{"id":11999,"date":"2025-09-24T11:16:40","date_gmt":"2025-09-24T15:16:40","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/device-activation\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"activacion-del-dispositivo","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/activacion-del-dispositivo\/","title":{"rendered":"Activaci\u00f3n del Dispositivo"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-11999","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>\n        La activaci\u00f3n del dispositivo se refiere al proceso de poner en funcionamiento un esf\u00ednter urinario artificial (EUA) tras el periodo inicial de cicatrizaci\u00f3n posterior a la implantaci\u00f3n.<sup>1<\/sup> Este procedimiento fundamental consiste en liberar el bot\u00f3n de desactivaci\u00f3n del componente de bomba escrotal del sistema de EUA, lo que permite que el bal\u00f3n regulador de presi\u00f3n transfiera l\u00edquido al manguito uretral y se establezca as\u00ed el estado normal de funcionamiento del dispositivo.<sup>2<\/sup> La activaci\u00f3n permite que el manguito ejerza una compresi\u00f3n circunferencial de la uretra, lo que proporciona continencia urinaria y, al mismo tiempo, permite una micci\u00f3n controlada por el paciente cuando sea necesario.<sup>3<\/sup> El procedimiento suele realizarse entre 4 y 6 semanas despu\u00e9s de la implantaci\u00f3n y representa el \u00faltimo paso para establecer el control funcional de la incontinencia urinaria mediante una intervenci\u00f3n prot\u00e9sica.<sup>4<\/sup>\n    <\/p>","gt-synonyms":"Activaci\u00f3n AUS, activaci\u00f3n del esf\u00ednter, inicializaci\u00f3n del dispositivo, Activaci\u00f3n AMS 800, compromiso prot\u00e9sico del esf\u00ednter, activaci\u00f3n del dispositivo de control urinario, Activaci\u00f3n Conti\u2122","gt-citation":"[1] Carson CC. Artificial urinary sphincter: current status and future directions. Asian J Androl. 2020 Feb 25;22(2):154-157. DOI: 10.4103\/aja.aja_5_20\n\n[2] Brant WO, Martins FE. Artificial urinary sphincter. Transl Androl Urol. 2017 Aug;6(4):682-694. DOI: 10.21037\/tau.2017.07.31\n\n[3] James MH, McCammon KA. Artificial urinary sphincter for post\u2010prostatectomy incontinence: A review. Int J Urol. 2014;21(6):536-543. DOI: 10.1111\/iju.12392\n\n[4] Chung E, Liao L, Kim JH, et al. The Asia-Pacific AMS800 artificial urinary sphincter consensus statement. Int J Urol. 2023;30(2):128-138. doi:10.1111\/iju.15083. PMID: 36375037","gt-clinical-context":"<p>\n        La activaci\u00f3n del dispositivo est\u00e1 indicada principalmente en el tratamiento de la incontinencia urinaria de esfuerzo (IUE) moderada a grave secundaria a deficiencia intr\u00ednseca del esf\u00ednter, con mayor frecuencia tras una prostatectom\u00eda radical por c\u00e1ncer de pr\u00f3stata.<sup>1<\/sup> Los criterios de selecci\u00f3n de pacientes para la implantaci\u00f3n de un esf\u00ednter urinario artificial y su posterior activaci\u00f3n incluyen una destreza manual adecuada, la capacidad cognitiva para manejar el dispositivo y la motivaci\u00f3n para gestionar el sistema.<sup>2<\/sup>\n    <\/p>\n    <p>\n        El momento de la activaci\u00f3n del dispositivo es fundamental para obtener buenos resultados. El protocolo est\u00e1ndar establece retrasar la activaci\u00f3n de 4 a 6 semanas tras la implantaci\u00f3n para permitir una cicatrizaci\u00f3n adecuada y la reducci\u00f3n del edema tisular.<sup>3<\/sup> En pacientes con uretras fr\u00e1giles o que se han sometido a radioterapia, este periodo de espera puede prolongarse hasta 8 semanas para minimizar el riesgo de erosi\u00f3n uretral.<sup>3<\/sup> Durante el procedimiento de activaci\u00f3n, el ur\u00f3logo manipula la bomba escrotal para liberar el dispositivo de su estado desactivado, lo que permite que el sistema establezca una presi\u00f3n normal sobre la uretra.<sup>4<\/sup>\n    <\/p>\n    <p>\n        La educaci\u00f3n del paciente durante la visita de activaci\u00f3n es esencial e incluye instrucciones sobre c\u00f3mo manejar el dispositivo para orinar: apretar la bomba para desinflar el manguito, lo que permite la micci\u00f3n, y luego dejar que el sistema se rellene autom\u00e1ticamente en un plazo de 3-5 minutos.<sup>5<\/sup> Las tasas de \u00e9xito en pacientes adecuadamente seleccionados son elevadas: entre el 70 y el 90% refieren una mejor\u00eda significativa de la continencia.<sup>1<\/sup> No obstante, entre las posibles complicaciones que pueden aparecer tras la activaci\u00f3n figuran el fallo mec\u00e1nico, la atrofia uretral, la erosi\u00f3n o la infecci\u00f3n, lo que hace necesario un seguimiento peri\u00f3dico.<sup>2<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":92},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Activaci\u00f3n del Dispositivo<\/title>\n<meta name=\"description\" content=\"La activaci\u00f3n del dispositivo es el procedimiento cl\u00ednico que pone en marcha una pr\u00f3tesis de pene o un esf\u00ednter urinario semanas tras su implante.\" \/>\n<meta name=\"robots\" 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