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International Journal of Bioprinting                                   3D printing and bioprinting in urology




            6. Conclusion and outlook                          of CAS (Grant No. 2019350), the China Postdoctoral
                                                               Science Foundation (Grant No. 2023M733668), the
            In this review, we summarize the applications of 3D   Guangdong Basic and Applied Basic Research Foundation
            printing and bioprinting in urology. 3D printing of   (2020A1515111190),  the  Shenzhen  Fundamental
            diseased  urological  organs  effectively  facilitates  doctor–  Research Foundation (JCYJ20210324113001005), the
            patient communication, preoperative planning, and   Shenzhen Governmental Sustainable Development
            surgical teaching in urology. Furthermore, 3D printing   Fund (KCXFZ20201221173612034), the Shenzhen Key
            provides urologists with custom-sized medical devices and   Laboratory of Kidney Diseases (ZDSYS201504301616234),
            reduces medical costs. 3D bioprinting offers new insights   and  the  Shenzhen  Fund  for  Guangdong  Provincial
            for creating urological tissue-engineered scaffolds from   Highlevel Clinical Key Specialties (No. SZGSP001).
            biomaterials, living cells, and growth factors. In conclusion,
            the integration of 3D printing and bioprinting with urology   Conflict of interest
            offers new ideas and dynamics for urologists and patients.
                                                               The authors declare no conflicts of interests.
               In the future, for 3D printing and bioprinting in urology,
            the following five directions should be explored in-depth:  Author contributions

              (i)  Novel 3D printing. Currently, extrusion printing   Conceptualization: Huawei Qu, Changshun Ruan
                 is one of the most widely used technologies for 3D   Methodology: Kun Liu, Nan Hu, Zhihai Yu, Hualin Ma
                 printing and bioprinting. The development of new   Investigation: Kun Liu, Nan Hu, Xinzhou Zhang, Hualin Ma
                 3D printing technology is expected to significantly   Writing – original draft: Kun Liu, Huawei Qu
                 boost fabrication speed and accuracy, sample   Writing  –  review  &  editing:  Hualin Ma,  Huawei  Qu,
                 mechanical properties, and multi-material printing.  Changshun Ruan
             (ii)  Novel structures. Urological organs have a complex   Supervision: Zhihai Yu, Xinzhou Zhang, Changshun Ruan
                 structure (e.g., kidneys with vessels of varying   Funding acquisition: Xinzhou Zhang, Hualin Ma
                 diameter). The pore structure can facilitate the   Ethics approval and consent to participate
                 growth of blood vessels in tissue regeneration. Based
                 on the characteristics of 3D printing technology and   Not applicable.
                 materials, the development of new bionic structures
                 is a topic worthy of research.                Consent for publication

             (iii)  Novel  biomaterials.  Biomaterials  are  the  primary   Not applicable.
                 matter for 3D printing and bioprinting. Newly
                 formulated materials can hopefully promote the   Availability of data
                 development of 3D printing and bioprinting in tissue   Not applicable.
                 engineering, including urology.
             (iv)  Novel  bioadditives.  Bioadditives  are  drug  triggers   References
                 (such as live  cells, growth  factors, mRNA)  for   1.   Walker DA, Hedrick JL, Mirkin CA, 2019, Rapid, large-
                 tissue regeneration and repair and can initiate and   volume, thermally controlled 3D printing using a mobile
                 accelerate biological processes.                 liquid interface. Science, 366(6463): 360.
             (v)  How to balance 3D printing and bioprinting,     https://doi.org/10.1126/science.aax1562
                 biomimetic structures, biomaterials, and bioadditives   2.   Ligon SC, Liska R, Stampfl J, et al., 2017, Polymers for 3D
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            Acknowledgments                                       https://doi.org/10.1021/acs.chemrev.7b00074

            None.                                              3.   Skylar-Scott MA, Mueller J, Visser CW, et al., 2019,
                                                                  Voxelated soft matter via multimaterial multinozzle 3D
            Funding                                               printing. Nature, 575(7782): 330–335.
                                                                  https://doi.org/10.1038/s41586-019-1736-8
            This work was supported by the National Key R&D
            Program (Grant No. 2018YFA0703100), the National   4.   Ouyang L, Armstrong JPK, Lin Y, et al., 2020, Expanding
            Natural Science Foundation of China (Grant No.        and optimizing 3D bioprinting capabilities using
            32122046), the Youth Innovation Promotion Association   complementary network bioinks. Sci Adv, 6(38): eabc5529.


            Volume 9 Issue 6 (2023)                        338                          https://doi.org/10.36922/ijb.0969
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