{"id":12043,"date":"2025-08-14T10:17:29","date_gmt":"2025-08-14T14:17:29","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/macroplastique\/"},"modified":"2025-08-14T10:17:29","modified_gmt":"2025-08-14T14:17:29","slug":"macroplastique","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/","title":{"rendered":"Macroplastique"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[123],"glossary-product":[],"class_list":["post-12043","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urinary-incontinence-treatments"],"acf":{"gt-definition":"<p>Macroplastique es un agente de carga uretral inyectable, apir\u00f3geno, implantado permanentemente, compuesto de part\u00edculas de polidimetilsiloxano (elast\u00f3mero de silicona) suspendidas en un gel portador de polivinilpirrolidona (PVP)<sup>1<\/sup>. Este tratamiento m\u00ednimamente invasivo se usa principalmente para la incontinencia urinaria de esfuerzo (SUI) debido a una deficiencia intr\u00ednseca del esf\u00ednter (ISD)<sup>2<\/sup>. El portador de PVP es soluble en agua y se absorbe y elimina del cuerpo a trav\u00e9s de la orina, mientras que las part\u00edculas de polidimetilsiloxano entrecruzado permanecen permanentemente en su lugar<sup>3<\/sup>. Cuando se inyecta en la submucosa uretral, Macroplastique crea un mayor volumen de tejido alrededor de la uretra, lo que resulta en una mayor presi\u00f3n de cierre uretral y una reducci\u00f3n de las p\u00e9rdidas de orina durante las actividades f\u00edsicas<sup>4<\/sup>. Los implantes de elast\u00f3mero grandes y de textura pesada promueven el crecimiento del tejido, creando un bolo rodeado e infiltrado por col\u00e1geno del hu\u00e9sped que lo ancla dentro del espacio entre la l\u00e1mina propia y la muscular uretral<sup>5<\/sup>.<\/p>","gt-synonyms":"Inyecci\u00f3n de polidimetilsiloxano, Agente de carga uretral PDMS, microimplantes de silicona, MPQ","gt-citation":"[1] Ghoniem GM, Miller CJ. A systematic review and meta-analysis of Macroplastique for treating female stress urinary incontinence. Int Urogynecol J. 2012 Jun;24(1):27-36. DOI: 10.1007\/s00192-012-1825-9\n\n[2] Herforth C, Zimmern PE. Macroplastique\u00ae for stress urinary incontinence lights up as a PET-avid urethral lesion: A case report. Case Rep Womens Health. 2024 Sep;43:e00649. DOI: 10.1016\/j.crwh.2024.e00649\n\n[3] Ghoniem G, Bernhard P, Corcos J, et al. Analysis of data from patients who completed three years of Macroplastique\u00ae treatment for female stress urinary incontinence. Int Urogynecol J. 2021 Oct;32(10):2683-2689. DOI: 10.1007\/s00192-021-04764-4\n\n[4] U.S. Food and Drug Administration. Summary of Safety and Effectiveness Data: Macroplastique\u00ae Implants. PMA Number: P040050. October 30, 2006. https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf4\/p040050b.pdf\n\n[5] Serati M, Braga A, Caccia G, et al. Does the Polydimethylsiloxane Urethral Injection (Macroplastique\u00ae) Improve Sexual Function in Women with Stress Urinary Incontinence? A Prospective Study. Medicina. 2023;59(3):580. DOI: 10.3390\/medicina59030580","gt-clinical-context":"<p>Macroplastique est\u00e1 cl\u00ednicamente indicado para inyecci\u00f3n transuretral en el tratamiento de mujeres adultas diagnosticadas con incontinencia urinaria de esfuerzo (SUI) debido principalmente a deficiencia intr\u00ednseca del esf\u00ednter (ISD)<sup>1<\/sup>. Los criterios de selecci\u00f3n de pacientes generalmente incluyen mujeres con IUE que han fracasado con los tratamientos conservadores o prefieren una opci\u00f3n m\u00ednimamente invasiva a procedimientos quir\u00fargicos m\u00e1s extensos<sup>2<\/sup>. Es particularmente adecuado para pacientes de edad avanzada y aquellos con mayor riesgo de complicaciones anest\u00e9sicas<sup>3<\/sup>.<\/p>\n    \n    <p>El procedimiento se realiza bajo anestesia local en un entorno ambulatorio<sup>4<\/sup>. Antes del procedimiento, los pacientes reciben antibi\u00f3ticos para reducir el riesgo de infecci\u00f3n. La inyecci\u00f3n se realiza bajo visualizaci\u00f3n cistosc\u00f3pica, con Macroplastique inyectado en la submucosa uretral aproximadamente de 1,5 a 2 cm distal al cuello de la vejiga hasta que se logra la coaptaci\u00f3n uretral<sup>5<\/sup>. El procedimiento suele durar menos de 30 minutos y la mayor\u00eda de los pacientes pueden regresar a casa el mismo d\u00eda.