{"id":12151,"date":"2025-10-02T09:19:17","date_gmt":"2025-10-02T13:19:17","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/readjustable-male-sling\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"cabestrillo-masculino-reajustable","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/cabestrillo-masculino-reajustable\/","title":{"rendered":"Cabestrillo Masculino Reajustable"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-12151","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>El cabestrillo masculino reajustable es un implante quir\u00fargico dise\u00f1ado para tratar la incontinencia urinaria de esfuerzo (IUE) masculina, en particular tras una prostatectom\u00eda radical.<sup class=\"citation\">1<\/sup> Consiste en una malla sint\u00e9tica o una almohadilla de silicona colocada bajo la uretra bulbar para proporcionar compresi\u00f3n y coaptaci\u00f3n uretral, con un mecanismo que permite ajustar la tensi\u00f3n en el postoperatorio para optimizar los resultados de continencia.<sup class=\"citation\">2<\/sup> El dispositivo act\u00faa ejerciendo una compresi\u00f3n directa de la uretra bulbar con un efecto de hamaca, lo que da lugar a la coaptaci\u00f3n de la luz uretral, y permite reajustar la tensi\u00f3n tras la implantaci\u00f3n para tratar la incontinencia persistente o recurrente.<sup class=\"citation\">3<\/sup> El objetivo principal de este dispositivo es restablecer la continencia conservando la capacidad del paciente para orinar de forma espont\u00e1nea, lo que lo convierte en una alternativa menos invasiva a la implantaci\u00f3n de un esf\u00ednter urinario artificial.<sup class=\"citation\">4<\/sup><\/p>","gt-synonyms":"Eslinga masculina ajustable, Sistema Reajustable Masculino (MRS), cabestrillo suburetral ajustable, cabestrillo masculino suburetral ajustable, cabestrillo masculino transobturador ajustable, terapia de continencia ajustable para hombres","gt-citation":"[1] Chiu LW, Chen WC, Hsieh PF, Chen YH, Huang CP. Efficacy and Complications of the Re-Adjustable Male Sling System for Stress Urinary Incontinence after Radical Prostatectomy. J Clin Med. 2022;11(22):6764. DOI: https:\/\/doi.org\/10.3390\/jcm11226764\n\n[2] Chung E. Contemporary male slings for stress urinary incontinence: advances in device technology and refinements in surgical techniques. Ther Adv Urol. 2023 Jul 25;15:17562872231187199. DOI: https:\/\/doi.org\/10.1177\/17562872231187199\n\n[3] Harrison WJ, Leslie SW, Desai D. Slings for Male Incontinence. [Updated 2024 Jan 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK599557\/\n\n[4] Kocjancic E, Millman AL. The Role of Adjustable Slings in the Management of Urinary Incontinence. AUANews. 2021 Oct 5. Available from: https:\/\/auanews.net\/issues\/articles\/2021\/october-2021\/the-role-of-adjustable-slings-in-the-management-of-urinary-incontinence\n\n[5] Kim SW, Walsh R, Berger Y, Kim JH. Male Readjustable Sling (MRS) System for Postprostatectomy Incontinence: Experiences of 2 Centers. Urology. 2016 Feb;88:195-200. DOI: https:\/\/doi.org\/10.1016\/j.urology.2015.10.016","gt-clinical-context":"<p>El cabestrillo masculino reajustable se utiliza principalmente en el manejo cl\u00ednico de la incontinencia urinaria de esfuerzo (IUE) en hombres tras una prostatectom\u00eda radical, situaci\u00f3n en la que la funci\u00f3n del esf\u00ednter uretral externo puede estar comprometida.<sup class=\"citation\">1<\/sup> Los criterios de selecci\u00f3n de pacientes suelen incluir a hombres con IUE leve a moderada (uso de 0-5 compresas al d\u00eda o un peso de compresas en 24 horas inferior a 500 gramos) que no han respondido adecuadamente al manejo conservador, como el entrenamiento de la musculatura del suelo p\u00e9lvico y el tratamiento farmacol\u00f3gico.<sup class=\"citation\">2<\/sup> El dispositivo es especialmente adecuado para pacientes con cierto grado de funci\u00f3n esfinteriana voluntaria residual, determinada mediante estudios urodin\u00e1micos y cistoscopia.<sup class=\"citation\">3<\/sup><\/p>\n    \n    <p>La implantaci\u00f3n quir\u00fargica puede realizarse por v\u00eda transobturadora o retrop\u00fabica, seg\u00fan el dise\u00f1o concreto del dispositivo.<sup class=\"citation\">4<\/sup> El abordaje transobturador consiste en realizar una incisi\u00f3n perineal para exponer la uretra bulbar y, a continuaci\u00f3n, pasar los brazos del cabestrillo a trav\u00e9s del agujero obturador para situar el cabestrillo bajo la uretra.<sup class=\"citation\">3<\/sup> El abordaje retrop\u00fabico requiere incisiones tanto perineales como abdominales, y los brazos del cabestrillo se pasan desde el perin\u00e9 hasta la regi\u00f3n suprap\u00fabica.<sup class=\"citation\">3<\/sup><\/p>\n    \n    <p>Los resultados esperados incluyen una reducci\u00f3n significativa del uso diario de compresas y una mejor calidad de vida, con tasas de \u00e9xito del 60-70% en la mayor\u00eda de los estudios.<sup class=\"citation\">1,5<\/sup> La posibilidad de ajuste permite modificar la tensi\u00f3n en el postoperatorio para optimizar los resultados de continencia sin necesidad de retirar o sustituir por completo el dispositivo.<sup class=\"citation\">2<\/sup> La recuperaci\u00f3n suele implicar 4-6 semanas de restricci\u00f3n de la actividad f\u00edsica, y los pacientes pueden orinar de forma espont\u00e1nea tras la retirada de la sonda.<sup class=\"citation\">4<\/sup> Aunque los antecedentes de radioterapia no constituyen una contraindicaci\u00f3n absoluta, pueden asociarse a tasas de \u00e9xito m\u00e1s bajas.<sup class=\"citation\">5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":86},"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>Readjustable Male Sling<\/title>\n<meta name=\"description\" content=\"El cabestrillo masculino reajustable es un implante para tratar la 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