{"id":12467,"date":"2025-05-14T08:56:42","date_gmt":"2025-05-14T12:56:42","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penoscrotal-approach\/"},"modified":"2026-03-22T06:33:35","modified_gmt":"2026-03-22T10:33:35","slug":"abordagem-penoescrotal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/abordagem-penoescrotal\/","title":{"rendered":"Abordagem Penoescrotal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[103,106,112],"glossary-product":[108,107,104,105],"class_list":["post-12467","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction","glossary-category-male-stress-urinary-incontinence","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>A abordagem penoescrotal \u00e9 uma t\u00e9cnica cir\u00fargica comum usada para a implanta\u00e7\u00e3o de pr\u00f3teses penianas infl\u00e1veis (PIPs) para tratar a disfun\u00e7\u00e3o er\u00e9til.\u00b9 Envolve fazer uma incis\u00e3o transversal aproximadamente 1\u20132 cm abaixo da jun\u00e7\u00e3o penoescrotal, proporcionando acesso aos corpos cavernosos para a coloca\u00e7\u00e3o da pr\u00f3tese.\u00b9 Esta abordagem \u00e9 preferida por muitos cirurgi\u00f5es devido \u00e0 sua capacidade de oferecer excelente exposi\u00e7\u00e3o corporal, mesmo em pacientes obesos, e facilitar a exposi\u00e7\u00e3o crural proximal, se necess\u00e1rio.\u00b9 A t\u00e9cnica visa minimizar complica\u00e7\u00f5es como migra\u00e7\u00e3o da bomba e les\u00e3o do feixe neurovascular, que podem estar associadas a outras abordagens.\u00b9 O procedimento normalmente envolve dissec\u00e7\u00e3o cuidadosa atrav\u00e9s da camada de dartos para expor os corpos cavernosos, seguida de corporotomia (incis\u00f5es nos corpos) para o cilindro inser\u00e7\u00e3o.\u00b9 A abordagem penoescrotal tamb\u00e9m pode ser utilizada para a coloca\u00e7\u00e3o de esf\u00edncteres urin\u00e1rios artificiais (EUA), \u00e0s vezes atrav\u00e9s da mesma incis\u00e3o, o que \u00e9 vantajoso para pacientes que necessitam de m\u00faltiplas revis\u00f5es.\u00b9<\/p>\n<p>A abordagem penoescrotal \u00e9 amplamente recomendada pelas diretrizes da Associa\u00e7\u00e3o Europeia de Urologia (EAU) como via de acesso para implanta\u00e7\u00e3o de pr\u00f3teses penianas. Oferece excelente visualiza\u00e7\u00e3o dos corpos cavernosos e permite o dimensionamento preciso dos cilindros. A taxa de complica\u00e7\u00f5es com esta abordagem \u00e9 de aproximadamente 2-3%, conforme dados da EAU 2023.<\/p>","gt-synonyms":"Incis\u00e3o penoescrotal, abordagem transescrotal (para pr\u00f3tese peniana)","gt-citation":"[1] Gupta NK, Ring J, Trost L, Wilson SK, K\u00f6hler TS. The penoscrotal surgical approach for inflatable penile prosthesis placement. Transl Androl Urol. 2017 Aug;6(4):628-638. doi: 10.21037\/tau.2017.07.32. PMID: 28904895; PMCID: PMC5583046.\n\n[2] Yafi FA, Hsieh TC, Albersen M, et al. Maximizing outcomes in penile prosthetic surgery. Int J Impot Res. 2024;36:1-2. doi: 10.1038\/s41443-023-00773-7.","gt-clinical-context":"<div class=\"mb-4 last:mb-0 whitespace-pre-wrap u-break-words\">A abordagem penoscrotal \u00e9 clinicamente indicada para pacientes com disfun\u00e7\u00e3o er\u00e9til que falharam ou t\u00eam contraindica\u00e7\u00f5es para tratamentos menos invasivos, como inibidores da fosfodiesterase-5, dispositivos de ere\u00e7\u00e3o a v\u00e1cuo ou inje\u00e7\u00f5es intracavernosas, e que optam pelo tratamento cir\u00fargico com uma pr\u00f3tese peniana infl\u00e1vel.