{"id":32151,"date":"2026-09-07T19:03:00","date_gmt":"2026-09-07T23:03:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32151"},"modified":"2026-09-08T06:18:00","modified_gmt":"2026-09-08T10:18:00","slug":"cabestrillo-masculino-retropubico","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/cabestrillo-masculino-retropubico\/","title":{"rendered":"Cabestrillo masculino retrop\u00fabico"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[106],"glossary-product":[108,107],"class_list":["post-32151","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-male-stress-urinary-incontinence","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>Un cabestrillo masculino retrop\u00fabico es un dispositivo quir\u00fargico m\u00ednimamente invasivo dise\u00f1ado para tratar la incontinencia urinaria de esfuerzo (SUI) masculina proporcionando soporte a la uretra bulbar.<sup>1<\/sup> El cabestrillo se coloca debajo de la uretra bulbar anterior mediante un abordaje retrop\u00fabico, pasando por detr\u00e1s del hueso p\u00fabico.<sup>2<\/sup> Esta colocaci\u00f3n crea una estructura de soporte similar a una hamaca que ejerce compresi\u00f3n sobre la uretra bulbar, reposicionando eficazmente la uretra proximal y aline\u00e1ndola con el complejo del esf\u00ednter uretral.<sup>3<\/sup> Al reforzar el soporte uretral, el cabestrillo previene las fugas durante actividades que aumentan la presi\u00f3n intraabdominal, como toser, estornudar o levantar peso.<sup>4<\/sup> El prop\u00f3sito principal de este procedimiento es restaurar la continencia en varones que experimentan incontinencia urinaria de esfuerzo leve a moderada, particularmente tras una cirug\u00eda de pr\u00f3stata.<sup>5<\/sup><\/p>\n","gt-synonyms":"Cabestrillo uretral masculino, Cabestrillo uretral retrop\u00fabico, Cabestrillo suburetral masculino, Cabestrillo suburetral retrop\u00fabico, Cabestrillo masculino pubovaginal, Cabestrillo masculino para incontinencia, Sistema de soporte uretral masculino retrop\u00fabico","gt-citation":"[1] Harrison WJ, Leslie SW, Desai D. Slings for Male Incontinence. StatPearls [Internet]. 2024 Jan. DOI: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK599557\/\n\n[2] Inouye BM, Premo HA, Weil D, Peterson AC. The male sling for stress urinary incontinence: tips and tricks for success. Int Braz J Urol. 2021 Feb 28;47(6):1131-1135. DOI: 10.1590\/S1677-5538.IBJU.2020.1122\n\n[3] Comiter CV. The male sling for stress urinary incontinence: a prospective study. J Urol. 2002 Feb;167(2 Pt 1):597-601. DOI: 10.1016\/s0022-5347(01)69088-8\n\n[4] Chung E. Contemporary male slings for stress urinary incontinence. Ther Adv Urol. 2023;15:17562872231187199. DOI: 10.1177\/17562872231187199\n\n[5] Kretschmer A, H\u00fcbner W, Sandhu JS, Bauer RM. Evaluation and Management of Postprostatectomy Incontinence: A Systematic Review of Current Literature. Eur Urol Focus. 2016 Jun;2(3):245-259. DOI: 10.1016\/j.euf.2016.01.002","gt-clinical-context":"<p>El cabestrillo masculino retrop\u00fabico est\u00e1 indicado principalmente para varones con incontinencia urinaria de esfuerzo (SUI) leve a moderada, definida t\u00edpicamente como el uso de 0 a 2 compresas al d\u00eda o un peso total de compresa inferior a 500 gramos en 24 horas.<sup>1<\/sup> Algunos expertos sugieren un peso de compresa en 24 horas de 150 gramos o menos como valor de corte indicativo para la colocaci\u00f3n de un cabestrillo uretral.<sup>2<\/sup> La causa m\u00e1s com\u00fan de SUI masculina es la prostatectom\u00eda radical, que afecta aproximadamente al 5-10 % de los hombres de 65 a\u00f1os o m\u00e1s, llegando hasta un 60 % de varones que experimentan alg\u00fan grado de incontinencia urinaria tras la prostatectom\u00eda.<sup>3<\/sup><\/p>\n<p>La selecci\u00f3n de pacientes es crucial para obtener resultados \u00f3ptimos. Los candidatos ideales deben demostrar cierto grado de funci\u00f3n esfinteriana voluntaria residual, que puede evaluarse endosc\u00f3picamente durante una cistoscopia con el paciente despierto o mediante estudios urodin\u00e1micos.<sup>4<\/sup> Los pacientes deben generar suficiente presi\u00f3n vesical para vencer la resistencia uretral que produce el cabestrillo.<sup>5<\/sup> Una presi\u00f3n de fuga al Valsalva (VLPP) superior a 60cmH\u2082O se asocia con tasas de \u00e9xito m\u00e1s altas, y algunos estudios sugieren que una VLPP superior a 100cmH\u2082O se correlaciona con resultados a\u00fan mejores.<sup>6<\/sup><\/p>\n<p>El abordaje retrop\u00fabico para la inserci\u00f3n del cabestrillo masculino emplea incisiones tanto perineales como abdominales.<sup>7<\/sup> El procedimiento consiste en colocar el cabestrillo debajo de la uretra bulbar y anclarlo a la fascia de los rectos o al hueso p\u00fabico, creando una tensi\u00f3n que comprime y eleva la uretra.<sup>8<\/sup> Este cambio anat\u00f3mico alarga la uretra membranosa funcional de una media de 3mm a 17.2mm, lo que contribuye a mejorar la continencia.<sup>9<\/sup><\/p>\n<p>Las tasas de \u00e9xito del cabestrillo masculino retrop\u00fabico oscilan entre el 70 % y el 90 % en pacientes adecuadamente seleccionados, y la mayor\u00eda de los estudios notifican mejoras significativas en la calidad de vida.<sup>10<\/sup> Sin embargo, los antecedentes de radioterapia p\u00e9lvica se asocian con tasas de \u00e9xito m\u00e1s bajas y muchos cirujanos los consideran una contraindicaci\u00f3n relativa.<sup>11<\/sup> Otras contraindicaciones relativas incluyen la inestabilidad del detrusor, infecci\u00f3n activa del tracto urinario, obstrucci\u00f3n del tracto de salida vesical, baja capacidad vesical, estenosis uretrales recurrentes y vol\u00famenes elevados de orina residual posmiccional.<sup>12<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cabestrillo masculino retrop\u00fabico: manejo de la SUI<\/title>\n<meta name=\"description\" content=\"El cabestrillo masculino retrop\u00fabico es un tratamiento quir\u00fargico para la incontinencia urinaria de esfuerzo que proporciona un soporte uretral eficaz.\" \/>\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\/cabestrillo-masculino-retropubico\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cabestrillo masculino retrop\u00fabico: manejo de 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