{"id":12194,"date":"2025-08-01T12:41:56","date_gmt":"2025-08-01T16:41:56","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/perineal-prostatectomy\/"},"modified":"2025-08-01T12:41:56","modified_gmt":"2025-08-01T16:41:56","slug":"prostatectomia-perineal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/prostatectomia-perineal\/","title":{"rendered":"Prostatectom\u00eda Perineal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12194","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>La prostatectom\u00eda perineal es un procedimiento quir\u00fargico en el que se extirpa la gl\u00e1ndula prost\u00e1tica a trav\u00e9s de una incisi\u00f3n realizada en el perineo (el \u00e1rea entre el escroto y el recto).<sup>1<\/sup> Este abordaje se puede realizar como un procedimiento radical, donde se extirpa toda la pr\u00f3stata y parte del tejido circundante, incluidas las ves\u00edculas seminales (gl\u00e1ndulas que ayudan a producir semen).<sup>2<\/sup> Durante Durante el procedimiento, el cirujano accede a la pr\u00f3stata a trav\u00e9s de una peque\u00f1a incisi\u00f3n, la separa de las estructuras circundantes y la extirpa preservando los nervios y vasos sangu\u00edneos cr\u00edticos cuando sea posible.<sup>3<\/sup> Luego se vuelve a unir la vejiga a la uretra y se coloca un cat\u00e9ter para drenar la orina durante la curaci\u00f3n.<sup>4<\/sup> Esta t\u00e9cnica se usa principalmente para tratar el c\u00e1ncer de pr\u00f3stata localizado y ofrece ventajas espec\u00edficas que incluyen una menor p\u00e9rdida de sangre y una operaci\u00f3n m\u00e1s corta. tiempo y excelente acceso al \u00e1pice prost\u00e1tico y a los haces neurovasculares.<sup>5<\/sup><\/p>","gt-synonyms":"Prostatectom\u00eda radical perineal (PRP), procedimiento de joven, prostatectom\u00eda por abordaje perineal, prostatectom\u00eda perineal m\u00ednimamente invasiva","gt-citation":"[1] Wro\u0144ski S. Radical perineal prostatectomy \u2013 the contemporary resurgence of a genuinely minimally invasive procedure: Procedure outline. Comparison of the advantages, disadvantages, and outcomes of different surgical techniques of treating organ-confined prostate cancer (PCa). A literature review with special focus on perineal prostatectomy. Cent European J Urol. 2012;65(4):188-194. DOI: 10.5173\/ceju.2012.04.art2\n\n[2] National Cancer Institute. Definition of radical perineal prostatectomy - NCI Dictionary of Cancer Terms. https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/radical-perineal-prostatectomy\n\n[3] Leung AC, Melman A. Radical Perineal Prostatectomy: A More Optimal Treatment Approach Than Laparoscopic Radical Prostatectomy in Obese Patients? Rev Urol. 2005;7(1):48-52. PMID: 16985806","gt-clinical-context":"<p>La prostatectom\u00eda perineal est\u00e1 indicada principalmente para el tratamiento del c\u00e1ncer de pr\u00f3stata localizado que no se ha diseminado m\u00e1s all\u00e1 de la gl\u00e1ndula prost\u00e1tica.<sup>1<\/sup> Los criterios de selecci\u00f3n de pacientes generalmente incluyen aquellos con enfermedad confinada al \u00f3rgano, una esperanza de vida de al menos 10 a\u00f1os y un buen estado de salud general.<sup>2<\/sup> El procedimiento es particularmente ventajoso para pacientes obesos, ya que el abordaje perineal proporciona acceso directo a la pr\u00f3stata independientemente del tama\u00f1o abdominal y para pacientes con cirug\u00edas abdominales previas donde otros enfoques podr\u00edan ser desafiantes.<sup>3<\/sup><\/p>\n    \n    <p>El procedimiento quir\u00fargico implica colocar al paciente en una posici\u00f3n de litotom\u00eda exagerada con la pelvis elevada y las caderas rotadas hacia afuera.<sup>1<\/sup> Se utiliza un retractor Lowsley curvo para llevar la pr\u00f3stata al plano perineal, facilitando el acceso.<sup>1<\/sup> Para preservar los nervios, se realiza una incisi\u00f3n y separaci\u00f3n cuidadosa en la fascia de Denonvillier. junto con los haces neurovasculares para preservar la funci\u00f3n er\u00e9ctil cuando sea oncol\u00f3gico apropiado.<sup>1<\/sup><\/p>\n    \n    <p>Los resultados esperados incluyen un control del c\u00e1ncer comparable a otros enfoques quir\u00fargicos, con tasas de continencia del 93-95 % y tasas de potencia que oscilan entre el 41-77 % dependiendo del estado preoperatorio y la t\u00e9cnica de preservaci\u00f3n de los nervios.<sup>3<\/sup> El procedimiento generalmente resulta en estad\u00edas hospitalarias m\u00e1s cortas (a menudo, alta al segundo d\u00eda postoperatorio), reducci\u00f3n de la p\u00e9rdida de sangre y requisitos m\u00ednimos de manejo del dolor en comparaci\u00f3n con otros abordajes.<sup>4<\/sup> Las complicaciones potenciales incluyen incontinencia urinaria, disfunci\u00f3n er\u00e9ctil, m\u00e1rgenes quir\u00fargicos positivos (particularmente en la superficie anterior y el cuello de la vejiga) y riesgos quir\u00fargicos est\u00e1ndar.<sup>5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":48},"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>Prostatectom\u00eda Perineal<\/title>\n<meta name=\"description\" content=\"La prostatectom\u00eda perineal extirpa la pr\u00f3stata a trav\u00e9s de una incisi\u00f3n entre el escroto y el recto, lo que ofrece una menor p\u00e9rdida de sangre y una...\" \/>\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\/prostatectomia-perineal\/\" \/>\n<meta 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