{"id":12120,"date":"2025-09-24T11:18:36","date_gmt":"2025-09-24T15:18:36","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/transcorporal-approach\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"abordaje-transcorporeo","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/abordaje-transcorporeo\/","title":{"rendered":"Abordaje Transcorp\u00f3reo"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,107],"class_list":["post-12120","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>El abordaje transcorp\u00f3reo es una t\u00e9cnica quir\u00fargica especializada que se utiliza en procedimientos urol\u00f3gicos, en particular en la implantaci\u00f3n de un esf\u00ednter urinario artificial (EUA), en la que el manguito se coloca a trav\u00e9s de los cuerpos cavernosos del pene<sup>1<\/sup>. Esta t\u00e9cnica consiste en realizar incisiones longitudinales en la t\u00fanica albug\u00ednea de ambos cuerpos cavernosos, lateralmente a la uretra, seguidas de una disecci\u00f3n roma para crear un t\u00fanel en el interior de los cuerpos cavernosos<sup>2<\/sup>. A continuaci\u00f3n, el manguito se coloca a trav\u00e9s de este t\u00fanel y rodea la uretra junto con tejido cavernoso, que act\u00faa como capa protectora<sup>3<\/sup>. Este abordaje se utiliza principalmente como opci\u00f3n de rescate en pacientes con uretras fr\u00e1giles, como aquellos con fracaso de una implantaci\u00f3n previa de EUA, atrofia uretral, erosi\u00f3n o antecedentes de radioterapia p\u00e9lvica<sup>4<\/sup>.<\/p>","gt-synonyms":"Implantaci\u00f3n transcorp\u00f3rea de esf\u00ednter urinario artificial, Colocaci\u00f3n de TC-AUS, Colocaci\u00f3n transcorp\u00f3rea del manguito, Enfoque de cooperaci\u00f3n t\u00e9cnica","gt-citation":"[1] Wiedemann L, Cornu JN, Haab E, Peyrat L, Beley S, Cathelineau X, Haab F. Transcorporal artificial urinary sphincter implantation as a salvage surgical procedure for challenging cases of male stress urinary incontinence: surgical technique and functional outcomes in a contemporary series. BJU Int. 2013 Dec;112(8):1163-8. DOI: https:\/\/doi.org\/10.1111\/bju.12386\n\n[2] Maurer V, Dahlem R, Howaldt M, Riechardt S, Fisch M, Ludwig TA, Engel O. Transcroporal Artificial Urinary Sphincter Placement With Closure of Corporal Bodies\u2014A Long-Term Analysis of Functional Outcomes. Front Surg. 2022 Jun 1;9:918011. DOI: https:\/\/doi.org\/10.3389\/fsurg.2022.918011\n\n[3] Sacco E, Marino F, Gandi C, Bientinesi R, Totaro A, Moretto S, Gavi F, Campetella M, Racioppi M. Transalbugineal Artificial Urinary Sphincter: A Refined Implantation Technique to Improve Surgical Outcomes. J Clin Med. 2023 Apr 21;12(8):3021. DOI: https:\/\/doi.org\/10.3390\/jcm12083021\n\n[4] Vasan R, Myrga J, Miller D, Patnaik S, Morrill C, Rusilko P. The Gullwing Technique: A Novel Method of Transcorporal Artificial Urinary Sphincter Placement for the Fragile Urethra. Urology. 2022 Nov;169:237-240. DOI: https:\/\/doi.org\/10.1016\/j.urology.2022.06.032","gt-clinical-context":"<p>El abordaje transcorp\u00f3reo est\u00e1 indicado principalmente en casos complejos de incontinencia urinaria de esfuerzo (IUE) masculina, en particular en pacientes con uretras fr\u00e1giles<sup>1<\/sup>. Entre los escenarios cl\u00ednicos espec\u00edficos figuran:<\/p>\n        \n        <p>1. Pacientes con antecedentes de fracaso de una implantaci\u00f3n previa de esf\u00ednter urinario artificial por erosi\u00f3n o atrofia uretral<sup>2<\/sup><br>\n        2. Pacientes sometidos a uretroplastia bulbar<sup>3<\/sup><br>\n        3. Pacientes con atrofia uretral grave tras radioterapia p\u00e9lvica<sup>1<\/sup><br>\n        4. Como procedimiento quir\u00fargico de rescate tras el fracaso de una cirug\u00eda antiincontinencia previa<sup>1<\/sup><\/p>\n        \n        <p>El procedimiento se realiza con anestesia general y con el paciente en posici\u00f3n de litotom\u00eda. Se practica una incisi\u00f3n perineal en la l\u00ednea media, seguida de una disecci\u00f3n para exponer la uretra y los cuerpos cavernosos adyacentes<sup>2<\/sup>. El manguito suele colocarse distalmente a la ubicaci\u00f3n del manguito original o al lugar de la uretroplastia<sup>2<\/sup>.<\/p>\n        \n        <p>Los criterios de selecci\u00f3n de pacientes incluyen a aquellos con incontinencia urinaria de esfuerzo moderada a grave en los que ha fracasado el tratamiento conservador y que tienen antecedentes de compromiso uretral<sup>4<\/sup>. El procedimiento ha mostrado buenos resultados en cuanto a tasas de continencia: los estudios refieren tasas de continencia social (0-1 compresas al d\u00eda) de aproximadamente el 78-83% a los 12 meses<sup>3<\/sup>.<\/p>\n        \n        <p>Una consideraci\u00f3n importante del abordaje transcorp\u00f3reo tradicional es su posible repercusi\u00f3n sobre la funci\u00f3n er\u00e9ctil, debido a la lesi\u00f3n inevitable de los cuerpos cavernosos<sup>2<\/sup>. No obstante, los estudios han demostrado que la funci\u00f3n er\u00e9ctil puede conservarse en algunos pacientes a pesar de la disecci\u00f3n del cuerpo cavernoso<sup>1<\/sup>. Las modificaciones recientes de la t\u00e9cnica, como la t\u00e9cnica Gullwing y el abordaje transalbug\u00edneo, buscan preservar mejor la funci\u00f3n er\u00e9ctil sin perder los beneficios protectores para la uretra<sup>3,4<\/sup>.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":102},"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>Abordaje Transcorp\u00f3reo<\/title>\n<meta name=\"description\" content=\"El abordaje transcorp\u00f3reo es una t\u00e9cnica quir\u00fargica para implantar un esf\u00ednter urinario artificial en pacientes con uretra fr\u00e1gil o cirug\u00edas previas.\" \/>\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\/abordaje-transcorporeo\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Abordaje Transcorp\u00f3reo - 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