Ana Telma Silva, Nuno Miguel Ferreira, Avener Santos, Ana Colette Maurício, Nuno Alves, Maria Elisabete Silva
Conventional synthetic meshes for pelvic organ prolapse (POP) frequently cause severe complications, such as tissue erosion, due to a profound mechanical mismatch with native tissue. This study proposes a novel biphasic composite scaffold combining a load-bearing melt electrowritten (MEW) polycaprolactone (PCL) framework with a compliant alginate-gelatin (Alg-Gel) hydrogel matrix. PCL meshes (1.5 and 2.0 mm pores) were infiltrated with varying Alg-Gel ratios (4:3 and 5:2) and structurally evaluated through mechanical testing, swelling/degradation assays in a simulated acidic vaginal environment (pH 4.3), and finite element analysis (FEA). Results demonstrated that the 1.5 mm PCL architecture provides a robust baseline to withstand physiological loads. Notably, the hydrogel matrix provides a viscoelastic damping effect that synergistically improves the overall mechanical stability of the composite. Furthermore, FEA accurately predicted the non-linear macroscopic response of the composite constructs. Modulating the Alg-Gel ratio also enabled precise tuning of swelling capacity (up to 1400%) and degradation kinetics. Ultimately, this biomimetic system offers a highly adaptable, tissue-like protective cushion with enhanced dynamic stability, presenting a versatile platform for future in vivovalidation.