{"id":12026,"date":"2025-05-14T08:56:42","date_gmt":"2025-05-14T12:56:42","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penoscrotal-approach\/"},"modified":"2025-05-14T08:56:42","modified_gmt":"2025-05-14T12:56:42","slug":"abordaje-penoescrotal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/abordaje-penoescrotal\/","title":{"rendered":"Abordaje Penoescrotal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[103,106,112],"glossary-product":[108,107,104,105],"class_list":["post-12026","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction","glossary-category-male-stress-urinary-incontinence","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>El abordaje penoescrotal es una t\u00e9cnica quir\u00fargica com\u00fan utilizada para la implantaci\u00f3n de pr\u00f3tesis penianas inflables (IPP) para tratar la disfunci\u00f3n er\u00e9ctil.\u00b9 Implica realizar una incisi\u00f3n transversal aproximadamente de 1 a 2 cm por debajo de la uni\u00f3n penoescrotal, proporcionando acceso a los cuerpos cavernosos para la colocaci\u00f3n de la pr\u00f3tesis.\u00b9 Muchos cirujanos prefieren este abordaje debido a su capacidad para ofrecer una excelente exposici\u00f3n corporal. incluso en pacientes obesos, y facilitar la exposici\u00f3n crural proximal si es necesario.\u00b9 La t\u00e9cnica tiene como objetivo minimizar complicaciones como la migraci\u00f3n de la bomba y la lesi\u00f3n del haz neurovascular, que pueden asociarse con otros abordajes.\u00b9 El procedimiento generalmente implica una disecci\u00f3n cuidadosa a trav\u00e9s de la capa de dartos para exponer los cuerpos cavernosos, seguida de una corporotom\u00eda (incisiones en los cuerpos) para la inserci\u00f3n del cilindro.\u00b9 El abordaje penoescrotal tambi\u00e9n se puede utilizar para la colocaci\u00f3n de esf\u00ednteres urinarios artificiales (AUS), a veces a trav\u00e9s de la misma incisi\u00f3n, lo que resulta ventajoso para pacientes que requieren revisiones m\u00faltiples.\u00b9<\/p>","gt-synonyms":"Incisi\u00f3n penoescrotal, Abordaje transescrotal (para pr\u00f3tesis peneana)","gt-citation":"[1] Gupta NK, Ring J, Trost L, Wilson SK, K\u00f6hler TS. The penoscrotal surgical approach for inflatable penile prosthesis placement. Transl Androl Urol. 2017 Aug;6(4):628-638. doi: 10.21037\/tau.2017.07.32. PMID: 28904895; PMCID: PMC5583046.\n\n[2] Yafi FA, Hsieh TC, Albersen M, et al. Maximizing outcomes in penile prosthetic surgery. Int J Impot Res. 2024;36:1-2. doi: 10.1038\/s41443-023-00773-7.","gt-clinical-context":"<div class=\"mb-4 last:mb-0 whitespace-pre-wrap u-break-words\">El abordaje penoescrotal est\u00e1 cl\u00ednicamente indicado para pacientes con disfunci\u00f3n er\u00e9ctil que han fracasado o tienen contraindicaciones para tratamientos menos invasivos como inhibidores de la fosfodiesterasa-5, dispositivos de erecci\u00f3n por vac\u00edo o inyecciones intracavernosas, y que optan por el tratamiento quir\u00fargico con una pr\u00f3tesis peneana inflable.\u00b9 La selecci\u00f3n del paciente es fundamental e implica asesoramiento exhaustivo sobre expectativas realistas y riesgos potenciales (p. ej., infecci\u00f3n, fallo mec\u00e1nico, cambios en la longitud del pene, lesiones). a estructuras adyacentes) y beneficios del procedimiento.\u00b9 Las contraindicaciones incluyen infecciones activas (especialmente infecciones del tracto urinario o de la piel genital), falta de voluntad para someterse a m\u00e1s cirug\u00edas para revisiones y problemas de micci\u00f3n no resueltos.\u00b9<\/div>\n<div class=\"mb-4 last:mb-0 whitespace-pre-wrap u-break-words\">El procedimiento quir\u00fargico que utiliza el abordaje penoescrotal implica pasos espec\u00edficos: posicionamiento del paciente (posici\u00f3n de pata de rana), preparaci\u00f3n y vendaje est\u00e9riles, y cateterismo.\u00b9 Generalmente se utiliza un retractor autorretenedor para optimizar la exposici\u00f3n.\u00b9 La incisi\u00f3n se realiza transversalmente debajo de la uni\u00f3n penoescrotal, seguida de la disecci\u00f3n de los cuerpos cavernosos.\u00b9 Luego se realizan corporotom\u00edas y los cuerpos se dilatan para acomodar los cilindros de la pr\u00f3tesis.\u00b9 La bomba generalmente se coloca en una posici\u00f3n escrotal dependiente y el reservorio se coloca en el espacio retrop\u00fabico (espacio de Retzius), aunque esto se hace a ciegas con este enfoque, lo cual es una desventaja notable junto con un posible aumento de la inflamaci\u00f3n escrotal en comparaci\u00f3n con un enfoque infrap\u00fabico.\u00b9 Los resultados esperados generalmente incluyen la restauraci\u00f3n de la funci\u00f3n er\u00e9ctil suficiente para el coito, aunque los pacientes deben ser asesorado sobre posibles cambios en la longitud o la sensaci\u00f3n del pene.\u00b9 La atenci\u00f3n posoperatoria incluye manejo del dolor, antibi\u00f3ticos e instrucciones sobre el ciclo del dispositivo despu\u00e9s de un per\u00edodo de curaci\u00f3n inicial.\u00b9<\/div>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":72},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Abordaje Penoescrotal<\/title>\n<meta name=\"description\" content=\"Conozca el abordaje penoescrotal, un m\u00e9todo quir\u00fargico com\u00fan para pr\u00f3tesis peneana e implantaci\u00f3n de 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