<\/p>\n    \n    <p>Los estudios cl\u00ednicos han demostrado tasas de mejora del 75% a corto plazo (<6 meses), del 73% a mediano plazo (6-18 meses) y del 64% a largo plazo (>18 meses)<sup>1<\/sup>. Se informaron tasas de curaci\u00f3n completa o sequedad del 43 %, 37 % y 36 % durante los mismos per\u00edodos de seguimiento respectivos<sup>1<\/sup>. Algunos pacientes requieren reinyecci\u00f3n para obtener resultados \u00f3ptimos, con tasas de reinyecci\u00f3n m\u00e1s altas asociadas con mejores resultados a largo plazo<sup>1<\/sup>. Macroplastique se ha utilizado de forma segura y eficaz en m\u00e1s de 70.000 pacientes desde 1991, con una baja tasa de efectos secundarios<sup>4<\/sup>.<\/p>\n    \n    <p>Las contraindicaciones incluyen inflamaci\u00f3n o infecci\u00f3n aguda del tracto urogenital y revestimiento mucoso uretral fr\u00e1gil (p. ej., posradioterapia, poscirug\u00eda del cuello de la vejiga)<sup>5<\/sup>.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":52},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Macroplastique: Polydimethylsiloxane Urethral Bulking Agent<\/title>\n<meta name=\"description\" content=\"Macroplastique es un agente de volumen uretral permanente que utiliza part\u00edculas de silicona en hidrogel para tratar la incontinencia urinaria de...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Macroplastique - Prosthetic Urology Glossary\" \/>\n<meta property=\"og:description\" content=\"Explore Rigicon\u2019s evidence-based glossary covering penile implants, AUS, ED treatments, and surgical terms in prosthetic urology.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/\" \/>\n<meta property=\"og:site_name\" content=\"Rigicon\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/rigiconurology\/\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.rigicon.com\/wp-content\/uploads\/2025\/05\/header-d.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1440\" \/>\n\t<meta property=\"og:image:height\" content=\"718\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@rigiconurology\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/glossary-term\\\/macroplastique\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/glossary-term\\\/macroplastique\\\/\",\"name\":\"Macroplastique: Polydimethylsiloxane Urethral Bulking Agent\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/#website\"},\"datePublished\":\"2025-08-14T14:17:29+00:00\",\"description\":\"Macroplastique es un agente de volumen uretral permanente que utiliza part\u00edculas de silicona en hidrogel para tratar la incontinencia urinaria de...\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/glossary-term\\\/macroplastique\\\/#breadcrumb\"},\"inLanguage\":\"es-ES\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.rigicon.com\\\/es\\\/glossary-term\\\/macroplastique\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/glossary-term\\\/macroplastique\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Inicio\",\"item\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Glossary Terms\",\"item\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/urology-glossary\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Macroplastique\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/\",\"name\":\"Rigicon\",\"description\":\"Innovative Urological Solutions\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/#organization\"},\"alternateName\":\"Innovative Urological Solutions\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-ES\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/#organization\",\"name\":\"Rigicon, Inc.\",\"alternateName\":\"Innovative Urological Solutions\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/wp-content\\\/uploads\\\/2024\\\/07\\\/cropped-Logo-Square-Kopya.jpg\",\"contentUrl\":\"https:\\\/\\\/www.rigicon.com\\\/wp-content\\\/uploads\\\/2024\\\/07\\\/cropped-Logo-Square-Kopya.jpg\",\"width\":512,\"height\":512,\"caption\":\"Rigicon, Inc.\"},\"image\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/rigiconurology\\\/\",\"https:\\\/\\\/x.com\\\/rigiconurology\",\"https:\\\/\\\/www.instagram.com\\\/rigiconurology\\\/\",\"https:\\\/\\\/www.youtube.com\\\/@Rigicon\\\/podcasts\",\"https:\\\/\\\/www.youtube.com\\\/Rigicon\",\"https:\\\/\\\/www.threads.net\\\/@rigiconurology\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/rigicon\\\/\"],\"description\":\"Rigicon is a global provider of innovative, diverse, and complete portfolio of prosthetic urology options.