{"id":32608,"date":"2026-09-11T18:49:00","date_gmt":"2026-09-11T22:49:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32608"},"modified":"2026-09-12T06:14:00","modified_gmt":"2026-09-12T10:14:00","slug":"abordaje-perineal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/abordaje-perineal\/","title":{"rendered":"Abordaje perineal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[115],"class_list":["post-32608","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-rigicon-hl-dilator"],"acf":{"gt-definition":"<p>El abordaje perineal es una v\u00eda quir\u00fargica que proporciona acceso a las estructuras urol\u00f3gicas mediante una incisi\u00f3n en el perineo, la zona de piel situada entre el escroto y el ano en los varones.<sup>1<\/sup> Este abordaje permite el acceso directo a la uretra bulbar o membranosa, la gl\u00e1ndula prost\u00e1tica y otras estructuras del tracto urinario inferior sin penetrar en la cavidad abdominal.<sup>2<\/sup> Se caracteriza por una incisi\u00f3n peque\u00f1a, una excelente exposici\u00f3n de la anatom\u00eda diana y la preservaci\u00f3n de los principales vasos sangu\u00edneos y grupos musculares.<sup>3<\/sup> El abordaje perineal se utiliza en diversos procedimientos urol\u00f3gicos, como la prostatectom\u00eda radical perineal, la uretrostom\u00eda perineal y la reparaci\u00f3n de estenosis uretrales.<sup>4<\/sup><\/p>\n","gt-synonyms":"Acceso perineal, V\u00eda perineal, Abordaje transperineal, Abordaje quir\u00fargico perineal, Abordaje de Belt (t\u00e9cnica espec\u00edfica)","gt-citation":"[1] Melman A, Boczko J, Figueroa J, Leung AC. Critical surgical techniques for radical perineal prostatectomy. J Urol. 2004 Feb;171(2 Pt 1):786-90. DOI: 10.1097\/01.ju.0000107834.23316.59\n\n[2] Kaouk JH, Akca O, Zargar H, Caputo P, Ramirez D, Andrade H, Albayrak S, Laydner H, Angermeier K. Descriptive Technique and Initial Results for Robotic Radical Perineal Prostatectomy. Urology. 2016 Aug:94:129-38. DOI: 10.1016\/j.urology.2016.02.063\n\n[3] Schreiter F, Jordan G. Reconstructive Urethral Surgery. Springer Medizin Verlag Heidelberg, 2006.\n\n[4] Siccardi MA, Bordoni B. Anatomy, Abdomen and Pelvis, Perineal Body. StatPearls [Internet]. 2023.","gt-clinical-context":"<p>El abordaje perineal est\u00e1 indicado cl\u00ednicamente en diversas afecciones y procedimientos urol\u00f3gicos. En el tratamiento del c\u00e1ncer de pr\u00f3stata, la prostatectom\u00eda radical perineal ofrece una alternativa a los abordajes retrop\u00fabico o rob\u00f3tico, resultando especialmente beneficiosa para pacientes con cirug\u00edas abdominales previas, obesidad o cuando no se precisa una linfadenectom\u00eda p\u00e9lvica.<sup>1<\/sup><\/p>\n<p>En el caso de las estenosis uretrales, especialmente las que afectan a la uretra bulbar o membranosa, el abordaje perineal ofrece una excelente exposici\u00f3n para la reconstrucci\u00f3n.<sup>3<\/sup> La uretrostom\u00eda perineal se realiza en casos de estenosis uretrales complejas o recidivantes, tras una penectom\u00eda o cuando han fracasado otros procedimientos reconstructivos.<sup>4<\/sup><\/p>\n<p>Los criterios de selecci\u00f3n de pacientes incluyen la consideraci\u00f3n del h\u00e1bito corporal, los antecedentes quir\u00fargicos previos y aspectos anat\u00f3micos espec\u00edficos. El abordaje perineal est\u00e1 contraindicado en pacientes con limitaci\u00f3n grave de la rotaci\u00f3n de la cadera.<sup>1<\/sup><\/p>\n<p>Los procedimientos quir\u00fargicos que emplean este abordaje suelen implicar la colocaci\u00f3n del paciente en una posici\u00f3n de litotom\u00eda exagerada con el perineo paralelo al suelo. Se realiza una incisi\u00f3n medial o curva en el perineo, seguida de una disecci\u00f3n minuciosa a trav\u00e9s de los tejidos subcut\u00e1neos y la divisi\u00f3n del tend\u00f3n central mientras se protege el recto.<sup>2<\/sup> El m\u00fasculo bulboesponjoso se divide en la l\u00ednea media para exponer las estructuras m\u00e1s profundas.<sup>3<\/sup><\/p>\n<p>Los resultados esperados incluyen estancias hospitalarias m\u00e1s cortas, una menor p\u00e9rdida de sangre en comparaci\u00f3n con los abordajes retrop\u00fabicos y resultados oncol\u00f3gicos y funcionales equivalentes en los casos de prostatectom\u00eda.<sup>2<\/sup> La recuperaci\u00f3n suele implicar el sondaje durante 7-14 d\u00edas y la reincorporaci\u00f3n gradual a las actividades habituales.<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 Premium plugin v28.4 (Yoast SEO v28.4) - 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