{"id":32214,"date":"2026-09-09T18:21:00","date_gmt":"2026-09-09T22:21:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32214"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"necrosis-del-glande","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/necrosis-del-glande\/","title":{"rendered":"Necrosis del glande"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[127],"glossary-product":[104],"class_list":["post-32214","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-complications","glossary-product-infla10-pulse-ipp-series"],"acf":{"gt-definition":"<p>La necrosis del glande se refiere a la muerte del tejido del glande, una complicaci\u00f3n rara pero catastr\u00f3fica que se produce por la interrupci\u00f3n de la circulaci\u00f3n sangu\u00ednea del glande (arterias dorsales y ramas terminales de las arterias esponjosas)<sup>1<\/sup>. Esta afecci\u00f3n puede aparecer tras cirug\u00edas del pene, como la circuncisi\u00f3n, la implantaci\u00f3n de una pr\u00f3tesis de pene o los procedimientos de alargamiento del pene<sup>2<\/sup>. Tambi\u00e9n puede producirse de forma secundaria a afecciones m\u00e9dicas como la diabetes mellitus, la enfermedad cardiovascular ateroscler\u00f3tica grave y el s\u00edndrome antifosfolip\u00eddico<sup>3<\/sup>. El proceso necr\u00f3tico suele manifestarse con un aspecto alterado de la coloraci\u00f3n del glande, un relleno capilar ausente o disminuido y la formaci\u00f3n de ampollas<sup>4<\/sup>. Sin una intervenci\u00f3n r\u00e1pida, la necrosis del glande puede provocar una p\u00e9rdida permanente de tejido, complicaciones uretrales y una repercusi\u00f3n funcional y psicol\u00f3gica significativa<sup>5<\/sup>.<\/p>","gt-synonyms":"Necrosis glandular peneana, gangrena isqu\u00e9mica del glande, isquemia aguda del glande, gangrena seca del pene, necrosis de la punta del pene, isquemia del glande","gt-citation":"[1] Truong MH, Ngo TQ, Vu TD. Penile Glans Necrosis Associated With Antiphospholipid Syndrome: A Rare Complication. Cureus. 2023;15(6):e39999. DOI: 10.7759\/cureus.39999\n\n[2] Arikan Y, Ayten A. Management of Post-Circumcision Glans\/Penile Necrosis. In: Male Reproductive Anatomy. IntechOpen. 2022. DOI: 10.5772\/intechopen.98642\n\n[3] Sato Y, Otsubo H, Yanagibayashi S, et al. Long\u2010term follow\u2010up of penile glans necrosis due to paraphimosis. IJU Case Reports. 2019;2(6):316-319. DOI: 10.1002\/iju5.12064\n\n[4] Cayetano-Alcaraz AA, Yassin M, Desai A, et al. Penile implant surgery-managing complications. Fac Rev. 2021;10:73. DOI: 10.12703\/r\/10-73\n\n[5] Wilson SK, Mora-Estaves C, Egydio P, et al. Glans Necrosis Following Penile Prosthesis Implantation: Prevention and Treatment Suggestions. Urology. 2017;107:144-148. DOI: 10.1016\/j.urology.2017.06.020. PMID: 28648967","gt-clinical-context":"<p>La necrosis del glande se observa principalmente en la pr\u00e1ctica urol\u00f3gica tras intervenciones quir\u00fargicas o en pacientes con comorbilidades vasculares significativas<sup>1<\/sup>. Los criterios de selecci\u00f3n de pacientes para el tratamiento quir\u00fargico incluyen la evaluaci\u00f3n de los factores de riesgo vascular, como la diabetes mellitus, el tabaquismo y los antecedentes de enfermedad cardiovascular<sup>2<\/sup>. En los casos de implantaci\u00f3n de una pr\u00f3tesis de pene, los pacientes con factores de riesgo preoperatorios deben evitar maniobras quir\u00fargicas complementarias de alto riesgo<sup>3<\/sup>. El diagn\u00f3stico es principalmente cl\u00ednico, y la ecograf\u00eda Doppler aporta una valoraci\u00f3n \u00fatil del grado de isquemia<sup>4<\/sup>. Los enfoques terap\u00e9uticos var\u00edan seg\u00fan la gravedad e incluyen la retirada inmediata de la pr\u00f3tesis (si procede), intervenciones farmacol\u00f3gicas (pentoxifilina, enoxaparina, corticoesteroides), oxigenoterapia hiperb\u00e1rica y desbridamiento quir\u00fargico con reconstrucci\u00f3n<sup>5<\/sup>. La intervenci\u00f3n precoz es fundamental, ya que el retraso del tratamiento suele provocar la p\u00e9rdida completa del glande. El tratamiento conservador ha tenido \u00e9xito en casos seleccionados, en particular con pentoxifilina y aplicaciones t\u00f3picas de testosterona<sup>2<\/sup>. La cirug\u00eda reconstructiva puede requerir varias etapas, pero puede restablecer tanto la funci\u00f3n urinaria como la er\u00e9ctil en muchos pacientes<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>Necrosis del glande: causas, diagn\u00f3stico y tratamiento<\/title>\n<meta name=\"description\" content=\"La necrosis del glande es la muerte tisular tras cirug\u00eda o patolog\u00eda vascular, requiriendo atenci\u00f3n urgente para evitar secuelas permanentes.\" \/>\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\/necrosis-del-glande\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta 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