{"id":32490,"date":"2026-09-10T18:28:00","date_gmt":"2026-09-10T22:28:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32490"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"manguito-en-tandem","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/manguito-en-tandem\/","title":{"rendered":"Manguito en t\u00e1ndem"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-32490","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>Un manguito en t\u00e1ndem es una configuraci\u00f3n quir\u00fargica en la que se colocan dos manguitos de esf\u00ednter urinario artificial (EUA) en serie alrededor de la uretra para mejorar la continencia en pacientes con incontinencia urinaria de esfuerzo, sobre todo en los casos en los que un \u00fanico manguito ha fracasado debido a atrofia uretral o cuando existe un riesgo elevado de erosi\u00f3n o infecci\u00f3n.<sup>1<\/sup> <sup>2<\/sup> Esta t\u00e9cnica consiste en colocar un segundo manguito uretral en posici\u00f3n proximal o distal (normalmente a 1-2 cm de distancia) respecto a un manguito existente, de modo que ambos manguitos quedan conectados a un \u00fanico bal\u00f3n regulador de presi\u00f3n y a una \u00fanica bomba de control mediante un adaptador en forma de Y.<sup>3<\/sup> <sup>4<\/sup> La configuraci\u00f3n en t\u00e1ndem tiene como objetivo proporcionar una compresi\u00f3n circunferencial adicional de la uretra, lo que potencia el efecto oclusivo y mejora los resultados de continencia en los casos complejos.<sup>5<\/sup><\/p>","gt-synonyms":"Esf\u00ednter urinario artificial de doble manguito, esf\u00ednter urinario artificial en t\u00e1ndem, AUS de doble manguito, manguito de esf\u00ednter urinario artificial transcorporal en t\u00e1ndem, colocaci\u00f3n secuencial de manguitos","gt-citation":"[1] DiMarco DS, Elliott DS. Tandem cuff artificial urinary sphincter as a salvage procedure following failed primary sphincter placement for the treatment of post-prostatectomy incontinence. J Urol. 2003 Oct;170(4 Pt 1):1252-4. DOI: 10.1097\/01.ju.0000085787.21140.db\n\n[2] Magera JS Jr, Elliott DS. Tandem transcorporal artificial urinary sphincter cuff salvage technique: surgical description and results. J Urol. 2007 Mar;177(3):1015-9. DOI: 10.1016\/j.juro.2006.10.052\n\n[3] Manka MG, Wright EJ. Does Use of a Second Cuff Improve Artificial Urinary Sphincter Effectiveness? Evaluation Using a Comparative Cadaver Model. J Urol. 2015 Dec;194(6):1688-91. DOI: 10.1016\/j.juro.2015.06.102\n\n[4] Linder BJ, Piotrowski JT, Ziegelmann MJ, Rivera ME, Rangel LJ, Elliott DS. Artificial urinary sphincter revision for urethral atrophy: comparing single cuff downsizing and tandem cuff placement. Int Braz J Urol. 2017 Mar-Apr;43(2):264-270. DOI: 10.1590\/S1677-5538.IBJU.2016.0240\n\n[5] Pearlman AM, Rasper AM, Terlecki RP. Proof of concept: Exposing the myth of urethral atrophy after artificial urinary sphincter via assessment of circumferential recovery after capsulotomy and intraoperative pressure profiling of the pressure regulating balloon. Investig Clin Urol. 2018 Jul;59(4):275-279. DOI: 10.4111\/icu.2018.59.4.275. PMID: 29984343","gt-clinical-context":"<p>La configuraci\u00f3n de manguito en t\u00e1ndem se utiliza principalmente como procedimiento de rescate en pacientes que han presentado una incontinencia urinaria de esfuerzo recurrente tras la colocaci\u00f3n primaria de un esf\u00ednter urinario artificial.