{"id":32835,"date":"2026-09-09T18:35:00","date_gmt":"2026-09-09T22:35:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32835"},"modified":"2026-09-10T06:10:00","modified_gmt":"2026-09-10T10:10:00","slug":"tecnica-de-doble-manguito","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/tecnica-de-doble-manguito\/","title":{"rendered":"T\u00e9cnica de doble manguito"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-32835","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>La t\u00e9cnica de doble manguito es un m\u00e9todo quir\u00fargico especializado utilizado en la implantaci\u00f3n del esf\u00ednter urinario artificial (AUS) que consiste en colocar dos manguitos oclusivos alrededor de la uretra bulbar para mejorar los resultados de continencia urinaria en pacientes con incontinencia urinaria de esfuerzo grave.<sup>1<\/sup> Esta t\u00e9cnica fue descrita por primera vez por Brito et al. en 1993 como una soluci\u00f3n para pacientes que continuaban experimentando p\u00e9rdidas significativas a pesar de ser portadores de un AUS de manguito \u00fanico.<sup>1<\/sup> En este abordaje, habitualmente se coloca un segundo manguito a 1-2 cm distal respecto al manguito primario, conectando ambos manguitos a una \u00fanica bomba de control y a un bal\u00f3n regulador de presi\u00f3n mediante un adaptador en Y.<sup>3<\/sup> Los puntos de compresi\u00f3n circunferencial dual creados por los dos manguitos proporcionan una mayor coaptaci\u00f3n uretral, mejorando significativamente las tasas de continencia en pacientes con incontinencia grave.<sup>1<\/sup> Se a\u00f1ade l\u00edquido adicional (1-3 cc) al sistema para compensar el volumen secuestrado en el segundo manguito.<sup>3<\/sup> Esta t\u00e9cnica incrementa la tasa de \u00e9xito de la implantaci\u00f3n del esf\u00ednter urinario artificial a m\u00e1s del 95 % en pacientes debidamente seleccionados con incontinencia urinaria de esfuerzo grave.<sup>1<\/sup><\/p>\n","gt-synonyms":"Colocaci\u00f3n de manguito en t\u00e1ndem, T\u00e9cnica de manguito en t\u00e1ndem, Esf\u00ednter urinario artificial de doble manguito, T\u00e9cnica de manguito dual, Colocaci\u00f3n de manguito uretral en t\u00e1ndem","gt-citation":"[1] Brito CG, Mulcahy JJ, Mitchell ME, Adams MC. Use of a double cuff AMS800 urinary sphincter for severe stress incontinence. J Urol. 1993 Feb;149(2):283-5. DOI: 10.1016\/s0022-5347(17)36057-3\n\n[2] O'Connor RC, Lyon MB, Guralnick ML, Bales GT. Long-term follow-up of single versus double cuff artificial urinary sphincter insertion for the treatment of severe postprostatectomy stress urinary incontinence. Urology. 2008 Jan;71(1):90-3. DOI: 10.1016\/j.urology.2007.08.017\n\n[3] Linder BJ, Viers BR, Ziegelmann MJ, Rivera ME, Elliott DS. Artificial urinary sphincter revision for urethral atrophy: comparing single cuff downsizing and tandem cuff placement. Int Braz J Urol. 2017 Mar-Apr;43(2):264-270. DOI: 10.1590\/S1677-5538.IBJU.2016.0240\n\n[4] Sacco E, Marino F, Gandi C, et al. Transalbugineal Artificial Urinary Sphincter: A Refined Implantation Technique to Improve Surgical Outcomes. J Clin Med. 2023;12(8):3021. DOI: 10.3390\/jcm12083021","gt-clinical-context":"<p>La t\u00e9cnica de doble manguito est\u00e1 indicada principalmente en pacientes con incontinencia urinaria de esfuerzo grave que presentan una incontinencia casi total antes de la implantaci\u00f3n del esf\u00ednter artificial.<sup>1<\/sup> Aproximadamente el 15 % de los pacientes tratados con un AUS de manguito \u00fanico contin\u00faan experimentando p\u00e9rdidas significativas a pesar de cierta mejor\u00eda, lo que los convierte en candidatos para este abordaje.<sup>1<\/sup> La t\u00e9cnica tambi\u00e9n se utiliza como estrategia de revisi\u00f3n en pacientes con atrofia uretral en la localizaci\u00f3n del manguito original, siendo esta una de las causas m\u00e1s frecuentes de fallo no mec\u00e1nico o de revisi\u00f3n del dispositivo.<sup>3<\/sup><\/p>\n<p>El procedimiento quir\u00fargico implica la colocaci\u00f3n cuidadosa del segundo manguito aproximadamente a 1-2 cm distal respecto al manguito primario, manteniendo un espacio adecuado de alrededor de 1 cm entre ambos manguitos.<sup>3<\/sup> Un adaptador en Y, asegurado con ligaduras sueltas de sutura no reabsorbible, conecta los tubos de la bomba a ambos manguitos.<sup>3<\/sup> En casos de tejidos uretrales severamente atr\u00f3ficos (medici\u00f3n &lt;3.5cm), adelgazamiento uretral distal o planos de disecci\u00f3n complejos (p. ej., en pacientes con radioterapia p\u00e9lvica previa), se puede emplear un abordaje transcorporal junto con la configuraci\u00f3n de doble manguito.<sup>3<\/sup><\/p>\n<p>Los estudios de seguimiento a largo plazo no han mostrado diferencias significativas en la supervivencia global del dispositivo a los 3 a\u00f1os entre las revisiones con manguito \u00fanico y aquellas con manguito en t\u00e1ndem (60 % frente a 76 %, p=0,94).<sup>2<\/sup> Sin embargo, los varones que reciben implantes de doble manguito pueden presentar un mayor riesgo de complicaciones que requieran cirug\u00eda adicional.<sup>2<\/sup> A pesar de ello, se ha demostrado que la t\u00e9cnica de doble manguito incrementa la tasa de \u00e9xito de la implantaci\u00f3n del esf\u00ednter urinario artificial a m\u00e1s del 95 % en pacientes debidamente seleccionados con incontinencia urinaria de esfuerzo grave.<sup>1<\/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) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>T\u00e9cnica de doble manguito en el implante de AUS<\/title>\n<meta name=\"description\" content=\"La t\u00e9cnica de doble manguito emplea dos manguitos en el implante de AUS para mejorar la continencia en la incontinencia urinaria grave.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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