A new hydrophilic biodegradable ureteral stent restrain encrustation both in vitro and in vivo

J Biomater Appl. 2021 Jan;35(6):720-731. doi: 10.1177/0885328220949376. Epub 2020 Aug 16.

Abstract

Ureteral stents have been widely used as biomedical devices to treat some urological diseases for several decades. However, the encrustation complications hamper the long-time clinical use of the ureteral stents. In this work, a new type of biodegradable material for the ureteral stents, methoxypoly(ethylene glycol)-block-poly(L-lactide-ran-Ɛ-caprolactone) (mPEG-PLACL), is evaluated to overcome this problem. The results show that the hydrophilicity and degradation rate in artificial urine of mPEG-PLACL are both significantly increased. It is worth noting that the mPEG-PLACL shows a lower amount of encrustation after immersing the stents in the dynamic urinary extracorporeal circulation (DUEC) model for 7 days. In addition, 71% Ca and 92% Mg are inhibited in vivo by quantitative analysis. Pathological analysis exhibit that the mPEG-PLACL cause less diffuse mucosal hyperplasia after 7 weeks of implantation. All the results indicate that this new type of biodegradable material had an excellent potential for the ureteral stents in the future.

Keywords: Ureteral stents; degradation; encrustation; hydrophilicity; surface morphology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biocompatible Materials / chemistry*
  • Biocompatible Materials / metabolism
  • Humans
  • Hydrophobic and Hydrophilic Interactions
  • In Vitro Techniques
  • Male
  • Models, Animal
  • Polyethylene Glycols / chemistry*
  • Polyethylene Glycols / metabolism
  • Prostheses and Implants
  • Rats
  • Rats, Wistar
  • Stents*
  • Surface Properties
  • Tensile Strength
  • Ureter

Substances

  • Biocompatible Materials
  • Polyethylene Glycols