<sup>1<\/sup> Esta situaci\u00f3n cl\u00ednica se debe con mayor frecuencia a la atrofia uretral, que se produce cuando la compresi\u00f3n circunferencial constante del cuerpo esponjoso por el EUA provoca un adelgazamiento del tejido con el tiempo.<sup>4<\/sup><\/p>\n\n    <p>Los criterios de selecci\u00f3n de pacientes para la colocaci\u00f3n de un manguito en t\u00e1ndem incluyen:<\/p>\n    <ul>\n        <li>Pacientes con incontinencia urinaria de esfuerzo tras prostatectom\u00eda en los que ha fracasado la colocaci\u00f3n primaria del EUA<sup>5<\/sup><\/li>\n        <li>Pacientes con atrofia uretral confirmada (identificada en la cistoscopia como coaptaci\u00f3n uretral incompleta durante el ciclado del dispositivo)<sup>4<\/sup><\/li>\n        <li>Pacientes con incontinencia persistente a pesar de un volumen de l\u00edquido adecuado en el sistema del EUA<sup>5<\/sup><\/li>\n        <li>Casos con riesgo elevado de nueva erosi\u00f3n o infecci\u00f3n tras el fracaso de la colocaci\u00f3n de un EUA<sup>2<\/sup><\/li>\n    <\/ul>\n\n    <p>El proceso de implantaci\u00f3n quir\u00fargica consiste en colocar un segundo manguito aproximadamente 1-2 cm en posici\u00f3n distal o proximal respecto al manguito existente.<sup>4<\/sup> Se utiliza un adaptador en forma de Y para conectar el tubo de la bomba a ambos manguitos, y se a\u00f1ade l\u00edquido adicional (1-3 cc) al sistema para compensar el volumen retenido en el segundo manguito.<sup>4<\/sup> En los casos con tejidos uretrales gravemente atr\u00f3ficos (medida &lt;3,5 cm), estrechamiento uretral distal o planos de disecci\u00f3n dif\u00edciles (p. ej., en pacientes con radioterapia p\u00e9lvica previa o colocaci\u00f3n previa de un cabestrillo uretral), puede utilizarse un abordaje transcorp\u00f3reo.<sup>2<\/sup><\/p>\n\n    <p>Los resultados cl\u00ednicos tras la colocaci\u00f3n de un manguito en t\u00e1ndem muestran una mejora significativa de la continencia. Los estudios describen una disminuci\u00f3n del uso diario de compresas de una mediana de 5,0 a 2,0 compresas (p&lt;0,001),<sup>2<\/sup> de modo que el 56% de los pacientes necesitan 1 compresa diaria o menos<sup>1<\/sup> y el 69% necesitan 2 compresas diarias o menos.<sup>2<\/sup> La satisfacci\u00f3n de los pacientes suele ser alta: entre el 88 y el 94% de los pacientes afirman que volver\u00edan a someterse al procedimiento o que lo recomendar\u00edan a otras personas.<sup>1<\/sup> No obstante, entre las complicaciones pueden figurar la erosi\u00f3n del manguito (aproximadamente el 11%) y la infecci\u00f3n del dispositivo, y los resultados pueden ser menos duraderos en los pacientes que reciben terapia de privaci\u00f3n androg\u00e9nica.<sup>2<\/sup> <sup>3<\/sup> La tasa de supervivencia del dispositivo a 3 a\u00f1os es de aproximadamente el 76%, comparable a la de los procedimientos de reducci\u00f3n del tama\u00f1o de un manguito \u00fanico.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":18},"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>Manguito en t\u00e1ndem: doble AUS para la continencia urinaria<\/title>\n<meta name=\"description\" content=\"El manguito en t\u00e1ndem utiliza dos manguitos de esf\u00ednter urinario artificial en serie para restaurar la continencia urinaria de esfuerzo.\" \/>\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\/manguito-en-tandem\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manguito en t\u00e1ndem: doble AUS para la continencia urinaria\" \/>\n<meta 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