning tissues. Th
ey provide a temporary scaffolding to guide new tissue growth and organizat
ion and may provide bioactive signals (e.g., cell-adhesion peptides and gro
wth factors) required for the retention of tissue-specific gene expression.
A variety of biomaterials, which can be classified into three types - natu
rally derived materials (e.g., collagen and alginate), acellular tissue mat
rices (e.g., bladder submucosa and small-intestinal submucosa), and synthet
ic polymers [e.g., polyglycolic acid, polylactic acid, and poly(lactic-co-g
lycolic acid)] - have proved to be useful in the reconstruction of a number
of genitourinary tissues in animal models. Some of these materials are cur
rently being used clinically for genitourinary applications. Ultimately the
development or selection of appropriate biomaterials may allow the enginee
ring of multiple types of functional genitourinary tissues.