{"id":32586,"date":"2026-09-13T18:07:00","date_gmt":"2026-09-13T22:07:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32586"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"uretroplastia-compresiva","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/uretroplastia-compresiva\/","title":{"rendered":"Uretroplastia compresiva"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[123],"glossary-product":[],"class_list":["post-32586","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urinary-incontinence-treatments"],"acf":{"gt-definition":"<p>La uretroplastia compresiva es una t\u00e9cnica quir\u00fargica dise\u00f1ada para crear una compresi\u00f3n pasiva de la uretra bulbar con el fin de tratar la incontinencia urinaria, especialmente en pacientes varones tras una prostatectom\u00eda o una esfinterotom\u00eda<sup>1<\/sup>. El procedimiento consiste en comprimir estrat\u00e9gicamente la uretra para ofrecer resistencia al flujo urinario, mejorando as\u00ed la continencia y manteniendo a la vez la capacidad de orinar de forma voluntaria<sup>2<\/sup>. A diferencia de los mecanismos de esf\u00ednter din\u00e1micos, la uretroplastia compresiva crea una resistencia fija y pasiva que ayuda a prevenir la p\u00e9rdida involuntaria de orina durante las actividades normales<sup>3<\/sup>. La t\u00e9cnica puede implicar la colocaci\u00f3n de material prot\u00e9sico o la reconstrucci\u00f3n quir\u00fargica de los tejidos periuretrales para lograr el grado deseado de compresi\u00f3n uretral<sup>4<\/sup>. Este abordaje es especialmente \u00fatil cuando el mecanismo normal del esf\u00ednter uretral se ha visto comprometido debido a intervenciones quir\u00fargicas previas o a traumatismos<sup>5<\/sup>.<\/p>","gt-synonyms":"Procedimiento de compresi\u00f3n uretral, compresi\u00f3n uretral pasiva, uretroplastia perineal para incontinencia, compresi\u00f3n uretral bulbar, procedimiento de Kaufman","gt-citation":"[1] Kaufman JJ, Raz S. Urethral compression procedure for the treatment of male urinary incontinence. J Urol. 1979 May;121(5):605-8. DOI: 10.1016\/s0022-5347(17)56900-1\n\n[2] Bagga HS, Angermeier KW. The mechanism of continence after posterior urethroplasty. Arab J Urol. 2015 Mar;13(1):60-63. DOI: 10.1016\/j.aju.2014.11.006\n\n[3] Girgis AS. Perineal Urethroplasty: A New Operation for Correction of Urinary Incontinence. J Urol. 1965;93:85-8. DOI: 10.1016\/S0022-5347(17)63862-X\n\n[4] Koraitim MM, Atta MA, Fattah GA, Ismail HR. Mechanism of continence after repair of post-traumatic posterior urethral strictures. Urology. 2003;61(2):287-290. DOI: 10.1016\/s0090-4295(02)02151-9. PMID: 12597932\n\n[5] Al-Qudah HS, Santucci RA. Extended complications of urethroplasty. Int Braz J Urol. 2005;31(4):315-325. DOI: 10.1590\/S1677-55382005000400004","gt-clinical-context":"<p>La uretroplastia compresiva est\u00e1 indicada principalmente en pacientes varones que padecen incontinencia urinaria tras procedimientos de prostatectom\u00eda o esfinterotom\u00eda en los que el mecanismo normal del esf\u00ednter uretral se ha visto comprometido<sup>1<\/sup>. Los criterios de selecci\u00f3n de pacientes incluyen a aquellos con incontinencia de moderada a grave en los que han fracasado los tratamientos conservadores, como los ejercicios del suelo p\u00e9lvico<sup>2<\/sup>. El procedimiento es especialmente \u00fatil en pacientes que no son candidatos a intervenciones m\u00e1s complejas, como la implantaci\u00f3n de un esf\u00ednter urinario artificial<sup>3<\/sup>.<\/p>\n    \n    <p>El abordaje quir\u00fargico suele consistir en una incisi\u00f3n perineal para acceder a la uretra bulbar, seguida de la colocaci\u00f3n estrat\u00e9gica de elementos compresivos alrededor de la uretra<sup>4<\/sup>. Las t\u00e9cnicas modernas pueden incluir componentes ajustables que permiten un ajuste fino posoperatorio del nivel de compresi\u00f3n mediante mecanismos de inyecci\u00f3n<sup>1<\/sup>. Esta capacidad de ajuste representa una ventaja significativa con respecto a las t\u00e9cnicas de compresi\u00f3n fija m\u00e1s antiguas.<\/p>\n    \n    <p>Los resultados cl\u00ednicos son variables: los estudios notifican continencia completa en aproximadamente el 33% de los pacientes y una mejor\u00eda significativa en un 28% adicional, lo que da lugar a tasas globales de satisfacci\u00f3n de los pacientes de alrededor del 61%<sup>1<\/sup>. La tasa de \u00e9xito ha mejorado con los perfeccionamientos de la t\u00e9cnica y de los materiales prot\u00e9sicos, y las tasas de complicaciones han disminuido del 11% al 7% en las series de casos m\u00e1s recientes<sup>1<\/sup>. La recuperaci\u00f3n suele requerir sondaje durante 2-3 semanas tras la intervenci\u00f3n, seguido de una reanudaci\u00f3n gradual de las actividades normales<sup>5<\/sup>.<\/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>Uretroplastia compresiva: cirug\u00eda de incontinencia<\/title>\n<meta name=\"description\" content=\"La uretroplastia compresiva trata la incontinencia urinaria masculina tras prostatectom\u00eda mediante la compresi\u00f3n pasiva de la uretra bulbar.\" \/>\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\/uretroplastia-compresiva\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta 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