{"id":12136,"date":"2025-09-25T10:25:19","date_gmt":"2025-09-25T14:25:19","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penile-length-preservation\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"preservacion-de-la-longitud-del-pene","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/preservacion-de-la-longitud-del-pene\/","title":{"rendered":"Preservaci\u00f3n de la Longitud del Pene"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105],"class_list":["post-12136","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction-treatments","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>La preservaci\u00f3n de la longitud del pene se refiere a un conjunto integral de t\u00e9cnicas y protocolos que se aplican antes, durante y despu\u00e9s de la cirug\u00eda de pr\u00f3tesis de pene para mantener o restablecer la longitud del pene en los pacientes que se someten a la implantaci\u00f3n.<span class=\"citation\">1<\/span> Estas t\u00e9cnicas tienen como objetivo combatir una queja frecuente de los pacientes, la percepci\u00f3n de acortamiento del pene tras la colocaci\u00f3n de la pr\u00f3tesis, que puede afectar negativamente a la satisfacci\u00f3n del paciente y a su bienestar psicol\u00f3gico.<span class=\"citation\">2<\/span> Los m\u00e9todos de preservaci\u00f3n incluyen protocolos preoperatorios (como la terapia con vac\u00edo o con tracci\u00f3n), t\u00e9cnicas quir\u00fargicas intraoperatorias (como enfoques de dilataci\u00f3n modificados, incisiones especializadas y procedimientos con injertos) y estrategias de manejo postoperatorio, todos ellos dise\u00f1ados para maximizar los resultados funcionales y est\u00e9ticos de la cirug\u00eda de pr\u00f3tesis de pene.<span class=\"citation\">3,4<\/span><\/p>","gt-synonyms":"Preservaci\u00f3n del tama\u00f1o del pene, T\u00e9cnicas de restauraci\u00f3n de la longitud del pene, Mantenimiento de la dimensi\u00f3n del pene, Conservaci\u00f3n de la longitud del pene, Optimizaci\u00f3n del tama\u00f1o del pene","gt-citation":"[1] Shah BB, Kent M, Valenzuela R. Advanced Penile Length Restoration Techniques to Optimize Penile Prosthesis Placement Outcomes. Sex Med Rev. 2021;9(4):641-649. DOI: https:\/\/doi.org\/10.1016\/j.sxmr.2020.05.007\n\n[2] Roadman D, Feng C, Salkowski M, Levine LA. A contemporary systematic review of penile lengthening procedures with penile prosthesis. Transl Androl Urol. 2024 Apr 30;13(4):596-612. DOI: https:\/\/doi.org\/10.21037\/tau-23-354\n\n[3] Mondaini N, Cai T, Sarti E, Polloni G, Gavazzi A, Bartoletti R. A Case Series of Patients Who Underwent Laparoscopic Extraperitoneal Radical Prostatectomy with the Simultaneous Implant of a Penile Prosthesis: Focus on Penile Length Preservation. World J Mens Health. 2018 May;36(2):132-138. DOI: https:\/\/doi.org\/10.5534\/wjmh.17043\n\n[4] Lee KCJ, Brock GB. Strategies for maintaining penile size following penile implant. Transl Androl Urol. 2013 Mar;2(1):67-73. DOI: https:\/\/doi.org\/10.3978\/j.issn.2223-4683.2013.01.05. PMID: 26816726","gt-clinical-context":"<p>Las t\u00e9cnicas de preservaci\u00f3n de la longitud del pene est\u00e1n cl\u00ednicamente indicadas en pacientes que se someten a la implantaci\u00f3n de una pr\u00f3tesis de pene y que tienen riesgo de acortamiento del pene postoperatorio o les preocupa.<sup>1<\/sup> Esto es especialmente relevante en pacientes con disfunci\u00f3n er\u00e9ctil grave, enfermedad de Peyronie, disfunci\u00f3n er\u00e9ctil tras prostatectom\u00eda o antecedentes de priapismo, situaciones en las que la fibrosis de los cuerpos cavernosos y la cicatrizaci\u00f3n de la t\u00fanica pueden limitar la elasticidad de la t\u00fanica albug\u00ednea.<sup>2<\/sup><\/p>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes incluyen a aquellos con acortamiento del pene documentado o percibido antes de la implantaci\u00f3n, a los pacientes con afecciones que predisponen al acortamiento del pene y a quienes expresan una preocupaci\u00f3n importante por una posible p\u00e9rdida de longitud.<sup>3<\/sup> El abordaje quir\u00fargico var\u00eda seg\u00fan la t\u00e9cnica de preservaci\u00f3n elegida, pero en general implica modificaciones de los procedimientos de implantaci\u00f3n est\u00e1ndar.<\/p>\n    \n    <p>Los protocolos preoperatorios pueden incluir la terapia con dispositivo de erecci\u00f3n por vac\u00edo (VED) o la terapia de tracci\u00f3n del pene durante 2-4 meses antes de la cirug\u00eda, que en series peque\u00f1as ha preservado la longitud, y la mayor\u00eda de los hombres han ganado hasta 1,5 cm.<sup>4<\/sup> Las t\u00e9cnicas intraoperatorias incluyen la preservaci\u00f3n cavernosa y la canalizaci\u00f3n sin dilataci\u00f3n, la incisi\u00f3n subcoronal con denudaci\u00f3n peneana circunferencial (degloving), la t\u00e9cnica de deslizamiento (sliding), la t\u00e9cnica de deslizamiento modificada, la t\u00e9cnica de m\u00faltiples incisiones (multiple-slit) y los procedimientos de expansi\u00f3n de la t\u00fanica.<sup>2<\/sup><\/p>\n    \n    <p>Los resultados esperados var\u00edan seg\u00fan la t\u00e9cnica, con una recuperaci\u00f3n postoperatoria de la longitud del pene de alrededor de 3 cm de media (rango 0-4,0 cm).<sup>2<\/sup> La satisfacci\u00f3n de los pacientes suele ser alta cuando se establecen expectativas adecuadas antes de la operaci\u00f3n y cuando el cirujano implantador adopta una combinaci\u00f3n de estrategias individualizada seg\u00fan las necesidades espec\u00edficas del paciente.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":66},"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>Preservaci\u00f3n de la Longitud del Pene<\/title>\n<meta name=\"description\" content=\"La preservaci\u00f3n de la longitud del pene comprende t\u00e9cnicas quir\u00fargicas para mantener el tama\u00f1o 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