{"id":32580,"date":"2026-09-10T18:42:00","date_gmt":"2026-09-10T22:42:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32580"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"manguito-transcorporeo","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/manguito-transcorporeo\/","title":{"rendered":"Manguito transcorp\u00f3reo"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[],"class_list":["post-32580","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices"],"acf":{"gt-definition":"<p>El manguito transcorp\u00f3reo es una t\u00e9cnica especializada de colocaci\u00f3n del manguito del esf\u00ednter urinario artificial (EUA) en la que el manguito se sit\u00faa a trav\u00e9s del cuerpo cavernoso en casos de revisi\u00f3n por incontinencia urinaria.<sup>1<\/sup> Este abordaje quir\u00fargico consiste en crear un t\u00fanel a trav\u00e9s de una parte de los cuerpos cavernosos para permitir la compresi\u00f3n circunferencial de la uretra evitando la disecci\u00f3n uretral posterior directa.<sup>2<\/sup> La t\u00e9cnica se describi\u00f3 por primera vez en 2002 como procedimiento de rescate para pacientes con uretras comprometidas, en particular aquellos con erosi\u00f3n uretral previa, radioterapia o uretroplastia.<sup>3<\/sup><\/p>\n\n<p>En la t\u00e9cnica transcorp\u00f3rea se realizan corporotom\u00edas bilaterales y el manguito se coloca alrededor de la uretra y de una parte de la t\u00fanica albug\u00ednea de los cuerpos cavernosos.<sup>4<\/sup> Esto aporta un volumen tisular adicional entre el manguito y la uretra, lo que ayuda a proteger la cara posterior de la uretra durante la disecci\u00f3n y puede reducir el riesgo de erosi\u00f3n posterior en pacientes de alto riesgo.<sup>5<\/sup> El procedimiento se utiliza principalmente en los casos en los que la colocaci\u00f3n est\u00e1ndar del manguito en la uretra bulbar resulta dif\u00edcil o est\u00e1 contraindicada debido a intervenciones quir\u00fargicas previas o a da\u00f1os tisulares.<sup>6<\/sup><\/p>","gt-synonyms":"Manguito TC, Manguito de AUS transcorporal, Manguito de esf\u00ednter urinario artificial transcorporal, Manguito transalbug\u00edneo, Manguito uretral transcorp\u00f3reo, T\u00e9cnica TC","gt-citation":"[1] Al Saffar H, Sandhu K, O'Brien JS, Wang QW, Kelly BD, Moon D. Complicated artificial urinary sphincter insertion using the transcorporal cuff: keys to the tunical flap technique. Transl Androl Urol. 2024;13(4). DOI: https:\/\/doi.org\/10.21037\/tau-23-641\n\n[2] Long EL, Petrossian A, Moncada I, Moore C, Slevin T, Ahyai S. Transcorporal artificial urinary sphincter in radiated and non-radiated compromised urethra. Assessment with a minimum 2 year follow-up. Int Braz J Urol. 2016;42(3):494-500. DOI: https:\/\/doi.org\/10.1590\/S1677-5538.IBJU.2015.0329\n\n[3] Maurer V, Dahlem R, Rosenbaum CM, Gild P, Vetterlein MW, Sch\u00fcttfort V, et al. Distal Double Cuff Vs Transcorporal Cuff as Salvage Options\u2014A Prospective Analysis of Different Artificial Urinary Sphincter (AMS 800) Implantation Sites. Urology. 2019 Nov;133:234-239. DOI: https:\/\/doi.org\/10.1016\/j.urology.2019.07.018. PMID: 31352019\n\n[4] Sacco E, Marino F, Gandi C, Bientinesi R, Totaro A, Moretto S, Gavi F, Campetella M, Racioppi M. Transalbugineal Artificial Urinary Sphincter: A Refined Implantation Technique to Improve Surgical Outcomes. J Clin Med. 2023;12(8):3021. DOI: https:\/\/doi.org\/10.3390\/jcm12083021\n\n[5] Davenport MT, Akhtar AM, Shakir NA, Baumgarten AS, Yi YA, Bergeson RL, Ward EE, Morey AF. Comparison of 3.5 cm and transcorporal cuffs in high-risk artificial urinary sphincter populations. Transl Androl Urol. 2020;9(1):62-66. DOI: