{"id":12172,"date":"2025-08-06T10:17:03","date_gmt":"2025-08-06T14:17:03","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/corporal-crossover\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"cruce-corporal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/cruce-corporal\/","title":{"rendered":"Cruce Corporal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105],"class_list":["post-12172","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>El cruce corporal (crossover) es una complicaci\u00f3n intraoperatoria o posoperatoria del implante de pr\u00f3tesis de pene en la que un cilindro prot\u00e9sico pasa de forma inadvertida de un cuerpo cavernoso al otro a trav\u00e9s de una perforaci\u00f3n o fenestraci\u00f3n del septo intercavernoso<sup>1<\/sup>. Esta complicaci\u00f3n se produce cuando el dilatador, el instrumento de Furlow o el cilindro prot\u00e9sico atraviesan la pared septal durante la dilataci\u00f3n de los cuerpos cavernosos o la colocaci\u00f3n del cilindro, creando una comunicaci\u00f3n an\u00f3mala entre las dos c\u00e1maras cavernosas<sup>2<\/sup>. La estructura fenestrada de la pared septal en sus porciones media y distal la hace especialmente vulnerable a la perforaci\u00f3n durante la instrumentaci\u00f3n<sup>3<\/sup>. Este cruce puede producirse en localizaciones proximales o distales dentro de los cuerpos cavernosos, y los cruces distales son los descritos con m\u00e1s frecuencia<sup>4<\/sup>. La afecci\u00f3n da lugar a una colocaci\u00f3n asim\u00e9trica de los cilindros, que puede causar deformidad, acortamiento y disfunci\u00f3n del pene si no se reconoce y corrige con prontitud<sup>5<\/sup>.<\/p>","gt-synonyms":"Cruce de cilindros, cruce prot\u00e9sico, perforaci\u00f3n septal con cruce, migraci\u00f3n de cilindros intercorporales, cruce de c\u00e1mara corporal","gt-citation":"[1] Wang C, Barreto Guimaraes PV, Raheem O, Kocjancic E. Reconstruction of Complex Midline Septal Corporal Defect in a Distal Crossover Penile Implant Cylinder: A Step-by-step Demonstration of Surgical Technique. J Sex Med. 2024;21(Supplement_1):qdae001.186. DOI: https:\/\/doi.org\/10.1093\/jsxmed\/qdae001.186\n\n[2] Antonini G, Busetto GM, Del Giudice F, et al. Distal Corporal Anchoring Stitch: A Technique to Address Distal Corporal Crossovers and Impending Lateral Extrusions of a Penile Prosthesis. J Sex Med. 2017;14(6):767-773. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2017.04.669\n\n[3] Raheem OA, Kalidoss S, Pomar HA, Suarez-Sarmiento A Jr, Perito P. Double distal corporal anchoring stitch for lateral penile implant cylinder extrusion. J Sex Med. 2024;21(10):967-970. DOI: https:\/\/doi.org\/10.1093\/jsxmed\/qdae100\n\n[4] Pearlman AM, Terlecki RP. Proximal Corporal Perforation During Penile Prosthesis Surgery: Prevention, Recognition, and Review of Historical and Novel Management Strategies. J Sex Med. 2018;15(7):1055-1060. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2018.04.635\n\n[5] Chung E, Solomon M, DeYoung L, Brock GB. Clinical outcomes and patient satisfaction rates among elderly male aged \u226575 years with inflatable penile prosthesis implant for medically refractory erectile dysfunction. World J Urol. 2014;32(1):173-177. DOI: https:\/\/doi.org\/10.1007\/s00345-013-1102-7. PMID: 23708698","gt-clinical-context":"<p>El cruce corporal se observa cl\u00ednicamente durante los procedimientos de implante de pr\u00f3tesis de pene inflable (PPI), sobre todo en pacientes con factores de riesgo espec\u00edficos<sup>1<\/sup>. La complicaci\u00f3n se observa con mayor frecuencia con los abordajes quir\u00fargicos infrap\u00fabico o subcoronal que con el abordaje penoescrotal<sup>2<\/sup>. Los factores de riesgo incluyen la fibrosis de los cuerpos cavernosos, la enfermedad de Peyronie, la radioterapia p\u00e9lvica previa y los errores t\u00e9cnicos quir\u00fargicos<sup>3<\/sup>.<\/p>\n\n<p>Durante la intervenci\u00f3n, puede sospecharse un cruce cuando hay una medici\u00f3n asim\u00e9trica de la longitud de los cuerpos cavernosos durante la \"prueba de la porter\u00eda\" (goal post test), dificultad para insertar el segundo cilindro o un \"tintineo\" audible de los instrumentos met\u00e1licos durante la dilataci\u00f3n<sup>4<\/sup>. Los signos cl\u00ednicos incluyen la posici\u00f3n desviada de la l\u00ednea media de la sonda uretral al activar la pr\u00f3tesis y un aspecto at\u00edpico del pene durante el inflado<sup>5<\/sup>.<\/p>\n\n<p>En el posoperatorio, los pacientes pueden presentar una curvatura dolorosa del pene hacia la izquierda o hacia la derecha durante las erecciones, un desinflado incompleto de la pr\u00f3tesis, un glande inclinado o un pene erecto asim\u00e9trico al inflar los cilindros<sup>1<\/sup>. El diagn\u00f3stico suele confirmarse mediante resonancia magn\u00e9tica (RM), que puede demostrar con claridad la posici\u00f3n an\u00f3mala del cilindro<sup>5<\/sup>.<\/p>\n\n<p>El tratamiento requiere una correcci\u00f3n quir\u00fargica mediante corporotom\u00eda, reconstrucci\u00f3n septal (a menudo con injertos biol\u00f3gicos como Tutoplast) y recolocaci\u00f3n del cilindro desplazado en el espacio cavernoso adecuado<sup>1<\/sup>. Entre las t\u00e9cnicas avanzadas se incluye el m\u00e9todo del punto de anclaje corporal distal, que ha mostrado excelentes resultados con complicaciones m\u00ednimas<sup>2<\/sup>. Las tasas de \u00e9xito de la correcci\u00f3n quir\u00fargica son altas cuando la realizan ur\u00f3logos con experiencia en pr\u00f3tesis, y la mayor\u00eda de los pacientes recuperan la funci\u00f3n er\u00e9ctil y el ciclado del dispositivo<sup>4<\/sup>.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":64},"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>Cruce Corporal: Penile Prosthesis Complication &amp; Treatment<\/title>\n<meta name=\"description\" content=\"El cruce corporal ocurre cuando los cilindros prot\u00e9sicos cruzan entre las c\u00e1maras del pene a trav\u00e9s de defectos del tabique durante la cirug\u00eda de implante.\" \/>\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\/cruce-corporal\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cruce Corporal - 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