{"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":"2026-09-11T06:08:00","modified_gmt":"2026-09-11T10:08:00","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 (AUS) en serie alrededor de la uretra para mejorar la continencia en pacientes con incontinencia urinaria de esfuerzo, especialmente en casos en los que un solo manguito ha fallado debido a atrofia uretral o cuando existe un alto riesgo de erosi\u00f3n o infecci\u00f3n.<sup>1<\/sup> <sup>2<\/sup> Esta t\u00e9cnica implica la colocaci\u00f3n de un segundo manguito uretral proximal o distal (normalmente a 1-2cm de distancia) respecto al manguito existente, conectando ambos manguitos a un \u00fanico bal\u00f3n regulador de presi\u00f3n y a una bomba de control mediante un adaptador en 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, potenciando as\u00ed el efecto oclusivo y mejorando los resultados de continencia en casos complejos.<sup>5<\/sup><\/p>\n","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. Exposing the myth of urethral atrophy after artificial urinary sphincter: Comparative analysis of AUS outcomes based on surgical approach and time. Int Neurourol J. 2018 Sep;22(3):275-281. DOI: 10.4111\/icu.2018.59.4.275","gt-clinical-context":"<p>La configuraci\u00f3n de manguito en t\u00e1ndem se utiliza principalmente como procedimiento de rescate en pacientes que han experimentado incontinencia urinaria de esfuerzo recurrente tras la colocaci\u00f3n primaria de un esf\u00ednter urinario artificial.<sup>1<\/sup> Este escenario cl\u00ednico ocurre m\u00e1s frecuentemente debido a la atrofia uretral, que se desarrolla cuando la compresi\u00f3n circunferencial constante del cuerpo esponjoso por parte del AUS provoca un adelgazamiento del tejido a lo largo del tiempo.<sup>4<\/sup><\/p>\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 postprostatectom\u00eda en los que ha fracasado la colocaci\u00f3n primaria de un AUS<sup>5<\/sup><\/li>\n<li>Pacientes con atrofia uretral confirmada (identificada durante la cistoscopia como una coaptaci\u00f3n uretral incompleta al ciclar el dispositivo)<sup>4<\/sup><\/li>\n<li>Pacientes con incontinencia persistente a pesar de un volumen de l\u00edquido adecuado en el sistema del AUS<sup>5<\/sup><\/li>\n<li>Casos con alto riesgo de erosi\u00f3n o infecci\u00f3n recurrente tras el fracaso del AUS<sup>2<\/sup><\/li>\n<\/ul>\n<p>El proceso de implantaci\u00f3n quir\u00fargica implica colocar un segundo manguito aproximadamente a 1-2cm distal o proximal respecto al manguito existente.<sup>4<\/sup> Se utiliza un adaptador en Y para conectar el tubo de la bomba a ambos manguitos y se a\u00f1ade l\u00edquido adicional (1-3cc) al sistema para compensar el volumen secuestrado en el segundo manguito.<sup>4<\/sup> En casos con tejidos uretrales gravemente atr\u00f3ficos (medici\u00f3n &lt;3.5cm), adelgazamiento uretral distal o planos de disecci\u00f3n dif\u00edciles (p. ej., en pacientes con radioterapia p\u00e9lvica previa o colocaci\u00f3n de cabestrillo uretral), se puede emplear un abordaje transcorporal.<sup>2<\/sup><\/p>\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 informan de una disminuci\u00f3n en el uso diario de compresas de una mediana de 5,0 a 2,0 compresas (p&lt;0.001),<sup>2<\/sup> con un 56-69% de pacientes que requieren 2 o menos compresas al d\u00eda.<sup>2<\/sup> La satisfacci\u00f3n de los pacientes suele ser alta, y el 88-94% de ellos afirma que volver\u00eda a someterse al procedimiento o lo recomendar\u00eda a otros.<sup>1<\/sup> Sin embargo, las complicaciones pueden incluir erosi\u00f3n del manguito (aproximadamente un 11%) e infecci\u00f3n del dispositivo, especialmente en pacientes que reciben terapia de privaci\u00f3n androg\u00e9nica.<sup>2<\/sup> <sup>3<\/sup> La tasa de supervivencia del dispositivo a los 3 a\u00f1os es de aproximadamente el 76%, comparable a los procedimientos de reducci\u00f3n de tama\u00f1o de un manguito \u00fanico.<sup>4<\/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 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