\",\"email\":\"operations@rigicon.com\",\"telephone\":\"+1 (888) 202-9790\",\"legalName\":\"Rigicon, Inc.\",\"vatID\":\"81-3545645\",\"taxID\":\"81-3545645\",\"duns\":\"045247683\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Macroplastique: Polydimethylsiloxane Urethral Bulking Agent","description":"Macroplastique es un agente de volumen uretral permanente que utiliza part\u00edculas de silicona en hidrogel para tratar la incontinencia urinaria de...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/","og_locale":"es_ES","og_type":"article","og_title":"Macroplastique - Prosthetic Urology Glossary","og_description":"Explore Rigicon\u2019s evidence-based glossary covering penile implants, AUS, ED treatments, and surgical terms in prosthetic urology.","og_url":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/","og_site_name":"Rigicon","article_publisher":"https:\/\/www.facebook.com\/rigiconurology\/","og_image":[{"width":1440,"height":718,"url":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2025\/05\/header-d.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@rigiconurology","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/","url":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/","name":"Macroplastique: Polydimethylsiloxane Urethral Bulking Agent","isPartOf":{"@id":"https:\/\/www.rigicon.com\/es\/#website"},"datePublished":"2025-08-14T14:17:29+00:00","description":"Macroplastique es un agente de volumen uretral permanente que utiliza part\u00edculas de silicona en hidrogel para tratar la incontinencia urinaria de...","breadcrumb":{"@id":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/#breadcrumb"},"inLanguage":"es-ES","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.rigicon.com\/es\/glossary-term\/macroplastique\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Inicio","item":"https:\/\/www.rigicon.com\/es\/"},{"@type":"ListItem","position":2,"name":"Glossary Terms","item":"https:\/\/www.rigicon.com\/es\/urology-glossary\/"},{"@type":"ListItem","position":3,"name":"Macroplastique"}]},{"@type":"WebSite","@id":"https:\/\/www.rigicon.com\/es\/#website","url":"https:\/\/www.rigicon.com\/es\/","name":"Rigicon","description":"Innovative Urological Solutions","publisher":{"@id":"https:\/\/www.rigicon.com\/es\/#organization"},"alternateName":"Innovative Urological Solutions","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.rigicon.com\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-ES"},{"@type":"Organization","@id":"https:\/\/www.rigicon.com\/es\/#organization","name":"Rigicon, Inc.","alternateName":"Innovative Urological Solutions","url":"https:\/\/www.rigicon.com\/es\/","logo":{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.rigicon.com\/es\/#\/schema\/logo\/image\/","url":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2024\/07\/cropped-Logo-Square-Kopya.jpg","contentUrl":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2024\/07\/cropped-Logo-Square-Kopya.jpg","width":512,"height":512,"caption":"Rigicon, Inc."},"image":{"@id":"https:\/\/www.rigicon.com\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/rigiconurology\/","https:\/\/x.com\/rigiconurology","https:\/\/www.instagram.com\/rigiconurology\/","https:\/\/www.youtube.com\/@Rigicon\/podcasts","https:\/\/www.youtube.com\/Rigicon","https:\/\/www.threads.net\/@rigiconurology","https:\/\/www.linkedin.com\/company\/rigicon\/"],"description":"Rigicon is a global provider of innovative, diverse, and complete portfolio of prosthetic urology options.","email":"operations@rigicon.com","telephone":"+1 (888) 202-9790","legalName":"Rigicon, Inc.","vatID":"81-3545645","taxID":"81-3545645","duns":"045247683"}]}},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.rigicon.com\/es\/wp-json\/wp\/v2\/glossary-term\/12043","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rigicon.com\/es\/wp-json\/wp\/v2\/glossary-term"}],"about":[{"href":"https:\/\/www.rigicon.com\/es\/wp-json\/wp\/v2\/types\/glossary-term"}],"wp:attachment":[{"href":"https:\/\/www.rigicon.com\/es\/wp-json\/wp\/v2\/media?parent=12043"}],"wp:term":[{"taxonomy":"glossary-category","embeddable":true,"href":"https:\/\/www.rigicon.com\/es\/wp-json\/wp\/v2\/glossary-category?post=12043"},{"taxonomy":"glossary-product","embeddable":true,"href":"https:\/\/www.rigicon.com\/es\/wp-json\/wp\/v2\/glossary-product?post=12043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}