{"id":32777,"date":"2026-09-11T18:14:00","date_gmt":"2026-09-11T22:14:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32777"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"cirugia-con-preservacion-nerviosa","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/cirugia-con-preservacion-nerviosa\/","title":{"rendered":"Cirug\u00eda con preservaci\u00f3n nerviosa"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[104,105],"class_list":["post-32777","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>La cirug\u00eda con preservaci\u00f3n nerviosa es una t\u00e9cnica quir\u00fargica especializada que intenta preservar los paquetes neurovasculares pr\u00f3ximos a los tejidos que se extirpan durante la prostatectom\u00eda radical.<span class=\"citation\">1<\/span> Este procedimiento tiene como objetivo espec\u00edfico proteger las vainas de los nervios cavernosos, situadas ligeramente por debajo y a los lados de la gl\u00e1ndula prost\u00e1tica, que son responsables de la funci\u00f3n er\u00e9ctil.<span class=\"citation\">2<\/span> Los paquetes neurovasculares contienen nervios, arterias, venas y canales linf\u00e1ticos que controlan el flujo sangu\u00edneo hacia el pene e inician las erecciones.<span class=\"citation\">3<\/span> Durante una prostatectom\u00eda con preservaci\u00f3n nerviosa, los cirujanos separan meticulosamente la pr\u00f3stata de estas delicadas estructuras nerviosas, utilizando t\u00e9cnicas de disecci\u00f3n precisas para minimizar el da\u00f1o nervioso sin dejar de lograr la extirpaci\u00f3n completa del tumor.<span class=\"citation\">4<\/span> Este abordaje es especialmente valioso en el tratamiento del c\u00e1ncer de pr\u00f3stata, en el que la preservaci\u00f3n de la funci\u00f3n sexual es un aspecto importante para la calidad de vida del paciente despu\u00e9s de la cirug\u00eda.<span class=\"citation\">5<\/span><\/p>","gt-synonyms":"Prostatectom\u00eda radical con preservaci\u00f3n nerviosa, NS-RARP (prostatectom\u00eda radical asistida por robot con preservaci\u00f3n nerviosa), prostatectom\u00eda con conservaci\u00f3n de nervios, prostatectom\u00eda con preservaci\u00f3n de la potencia, cirug\u00eda con preservaci\u00f3n de los nervios cavernosos","gt-citation":"[1] National Cancer Institute. Definition of nerve-sparing surgery - NCI Dictionary of Cancer Terms. https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/nerve-sparing-surgery\n\n[2] Kumar A, Patel VR, Panaiyadiyan S, Bhat KRS, Moschovas MC, Nayak B. Nerve-sparing robot-assisted radical prostatectomy: Current perspectives. Asian J Urol. 2021;8(2):194-208. DOI: 10.1016\/j.ajur.2020.05.012\n\n[3] Catalona WJ. Dr. Catalona Discusses Nerve-Sparing Surgery. QUEST (Winter 2002). https:\/\/drcatalona.com\/quest\/dr-catalona-discusses-nerve-sparing-surgery\/\n\n[4] Spirito L, Chessa F, Hagman A, et al. Long-Term Oncological Outcomes after Nerve-Sparing Robot-Assisted Radical Prostatectomy for High-Risk Localized Prostate Cancer: A Single-Center, Two-Arm Prospective Study. Diagnostics. 2024;14(8):803. DOI: 10.3390\/diagnostics14080803\n\n[5] Morozov A, Barret E, Veneziano D, et al. A systematic review of nerve-sparing surgery for high-risk prostate cancer. Minerva Urol Nephrol. 2021;73(3):283-291. DOI: 10.23736\/S2724-6051.20.04178-8. PMID: 33439578","gt-clinical-context":"<p>La cirug\u00eda con preservaci\u00f3n nerviosa se utiliza principalmente en el contexto de la prostatectom\u00eda radical para el tratamiento del c\u00e1ncer de pr\u00f3stata localizado.