Humans ; Oral Medicine ; trends ; Osteogenesis, Distraction ; Prostheses and Implants ; Tissue Engineering

Biomaterials for medical use have been developed in accordance with progress of the fields of medicine, biochemistry, material science, and pharmaceutics. Advances in the medicine have changed the concept of surgery from the deletion of damage tissue for the preservation of the remaining healthy tissue to the reconstruction or replacement of damaged tissue by promoting regeneration of the natural tissue. All the materials used in medicine should be biocompatible. Conventional materials such as metals, ceramics, and synthetic polymers are usually bioinert and support the structural defects. But recently introduced biomaterials are designed to provide biological functions as much a possible by mimicking natural tissue structures.
Biocompatible Materials* ; Biomedical Engineering ; Ceramics ; Human ; Metals ; Polymers ; Prostheses and Implants/trends*

Since their popularization, genitourinary prosthetics have remained a gold-standard therapy for the treatment of erectile dysfunction and stress urinary incontinence and in cases of testicular loss or dysfunction. They have also represented an area of significant innovation, which has contributed to excellent long-term outcomes. Given this history, the objective of the current review was to provide a 5-10-year outlook on anticipated trends and developments in the field of genitourinary prosthetics. To accomplish this objective, a PubMed and patent search was performed of topics relating to penile and testicular prostheses and urinary sphincters. In regard to penile prostheses, findings demonstrated several new concepts including temperature-sensitive alloys, automated pumps, devices designed specifically for neophalluses, and improved malleable designs. With artificial urinary sphincters, new concepts include the ability to add or remove fluid from an existing system, two-piece systems, and new mechanisms to occlude the urethra. For testicular prosthetics, future implementations may not only better replicate the feel of a biological testicle but also add endocrinological functions. Beyond device innovation, the future of prosthetics is also one of expanding geographic boundaries, which necessitates variable cost modeling and regulatory considerations. Surgical trends are also changing, with a greater emphasis on nonnarcotic, postoperative pain control, outpatient surgeries, and adjunctive techniques to lengthen the penis and address concomitant stress incontinence, among others. Concomitant with device and surgical changes, future considerations also include a greater need for education and training, particularly given the rapid expansion of sexual medicine into developing nations.
Erectile Dysfunction/surgery* ; Humans ; Male ; Penile Implantation ; Penile Prosthesis/trends* ; Prostheses and Implants/trends* ; Prosthesis Design/trends* ; Prosthesis Implantation/trends* ; Testicular Diseases/surgery* ; Urinary Incontinence, Stress/surgery* ; Urinary Sphincter, Artificial/trends* ; Urologic Surgical Procedures, Male/trends*

This paper reviews the current developing situation of neuroprostheses which are based on the functional electrical stimulation (FES) technique and are used to provide limb movements. It also discusses the major challenges of neuroprostheses, which will be faced in the future development and in the clinical applications for the rehabilitation of spinal cord injury and stroke.
Electric Stimulation Therapy ; methods ; trends ; Extremities ; physiology ; Humans ; Movement ; physiology ; Prostheses and Implants ; Prosthesis Design ; Spinal Cord Injuries ; physiopathology ; therapy ; Stroke ; physiopathology ; therapy