{"id":32772,"date":"2026-09-10T18:00:00","date_gmt":"2026-09-10T22:00:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32772"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"dispositivo-pro-act","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/dispositivo-pro-act\/","title":{"rendered":"Dispositivo Pro-ACT"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[],"class_list":["post-32772","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices"],"acf":{"gt-definition":"<p>El dispositivo Pro-ACT (Adjustable Continence Therapy, terapia de continencia ajustable) es un dispositivo m\u00e9dico implantable m\u00ednimamente invasivo dise\u00f1ado para tratar la incontinencia urinaria de esfuerzo masculina. Consta de dos peque\u00f1os balones de silicona ajustables conectados mediante tubos a puertos de titanio.<sup>1<\/sup> Cada bal\u00f3n se coloca quir\u00fargicamente a un lado del cuello vesical o de la uretra, en la zona donde se extirp\u00f3 o resec\u00f3 la pr\u00f3stata.<sup>2<\/sup> Los balones llenos de l\u00edquido ejercen presi\u00f3n para sostener el cuello vesical, lo que ayuda a prevenir las fugas accidentales de orina durante la actividad f\u00edsica, la tos o los estornudos.<sup>3<\/sup> Los puertos de titanio se colocan por v\u00eda subcut\u00e1nea en el escroto, lo que permite ajustar el volumen de los balones despu\u00e9s de la intervenci\u00f3n para lograr una continencia \u00f3ptima en funci\u00f3n de las necesidades individuales de cada paciente.<sup>4<\/sup><\/p>","gt-synonyms":"ProACT\u2122 Adjustable Continence Therapy for Men, sistema ProACT, balones ProACT, Adjustable Continence Therapy, dispositivo ACT","gt-citation":"[1] Larson T, Jhaveri H, Yeung LL. Adjustable continence therapy (ProACT) for the treatment of male stress urinary incontinence: A systematic review and meta-analysis. Neurourol Urodyn. 2019 Nov;38(8):2051-2059. DOI: 10.1002\/nau.24135\n\n[2] Kong L, Coddington ND, Flynn BJ. Secondary placement of adjustable continence therapy (ProACT\u2122) using open perineal technique: Case report of ProACT placement in a man with a devastated urethra following pelvic trauma and multiple AUS erosions. Urol Case Rep. 2023 May 24;49:102424. DOI: 10.1016\/j.eucr.2023.102424\n\n[3] U.S. Food and Drug Administration. Summary of Safety and Effectiveness Data (SSED) - ProACT Adjustable Continence Therapy for Men. P130018. November 24, 2015. Available at: https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf13\/P130018B.pdf\n\n[4] Uromedica, Inc. ProACT Adjustable Continence Therapy for Men. Manufacturer's official product information. Available at: https:\/\/www.uromedica-inc.com\/proact","gt-clinical-context":"<p>El dispositivo Pro-ACT est\u00e1 indicado cl\u00ednicamente para el tratamiento de hombres adultos con incontinencia urinaria de esfuerzo secundaria a una deficiencia esfinteriana intr\u00ednseca.<sup>3<\/sup> Est\u00e1 dise\u00f1ado espec\u00edficamente para pacientes que se han sometido a una prostatectom\u00eda radical o a una resecci\u00f3n transuretral de la pr\u00f3stata (RTUP) y que presentan incontinencia al menos doce meses despu\u00e9s de la intervenci\u00f3n.<sup>3<\/sup> El dispositivo se recomienda en pacientes que no han respondido adecuadamente a las opciones de tratamiento conservador, como los ejercicios del suelo p\u00e9lvico y las modificaciones conductuales.<sup>1<\/sup><\/p>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes incluyen varones con incontinencia urinaria de esfuerzo confirmada, destreza manual adecuada para un posible autosondaje en caso necesario y ausencia de contraindicaciones como infecciones activas del tracto urinario, inestabilidad del detrusor, distensibilidad vesical reducida o un volumen residual significativo superior a 100 cc tras la micci\u00f3n.<sup>3<\/sup> El dispositivo tambi\u00e9n est\u00e1 contraindicado en pacientes que est\u00e9n recibiendo radioterapia o que tengan previsto recibirla en los pr\u00f3ximos 6 meses.<sup>3<\/sup><\/p>\n    \n    <p>La implantaci\u00f3n quir\u00fargica es un procedimiento m\u00ednimamente invasivo que dura aproximadamente 30 minutos.<sup>2<\/sup> Los balones se colocan mediante un abordaje perineal, y los puertos se sit\u00faan por v\u00eda subcut\u00e1nea en el escroto para los ajustes posteriores.<sup>2<\/sup> Tras la intervenci\u00f3n, los ajustes suelen comenzar 4-6 semanas despu\u00e9s de la colocaci\u00f3n, y los resultados \u00f3ptimos suelen alcanzarse tras 3-4 visitas de ajuste.<sup>4<\/sup><\/p>\n    \n    <p>Los resultados cl\u00ednicos de una revisi\u00f3n sistem\u00e1tica y metan\u00e1lisis de 19 estudios con 1264 pacientes mostraron una mejora significativa de las puntuaciones de calidad de vida (mejora de 30,8 puntos respecto al valor basal) y una reducci\u00f3n del uso de compresas, de una media de 4,0 compresas al d\u00eda a 1,1 compresas al d\u00eda.<sup>1<\/sup> Aproximadamente el 60,2% de los pacientes lograron la continencia completa, mientras que el 81,9% experiment\u00f3 una continencia completa o una mejor\u00eda superior al 50% de su afecci\u00f3n.<sup>1<\/sup> El tiempo medio de seguimiento en estos estudios fue de 3,6 a\u00f1os, lo que demuestra la eficacia a largo plazo del dispositivo.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":true,"gt-view-count":26},"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>Dispositivo Pro-ACT: terapia de continencia ajustable<\/title>\n<meta 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