{"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":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","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, justo distal 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 ajustar el volumen en el posoperatorio sin cirug\u00eda adicional.<sup>2<\/sup> Los balones act\u00faan aumentando 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 hombres que presentan incontinencia urinaria de esfuerzo tras una cirug\u00eda de pr\u00f3stata, en particular tras 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 de cada paciente, con el objetivo de optimizar los resultados de continencia.<sup>5<\/sup><\/p>","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] Nestler S, Thomas C, Neisius A, Rubenwolf P, Roos F, Hampel C, Th\u00fcroff JW. Long-term results of ProACT primary and repeat implantation for treatment of stress urinary incontinence in men. World J Urol. 2019;37(6):1173-1179. doi:10.1007\/s00345-018-2483-4. PMID: 30225800.","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 que se han sometido a una prostatectom\u00eda radical o a una 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 de pr\u00f3stata, fracaso de los tratamientos conservadores como los ejercicios del suelo p\u00e9lvico, ausencia de anomal\u00edas anat\u00f3micas significativas o estenosis uretrales, y una movilidad uretral suficiente.<sup>2<\/sup> El procedimiento quir\u00fargico se realiza bajo anestesia general de forma ambulatoria, mediante dos peque\u00f1as incisiones para colocar los balones a ambos lados de la uretra, justo distal al cuello vesical, mientras que los puertos se colocan por v\u00eda subcut\u00e1nea en el escroto.<sup>3<\/sup><\/p>\n    <p>El manejo posoperatorio consiste en ajustes del volumen de los balones que comienzan 2-4 semanas despu\u00e9s de la implantaci\u00f3n, con cambios progresivos de 0,5-1,0 cc por lado hasta lograr una continencia \u00f3ptima.<sup>4<\/sup> Los resultados cl\u00ednicos son prometedores: en una serie de un \u00fanico centro a largo plazo (mediana de seguimiento de 118 meses), la implantaci\u00f3n tuvo \u00e9xito en el 82,6% de los pacientes, con una disminuci\u00f3n significativa del uso de absorbentes, aunque las tasas de revisi\u00f3n fueron elevadas.<sup>5<\/sup> Las contraindicaciones incluyen 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, c\u00e1lculos vesicales no tratados y trastornos hemorr\u00e1gicos.<sup>2<\/sup> Las complicaciones suelen ser leves; la m\u00e1s frecuente es una molestia transitoria en el lugar de implantaci\u00f3n, mientras que las complicaciones m\u00e1s graves, como perforaci\u00f3n, migraci\u00f3n, erosi\u00f3n o infecci\u00f3n, son menos frecuentes y pueden requerir la retirada del dispositivo.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":14},"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>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\" 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