{"id":32860,"date":"2026-09-09T18:42:00","date_gmt":"2026-09-09T22:42:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32860"},"modified":"2026-09-10T06:12:00","modified_gmt":"2026-09-10T10:12:00","slug":"terapia-con-dispositivo-de-continencia-ajustable-de-doble-balon-dbact","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/terapia-con-dispositivo-de-continencia-ajustable-de-doble-balon-dbact\/","title":{"rendered":"Terapia con dispositivo de continencia ajustable de doble bal\u00f3n (DBACT)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-32860","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 terapia con dispositivo de continencia ajustable de doble bal\u00f3n (DBACT) es un tratamiento m\u00ednimamente invasivo para la incontinencia urinaria de esfuerzo masculina que utiliza dos balones de silicona ajustables implantados bilateralmente en el espacio periuretral, inmediatamente distales al cuello vesical.<sup>1<\/sup> Cada bal\u00f3n est\u00e1 conectado mediante un tubo a un puerto de titanio colocado por v\u00eda subcut\u00e1nea en el escroto, lo que permite realizar ajustes de volumen posoperatorios sin cirug\u00eda adicional.<sup>2<\/sup> Los balones funcionan incrementando la resistencia del tracto de salida vesical mediante la presi\u00f3n aplicada sobre la uretra proximal, lo que ayuda a prevenir la p\u00e9rdida involuntaria de orina durante los periodos de aumento de la presi\u00f3n abdominal.<sup>3<\/sup> Esta terapia est\u00e1 indicada principalmente en varones que presentan incontinencia urinaria de esfuerzo tras una intervenci\u00f3n quir\u00fargica prost\u00e1tica, en particular una prostatectom\u00eda radical o una resecci\u00f3n transuretral de la pr\u00f3stata (RTUP).<sup>4<\/sup> El car\u00e1cter ajustable de la DBACT permite a los m\u00e9dicos personalizar el grado de compresi\u00f3n uretral seg\u00fan las necesidades individuales del paciente, optimizando los resultados de continencia y minimizando el riesgo de retenci\u00f3n urinaria.<sup>5<\/sup><\/p>\n","gt-synonyms":"ProACT, terapia de continencia ajustable, sistema ProACT, implante de balones periuretrales ajustables, balones periuretrales ajustables, terapia de continencia de doble bal\u00f3n","gt-citation":"[1] Feloney MP, Klock JA, Zhang Y. Dual balloon adjustable continence therapy for urinary incontinence. Am J Clin Exp Urol. 2023;11(4):334-338. DOI: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10461033\/\n\n[2] Klock JA, Palacios A, Leslie S, Feloney M. Artificial Urinary Sphincters and Adjustable Dual-Balloon Continence Therapy in Men. [Updated 2023 Nov 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. DOI: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK597382\/\n\n[3] H\u00fcbner WA, Schlarp OM. Adjustable continence therapy (ProACT): evolution of the surgical technique and comparison of the original 50 patients with the most recent 50 patients at a single centre. Eur Urol. 2007;52(3):680-686. DOI: https:\/\/doi.org\/10.1016\/j.eururo.2006.10.054\n\n[4] Noordhoff TC, Scheepe JR, Blok BFM. Outcome and complications of adjustable continence therapy (ProACT) after radical prostatectomy: 10 years' experience in 143 patients. Neurourol Urodyn. 2018;37(4):1419-1425. DOI: https:\/\/doi.org\/10.1002\/nau.23463\n\n[5] Ruggiero G, Vitagliano G, Capece M, et al. Long-term durability of adjustable peri-urethral balloons ProACT\u2122 in the treatment of post-prostatectomy stress urinary incontinence: a single-center experience. World J Urol. 2023;41(1):245-251. DOI: https:\/\/doi.org\/10.1007\/s00345-022-04155-4","gt-clinical-context":"<p>La DBACT est\u00e1 indicada cl\u00ednicamente para el tratamiento de la incontinencia urinaria de esfuerzo masculina, en particular en pacientes sometidos a prostatectom\u00eda radical o resecci\u00f3n transuretral de la pr\u00f3stata.<sup>1<\/sup> Los criterios de selecci\u00f3n de pacientes incluyen: incontinencia urinaria de esfuerzo persistente durante al menos 12 meses tras la cirug\u00eda prost\u00e1tica, fracaso de tratamientos conservadores como los ejercicios del suelo p\u00e9lvico, ausencia de anomal\u00edas anat\u00f3micas significativas o estenosis uretrales y suficiente movilidad uretral.<sup>2<\/sup> La intervenci\u00f3n quir\u00fargica se realiza bajo anestesia general de forma ambulatoria, practicando dos peque\u00f1as incisiones para colocar los balones a ambos lados de la uretra, inmediatamente distales al cuello vesical, mientras que los puertos se ubican por v\u00eda subcut\u00e1nea en el escroto.<sup>3<\/sup><\/p>\n<p>El manejo posoperatorio implica ajustes de volumen de los balones a partir de las 2-4 semanas posteriores al implante, con incrementos de 0,5-1,0 cc por lado hasta alcanzar una continencia \u00f3ptima.<sup>4<\/sup> Los resultados cl\u00ednicos son prometedores; los estudios describen una eficacia del 85-91 % en los pacientes, una mejor\u00eda sintom\u00e1tica significativa en el 80 % y una continencia completa en el 70 % tras los ajustes pertinentes.<sup>5<\/sup> Las contraindicaciones comprenden infecciones activas del tracto urinario, inestabilidad del detrusor, incontinencia predominantemente de urgencia, volumen de orina residual superior a 100 cc, radioterapia reciente o prevista, sospecha de c\u00e1ncer de vejiga, litiasis vesical no tratada y coagulopat\u00edas.<sup>2<\/sup> Las complicaciones suelen ser leves, siendo la m\u00e1s frecuente las molestias transitorias en la zona del implante, mientras que complicaciones m\u00e1s graves como perforaci\u00f3n, migraci\u00f3n, erosi\u00f3n o infecci\u00f3n ocurren con menor frecuencia y pueden requerir la retirada del dispositivo.<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) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Terapia DBACT: incontinencia urinaria masculina<\/title>\n<meta name=\"description\" content=\"La terapia DBACT es un tratamiento m\u00ednimamente invasivo con balones ajustables para la incontinencia urinaria de esfuerzo masculina.\" \/>\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\/terapia-con-dispositivo-de-continencia-ajustable-de-doble-balon-dbact\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta 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