\u00b9 A sele\u00e7\u00e3o do paciente \u00e9 cr\u00edtica e envolve aconselhamento completo sobre expectativas realistas, riscos potenciais (por exemplo, infec\u00e7\u00e3o, falha mec\u00e2nica, altera\u00e7\u00f5es no comprimento do p\u00eanis, les\u00f5es em estruturas adjacentes) e benef\u00edcios do procedimento.\u00b9 As contra-indica\u00e7\u00f5es incluem infec\u00e7\u00f5es ativas (especialmente infec\u00e7\u00f5es do trato urin\u00e1rio ou da pele genital), relut\u00e2ncia em se submeter a novas cirurgias para revis\u00f5es e problemas de mic\u00e7\u00e3o n\u00e3o resolvidos.\u00b9<\/div>\n<div class=\"mb-4 last:mb-0 whitespace-pre-wrap u-break-words\">O procedimento cir\u00fargico usando a abordagem penoescrotal envolve etapas espec\u00edficas: posicionamento do paciente (posi\u00e7\u00e3o perna de sapo), prepara\u00e7\u00e3o est\u00e9ril e cobertura e cateterismo.\u00b9 Um afastador auto-retentor \u00e9 normalmente usado para otimizar a exposi\u00e7\u00e3o.\u00b9 A incis\u00e3o \u00e9 feita transversalmente abaixo do penoescrotal. jun\u00e7\u00e3o, seguida de dissec\u00e7\u00e3o dos corpos cavernosos.\u00b9 Corporotomias s\u00e3o ent\u00e3o realizadas, e os corpos s\u00e3o dilatados para acomodar os cilindros da pr\u00f3tese.\u00b9 A bomba \u00e9 normalmente colocada em uma posi\u00e7\u00e3o escrotal dependente, e o reservat\u00f3rio \u00e9 colocado no espa\u00e7o retrop\u00fabico (espa\u00e7o de Retzius), embora isso seja feito \u00e0s cegas com esta abordagem, o que \u00e9 uma desvantagem not\u00e1vel junto com o incha\u00e7o escrotal potencialmente aumentado em compara\u00e7\u00e3o com uma abordagem infrap\u00fabica.\u00b9 Os resultados esperados geralmente incluem a restaura\u00e7\u00e3o da fun\u00e7\u00e3o er\u00e9til suficiente para a rela\u00e7\u00e3o sexual, embora os pacientes devam ser aconselhados sobre poss\u00edveis altera\u00e7\u00f5es no comprimento ou sensa\u00e7\u00e3o do p\u00eanis.\u00b9 Os cuidados p\u00f3s-operat\u00f3rios envolvem controle da dor, antibi\u00f3ticos e instru\u00e7\u00f5es sobre a ciclagem do dispositivo ap\u00f3s um per\u00edodo inicial de cicatriza\u00e7\u00e3o.\u00b9<\/div>\n<p>Na pr\u00e1tica cl\u00ednica, a abordagem penoescrotal \u00e9 frequentemente preferida para casos de revis\u00e3o ou reimplante, pois permite melhor explora\u00e7\u00e3o da \u00e1rea penoescrotal. A EAU recomenda esta via para cirurgi\u00f5es com experi\u00eancia em implantes, dada sua versatilidade em anatomias desafiadoras, incluindo pacientes com fibrose corporal significativa.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":70},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Abordagem Penoescrotal: T\u00e9cnica Cir\u00fargica para Pr\u00f3tese Peniana | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba mais sobre a abordagem penoescrotal, t\u00e9cnica cir\u00fargica para implanta\u00e7\u00e3o de pr\u00f3tese peniana infl\u00e1vel e esf\u00edncter urin\u00e1rio artificial. 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