https:\/\/doi.org\/10.21037\/tau.2019.09.33. PMID: 32055468\n\n[6] Guralnick ML, Miller E, Toh KL, Webster GD. Transcorporal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy. J Urol. 2002;167(5):2075-2078. DOI: https:\/\/doi.org\/10.1016\/S0022-5347(05)65088-4. PMID: 11956443","gt-clinical-context":"<p>El manguito transcorp\u00f3reo se utiliza principalmente en situaciones cl\u00ednicas espec\u00edficas de incontinencia urinaria de esfuerzo (IUE) masculina en las que la colocaci\u00f3n est\u00e1ndar de un esf\u00ednter urinario artificial (EUA) resulta dif\u00edcil o est\u00e1 contraindicada.<sup>1<\/sup> Estas situaciones incluyen:<\/p>\n\n<h3>1. Cirug\u00edas de revisi\u00f3n<\/h3>\n<p>En pacientes que han presentado una erosi\u00f3n previa del manguito del EUA o un fallo mec\u00e1nico que ha requerido la retirada y sustituci\u00f3n del dispositivo.<sup>2<\/sup> El abordaje transcorp\u00f3reo aporta un volumen tisular adicional entre el manguito y la uretra, lo que puede reducir el riesgo de erosi\u00f3n recurrente.<sup>3<\/sup><\/p>\n\n<h3>2. Uretras comprometidas<\/h3>\n<p>En pacientes con atrofia uretral, uretroplastia previa o da\u00f1o tisular inducido por radiaci\u00f3n, en los que la disecci\u00f3n est\u00e1ndar de la uretra bulbar puede resultar dif\u00edcil o peligrosa.<sup>4<\/sup> La t\u00e9cnica es especialmente valiosa en pacientes que han recibido radioterapia p\u00e9lvica, que puede provocar fibrosis tisular y una vascularizaci\u00f3n deficiente.<sup>5<\/sup><\/p>\n\n<h3>3. Procedimientos de rescate<\/h3>\n<p>Como opci\u00f3n de rescate cuando otros tratamientos de la incontinencia han fracasado, sobre todo en pacientes de alto riesgo con m\u00faltiples cirug\u00edas previas o radioterapia.<sup>6<\/sup><\/p>\n\n<p>El procedimiento se realiza con anestesia general mediante un abordaje perineal. Tras exponer la uretra bulbar, se realizan corporotom\u00edas bilaterales y el manguito se coloca a trav\u00e9s de los cuerpos cavernosos, de modo que abarca tanto la uretra como una parte de la t\u00fanica albug\u00ednea.<sup>1<\/sup> Esta t\u00e9cnica evita la necesidad de una movilizaci\u00f3n uretral circunferencial, que puede comprometer la irrigaci\u00f3n sangu\u00ednea de la uretra en un tejido ya vulnerable.<sup>4<\/sup><\/p>\n\n<p>Los datos de resultados muestran que el abordaje transcorp\u00f3reo ofrece tasas de continencia satisfactorias (alrededor del 70% alcanza una continencia social de 0\u20131 compresa diaria, con un 88% de pacientes satisfechos) en estos casos complejos.<sup>2<\/sup> No obstante, los estudios que comparan los manguitos transcorp\u00f3reos con los manguitos est\u00e1ndar o de 3,5 cm han mostrado tasas de erosi\u00f3n posiblemente m\u00e1s altas con la t\u00e9cnica transcorp\u00f3rea en el seguimiento a largo plazo.<sup>5<\/sup> El procedimiento tambi\u00e9n puede afectar a la funci\u00f3n er\u00e9ctil en pacientes potentes, ya que implica una disecci\u00f3n a trav\u00e9s de los cuerpos cavernosos.<sup>6<\/sup> Por ello, la selecci\u00f3n de los pacientes y el asesoramiento sobre las posibles complicaciones y las expectativas son componentes esenciales de la toma de decisiones cl\u00ednicas.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":22},"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 transcorp\u00f3reo: t\u00e9cnica de colocaci\u00f3n de AUS<\/title>\n<meta name=\"description\" content=\"Conozca la t\u00e9cnica del manguito transcorp\u00f3reo para colocar el esf\u00ednter urinario artificial en revisiones complejas y casos de uretra comprometida.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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