<span class=\"citation\">1<\/span> La selecci\u00f3n de pacientes para esta t\u00e9cnica es fundamental y depende de varios factores, como la funci\u00f3n er\u00e9ctil preoperatoria, la edad, las caracter\u00edsticas del tumor y el estadio del c\u00e1ncer.<span class=\"citation\">2<\/span> El procedimiento es m\u00e1s adecuado para pacientes con enfermedad confinada al \u00f3rgano (estadio cl\u00ednico T1-T2), en los que el c\u00e1ncer no se ha extendido m\u00e1s all\u00e1 de la c\u00e1psula prost\u00e1tica.<span class=\"citation\">3<\/span><\/p>\n    \n    <p>La evaluaci\u00f3n preoperatoria suele incluir tacto rectal, concentraciones de ant\u00edgeno prost\u00e1tico espec\u00edfico (PSA), resultados de la biopsia y, a menudo, RM multiparam\u00e9trica para evaluar el riesgo de extensi\u00f3n extracapsular.<span class=\"citation\">4<\/span> Seg\u00fan las Directrices actuales de la EAU (Asociaci\u00f3n Europea de Urolog\u00eda), la cirug\u00eda con preservaci\u00f3n nerviosa debe realizarse cuando el riesgo de extensi\u00f3n extracapsular es bajo, aunque una selecci\u00f3n cuidadosa puede permitir su uso en algunos casos de mayor riesgo.<span class=\"citation\">5<\/span><\/p>\n    \n    <p>El abordaje quir\u00fargico puede realizarse mediante t\u00e9cnicas retrop\u00fabicas abiertas, laparosc\u00f3picas o asistidas por robot; estas \u00faltimas ofrecen una mejor visualizaci\u00f3n y una mayor precisi\u00f3n.<span class=\"citation\">6<\/span> Durante el procedimiento, los cirujanos deben identificar y preservar cuidadosamente los paquetes neurovasculares que discurren en posici\u00f3n posterolateral a la pr\u00f3stata. La disecci\u00f3n puede ser intrafascial (por dentro de la fascia prost\u00e1tica) o interfascial (entre la fascia prost\u00e1tica y la fascia p\u00e9lvica lateral); la primera ofrece la m\u00e1xima preservaci\u00f3n nerviosa, pero puede conllevar un mayor riesgo de m\u00e1rgenes quir\u00fargicos positivos.<span class=\"citation\">7<\/span><\/p>\n    \n    <p>Despu\u00e9s de la cirug\u00eda, los pacientes pueden presentar disfunci\u00f3n er\u00e9ctil transitoria mientras los nervios se recuperan del traumatismo quir\u00fargico, y la funci\u00f3n puede mejorar a lo largo de 6-36 meses.<span class=\"citation\">8<\/span> Los estudios han demostrado que los hombres sometidos a prostatectom\u00eda con preservaci\u00f3n nerviosa tienen probabilidades significativamente mayores de recuperar la funci\u00f3n er\u00e9ctil que con los abordajes sin preservaci\u00f3n nerviosa, con tasas de potencia de \u226550% descritas en pacientes cuidadosamente seleccionados.<span class=\"citation\">9<\/span> Adem\u00e1s, algunos datos sugieren mejores resultados de continencia urinaria con las t\u00e9cnicas de preservaci\u00f3n nerviosa.<span class=\"citation\">10<\/span><\/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>Cirug\u00eda con preservaci\u00f3n nerviosa en c\u00e1ncer de pr\u00f3stata<\/title>\n<meta name=\"description\" content=\"La cirug\u00eda con preservaci\u00f3n nerviosa protege los fasc\u00edculos neurovasculares para conservar la funci\u00f3n er\u00e9ctil tras la cirug\u00eda de c\u00e1ncer de pr\u00f3stata.\" \/>\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\/cirugia-con-preservacion-nerviosa\/\" \/>\n<meta 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