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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        3D printing and bioprinting in urology



                                        Kun Liu , Nan Hu , Zhihai Yu , Xinzhou Zhang , Hualin Ma *, Huawei Qu *,
                                                                                                      3
                                              1†
                                                                                2
                                                                                          2
                                                       2†
                                                                 1
                                        and Changshun Ruan *
                                                          3
                                        1 Department of Urology, Three Gorges Hospital, Chongqing University, Chongqing, China
                                        2 Department of Nephrology, Shenzhen People’s Hospital (The Second Clinical Medical College,
                                        Jinan  University;  The  First Affiliated  Hospital,  Southern  University  of  Science  and  Technology),
                                        Shenzhen, China
                                        3
                                        Research  Center  for  Human  Tissue  and  Organs  Degeneration,  Institute  of  Biomedicine  and
                                        Biotechnology,  Shenzhen  Institute  of  Advanced  Technology,  Chinese  Academy  of  Sciences,
                                        Shenzhen, China
                                        Abstract
                                        Three-dimensional  (3D)  printing  with  highly  flexible  fabrication  offers  unlimited
                                        possibilities to create complex constructs. With the addition of active substances
                                        such as biomaterials, living cells, and growth factors, 3D printing can be upgraded to
                                        3D bioprinting, endowing fabricated constructs with biological functions. Urology,
                                        as one of the important branches of clinical medicine, covers a variety of organs
                                        in the human body, such as kidneys, bladder, urethra, and prostate. The urological
                                        organs are multi-tubular, heterogeneous, and anisotropic, bringing huge challenges
            † These authors contributed equally   to 3D printing and bioprinting. This review aims to summarize the development of
            to this work.               3D printing and bioprinting technologies in urology in the last decade based on
            *Corresponding authors:     the Science Citation Index-Expanded (SCI-E) in the Web of Science Core Collection
            Hualin Ma                   online database (Clarivate). First, we demonstrate the search strategies for published
            (mahualin0796@sina.com)     papers using the keywords such as “3D printing,” “3D bioprinting,” and “urology.”
            Huawei Qu                   Then, eight common 3D printing technologies were introduced in detail with their
            (hw.qu@siat.ac.cn)          characteristics, advantages, and disadvantages. Furthermore, the application of
            Changshun Ruan
            (cs.ruan@siat.ac.cn)        3D printing in urology was explored, such as the fabrication of diseased organs for
                                        doctor–patient communication, surgical planning, clinical teaching, and the creation
            Citation: Liu K, Hu N, Yu Z, et al.,   of customized medical devices. Finally, we discuss the exploration of 3D bioprinting
            2023, 3D printing and bioprinting in
            urology. Int J Bioprint, 9(6): 0969.  to create in vitro bionic 3D environment models for urology. Overall, 3D printing
            https://doi.org/10.36922/ijb.0969  provides the technical support for urology to better serve patients and aid teaching,
            Received: May 21, 2023      and 3D bioprinting enables the clinical applications of fabricated constructs for the
            Accepted: July 4, 2023      replacement and repair of urologically damaged organs in future.
            Published Online: August 10, 2023
            Copyright: © 2023 Author(s).
            This is an Open Access article   Keywords: 3D printing; Bioprinting; Urology
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             Three-dimensional (3D) printing, also known as additive manufacturing (AM), has
            Publisher’s Note: AccScience   been developed and improved over the last few decades [1-4] . Traditional 3D printing
            Publishing remains neutral with   technology uses a planar layer printing strategy with a process originally developed for
            regard to jurisdictional claims in
            published maps and institutional   rapid prototyping. Digital models are sliced by it along the Z-axis to produce a set of
            affiliations.               digital models with horizontal build layers in the X–Y plane. These layers are then stacked



            Volume 9 Issue 6 (2023)                        325                          https://doi.org/10.36922/ijb.0969
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