{"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":"2026-09-11T06:12:00","modified_gmt":"2026-09-11T10:12:00","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":"

El manguito transcorp\u00f3reo es una t\u00e9cnica especializada de colocaci\u00f3n del manguito del esf\u00ednter urinario artificial (AUS) en la que el manguito se posiciona a trav\u00e9s del cuerpo cavernoso para casos de revisi\u00f3n de incontinencia urinaria.1<\/sup> Este abordaje quir\u00fargico consiste en crear un t\u00fanel a trav\u00e9s de una porci\u00f3n de los cuerpos cavernosos para permitir la compresi\u00f3n circunferencial de la uretra evitando al mismo tiempo la disecci\u00f3n uretral posterior directa.2<\/sup> La t\u00e9cnica se describi\u00f3 por primera vez en 2002 como un procedimiento de rescate para pacientes con uretras comprometidas, especialmente aquellos con erosi\u00f3n uretral previa, radiaci\u00f3n o uretroplastia.3<\/sup><\/p>\n

En la t\u00e9cnica transcorp\u00f3rea, se realizan corporotom\u00edas bilaterales y el manguito se coloca alrededor tanto de la uretra como de una porci\u00f3n de la t\u00fanica albug\u00ednea de los cuerpos cavernosos.4<\/sup> Esto proporciona un mayor volumen de tejido entre el manguito y la uretra, lo que ayuda a proteger la cara posterior de la uretra durante la disecci\u00f3n y reduce potencialmente el riesgo de erosi\u00f3n posterior en pacientes de alto riesgo.5<\/sup> El procedimiento se utiliza principalmente en 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 da\u00f1o tisular.6<\/sup><\/p>\n","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, Vetterlein MW, Schultz M, Fisch M, Ludwig TA. Distal Double Cuff Vs Transcorporal Cuff as Salvage Options\u2014A Prospective Analysis of Different Artificial Urinary Sphincter (AMS 800) Implantation Sites. Urology. 2019;134:234-239. DOI: https:\/\/doi.org\/10.1016\/j.urology.2019.07.038\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):56-61. DOI: https:\/\/doi.org\/10.21037\/tau.2019.11.08\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)65087-9","gt-clinical-context":"

El manguito transcorp\u00f3reo se utiliza principalmente en situaciones cl\u00ednicas espec\u00edficas que implican incontinencia urinaria de esfuerzo (SUI) masculina en las que la colocaci\u00f3n est\u00e1ndar del esf\u00ednter urinario artificial (AUS) es compleja o est\u00e1 contraindicada.1<\/sup> Estas situaciones incluyen:<\/p>\n

1. Cirug\u00edas de revisi\u00f3n<\/h3>\n

En pacientes que han experimentado una erosi\u00f3n previa del manguito del AUS o un fallo mec\u00e1nico que requiere la retirada y sustituci\u00f3n del dispositivo.2<\/sup> El abordaje transcorp\u00f3reo proporciona un mayor volumen de tejido entre el manguito y la uretra, lo que reduce potencialmente el riesgo de erosi\u00f3n recurrente.3<\/sup><\/p>\n

2. Uretras comprometidas<\/h3>\n

En pacientes con atrofia uretral, uretroplastia previa o da\u00f1o tisular inducido por radiaci\u00f3n donde la disecci\u00f3n uretral bulbar est\u00e1ndar puede resultar dif\u00edcil o peligrosa.4<\/sup> La t\u00e9cnica es especialmente valiosa en pacientes que se han sometido a radioterapia p\u00e9lvica, que puede causar fibrosis tisular y escasa vascularizaci\u00f3n.5<\/sup><\/p>\n

3. Procedimientos de rescate<\/h3>\n

Como opci\u00f3n de rescate cuando otros tratamientos para la incontinencia han fallado, especialmente en pacientes de alto riesgo con m\u00faltiples cirug\u00edas previas o radiaci\u00f3n.6<\/sup><\/p>\n

El procedimiento se realiza bajo anestesia general mediante un abordaje perineal. Tras la exposici\u00f3n de la uretra bulbar, se crean corporotom\u00edas bilaterales y el manguito se coloca a trav\u00e9s de los cuerpos cavernosos, abarcando tanto la uretra como una porci\u00f3n de la t\u00fanica albug\u00ednea.1<\/sup> Esta t\u00e9cnica evita la necesidad de una movilizaci\u00f3n uretral circunferencial, la cual puede comprometer el aporte sangu\u00edneo uretral en tejidos ya vulnerables.4<\/sup><\/p>\n

Los datos de resultados muestran que el abordaje transcorp\u00f3reo proporciona tasas satisfactorias de continencia (un 69-88 % logra continencia social) en estos casos complejos.2<\/sup> Sin embargo, los estudios que comparan los manguitos transcorp\u00f3reos con los manguitos est\u00e1ndar o de 3,5 cm han mostrado tasas de erosi\u00f3n potencialmente m\u00e1s altas con la t\u00e9cnica transcorp\u00f3rea en el seguimiento a largo plazo.5<\/sup> El procedimiento tambi\u00e9n puede afectar a la funci\u00f3n er\u00e9ctil en pacientes potentes, ya que implica la disecci\u00f3n a trav\u00e9s de los cuerpos cavernosos.6<\/sup> Por tanto, la selecci\u00f3n de los pacientes y el asesoramiento sobre las posibles complicaciones y expectativas son componentes esenciales de la toma de decisiones cl\u00ednicas.<\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"\nManguito transcorp\u00f3reo: t\u00e9cnica de colocaci\u00f3n de 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