{"id":32195,"date":"2026-09-03T18:14:00","date_gmt":"2026-09-03T22:14:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32195"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"isquemia-del-glande","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/isquemia-del-glande\/","title":{"rendered":"Isquemia del glande"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105],"class_list":["post-32195","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 isquemia del glande es una complicaci\u00f3n posoperatoria poco frecuente que se caracteriza por un flujo sangu\u00edneo insuficiente en la punta del pene (glande) tras una cirug\u00eda de implante de pene u otros procedimientos en el pene.<sup>1<\/sup> Esta afecci\u00f3n afecta a todo el glande, con un cambio de color uniforme y bien delimitado entre la corona y el cuerpo del pene, y se debe a un compromiso de la irrigaci\u00f3n vascular.<sup>2<\/sup> La isquemia puede ir desde un compromiso vascular leve y reversible hasta casos graves que pueden progresar a necrosis y p\u00e9rdida de tejido si no se tratan con prontitud.<sup>3<\/sup> La exploraci\u00f3n f\u00edsica suele mostrar un aspecto oscuro (viol\u00e1ceo) o p\u00e1lido del glande, a menudo acompa\u00f1ado de dolor en la punta del pene, aunque la sensibilidad puede mantenerse en las fases iniciales.<sup>4<\/sup><\/p>","gt-synonyms":"Isquemia post-IPP, necrosis del glande, isquemia del glande peneano, isquemia de glande posprot\u00e9sica, isquemia peneana distal tras implantaci\u00f3n","gt-citation":"[1] Hebert KJ, Kohler TS. Glans ischemia following inflatable penile prosthesis surgery. Transl Androl Urol. 2020 Apr;9(2):824-827. DOI: 10.21037\/tau.2020.01.04\n\n[2] Garc\u00eda G\u00f3mez B, Romero Otero J, D\u00edez Sicilia L, Jim\u00e9nez Alcaide E, Garc\u00eda-Cruz E, Rodr\u00edguez Antol\u00edn A. Ischemic Gangrene of the Glans following Penile Prosthesis Implantation. Case Rep Urol. 2013;2013:323574. DOI: 10.1155\/2013\/323574\n\n[3] Wilson SK, Mora-Estaves C, Egydio P, Ralph D, Habous M, Love C, et al. Glans Necrosis Following Penile Prosthesis Implantation: Prevention and Treatment Suggestions. Urology. 2017 Sep;107:144-148. DOI: 10.1016\/j.urology.2017.06.020. PMID: 28648967\n\n[4] Hebert K, Kohler TS. Acute Post-Inflatable Penile Prosthesis Glans Ischemia: Review of Incidence, Pathophysiology, and Management Recommendations. J Sex Med. 2019 Jan;16(1):1-4. DOI: 10.1016\/j.jsxm.2018.10.017. PMID: 30509507","gt-clinical-context":"<p>La isquemia del glande se observa principalmente como complicaci\u00f3n tras la cirug\u00eda de pr\u00f3tesis de pene inflable (IPP) por disfunci\u00f3n er\u00e9ctil, aunque tambi\u00e9n puede producirse despu\u00e9s de otros procedimientos en el pene.<sup>1<\/sup> Esta afecci\u00f3n es extremadamente rara, con menos de veinti\u00fan casos documentados en la literatura m\u00e9dica.<sup>2<\/sup> Los factores de riesgo incluyen la diabetes mellitus (que ha sido un denominador com\u00fan en los casos notificados), los antecedentes de tabaquismo, la enfermedad vascular perif\u00e9rica y el tratamiento anticoagulante.<sup>3<\/sup><\/p>\n    \n    <p>El diagn\u00f3stico es principalmente cl\u00ednico y se basa en los hallazgos de la exploraci\u00f3n f\u00edsica de un glande oscuro (viol\u00e1ceo) o p\u00e1lido con un cambio de color bien delimitado a la altura de la corona.<sup>4<\/sup> La ecograf\u00eda Doppler puede utilizarse para confirmar la ausencia de vascularizaci\u00f3n en la zona afectada.<sup>2<\/sup> Los protocolos de tratamiento var\u00edan seg\u00fan la gravedad, pero el reconocimiento precoz es fundamental. En los casos leves, las medidas conservadoras pueden incluir el desinflado del dispositivo, la retirada de los ap\u00f3sitos compresivos y las intervenciones farmacol\u00f3gicas para mejorar el flujo sangu\u00edneo.<sup>1<\/sup><\/p>\n    \n    <p>En los casos en que no se observa una mejor\u00eda sustancial en un plazo de 24 horas, se recomienda la explantaci\u00f3n urgente del dispositivo para evitar la p\u00e9rdida de tejido del glande.<sup>1<\/sup> En los casos graves que progresan a necrosis es necesario el desbridamiento quir\u00fargico del tejido necr\u00f3tico, a menudo seguido de la retirada del dispositivo.<sup>2<\/sup> El pron\u00f3stico suele ser favorable con una intervenci\u00f3n precoz: la mayor\u00eda de los pacientes muestran una mejor\u00eda gradual de la viabilidad del glande y una revascularizaci\u00f3n completa en pocas semanas con un tratamiento adecuado.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":26},"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>Isquemia del glande: complicaci\u00f3n en pr\u00f3tesis de pene<\/title>\n<meta name=\"description\" content=\"La isquemia del glande es una complicaci\u00f3n rara por flujo sangu\u00edneo reducido tras el implante de pene que requiere un manejo cl\u00ednico urgente.\" \/>\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\/isquemia-del-glande\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Isquemia del glande: complicaci\u00f3n en pr\u00f3tesis de pene\" 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