{"id":12476,"date":"2025-05-16T09:19:54","date_gmt":"2025-05-16T13:19:54","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/pump-placement\/"},"modified":"2026-10-07T01:03:45","modified_gmt":"2026-10-07T05:03:45","slug":"colocacao-da-bomba","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/colocacao-da-bomba\/","title":{"rendered":"Coloca\u00e7\u00e3o da Bomba"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,104,105,116],"class_list":["post-12476","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis","glossary-product-testi10-testicular-prosthesis"],"acf":{"gt-definition":"<p>A coloca\u00e7\u00e3o da bomba \u00e9 a etapa cir\u00fargica em que a bomba de acionamento manual de um dispositivo urol\u00f3gico implantado \u00e9 posicionada, geralmente no escroto. Em uma pr\u00f3tese peniana infl\u00e1vel de tr\u00eas volumes, a bomba conecta dois cilindros infl\u00e1veis nos corpos cavernosos a um reservat\u00f3rio de l\u00edquido no abdome.<sup>1<\/sup> Ao apertar a bomba, o l\u00edquido \u00e9 transferido para os cilindros, produzindo uma ere\u00e7\u00e3o, e um mecanismo de desinsufla\u00e7\u00e3o na bomba permite que o l\u00edquido retorne ao reservat\u00f3rio.<sup>2<\/sup> Como o paciente precisa localizar e acionar a bomba durante toda a vida \u00fatil do dispositivo, ela \u00e9 normalmente colocada em uma bolsa subdartos, em uma posi\u00e7\u00e3o escrotal pendente e facilmente palp\u00e1vel, com o bot\u00e3o de desinsufla\u00e7\u00e3o voltado para a frente e para baixo.<sup>3<\/sup> O posicionamento inadequado ou o deslocamento posterior podem dificultar o uso da bomba e constituem um motivo reconhecido de reopera\u00e7\u00e3o para reposicion\u00e1-la.<sup>2,4<\/sup> O esf\u00edncter urin\u00e1rio artificial (AUS) utiliza uma bomba de controle escrotal semelhante, que tamb\u00e9m \u00e9 colocada superficialmente em uma bolsa subdartos para que o paciente possa acion\u00e1-la v\u00e1rias vezes ao dia.<sup>5<\/sup><\/p>","gt-synonyms":"Implanta\u00e7\u00e3o de bomba intratecal, Implanta\u00e7\u00e3o de sistema implant\u00e1vel de administra\u00e7\u00e3o de medicamentos, Implanta\u00e7\u00e3o de bomba de dor, Coloca\u00e7\u00e3o de bomba espinhal, Coloca\u00e7\u00e3o de bomba de infus\u00e3o de medicamentos, Implanta\u00e7\u00e3o de dispositivo (espec\u00edfico para tipo de bomba, por exemplo, implanta\u00e7\u00e3o de bomba de Baclofen, implanta\u00e7\u00e3o de bomba de morfina).","gt-citation":"[1] Patel J, Zakkar B, Polchert M, Tannenbaum J, Dick B, Raheem O. Recent technological development of penile prosthesis: a literature review. Transl Androl Urol. 2024;13(1):165-184. doi:10.21037\/tau-22-741. PMID: 38404551.\n\n[2] Raikin J, Woodruff M, Meshekow G, Debski ND, Germaine P, Gor R. Urologic prosthetics: an imaging review of short- and long-term complications. Abdom Radiol (NY). 2025;50(1):290-304. doi:10.1007\/s00261-024-04491-6. PMID: 38985291.\n\n[3] Al-Enezi A, Al-Khadhari S, Al-Shaiji TF. Three-piece Inflatable Penile Prosthesis: Surgical Techniques and Pitfalls. J Surg Tech Case Rep. 2011;3(2):76-83. doi:10.4103\/2006-8808.92798. PMID: 22413049.\n\n[4] Chan EP, Punjani N, Campbell JD, Abed H, Brock G. Indications for Penile Prosthesis Revision: Lessons Learned to Limit Technical Causes of Reoperation. J Sex Med. 2019;16(9):1444-1450. doi:10.1016\/j.jsxm.2019.06.003. PMID: 31303570.\n\n[5] Brant WO, Martins FE. Artificial urinary sphincter. Transl Androl Urol. 2017;6(4):682-694. doi:10.21037\/tau.2017.07.31. PMID: 28904901.\n\n[6] Vural A, De Bruyn H, Van Renterghem K. How to improve functional outcome of inflatable penile implant surgery? a narrative review. Int J Impot Res. 2025;37(11):873-880. doi:10.1038\/s41443-025-01030-9. PMID: 39966533.\n\n[7] Gupta NK, Ring J, Trost L, Wilson SK, K\u00f6hler TS. The penoscrotal surgical approach for inflatable penile prosthesis placement. Transl Androl Urol. 2017;6(4):628-638. doi:10.21037\/tau.2017.07.32. PMID: 28904895.\n\n[8] O'Rourke TK Jr, Erbella A, Zhang Y, Wosnitzer MS. Prevention, identification, and management of post-operative penile implant complications of infection, hematoma, and device malfunction. Transl Androl Urol. 2017;6(Suppl 5):S832-S848. doi:10.21037\/tau.2017.06.07. PMID: 29238663.\n\n[9] Lai L, O'Hollaren K, Sessine M, Liaw A. Ectopic Placement of Inflatable Penile Prosthesis Pump into the Mons Fat Pad for Patients with Difficulty Reaching Their Scrotum: A Case Series. Int J Impot Res. 2026;38(5):453-455. doi:10.1038\/s41443-025-01110-w. PMID: 40604140.\n\n[10] Linder BJ, Rivera ME, Ziegelmann MJ, Elliott DS. Long-term Outcomes Following Artificial Urinary Sphincter Placement: An Analysis of 1082 Cases at Mayo Clinic. Urology. 2015;86(3):602-7. doi:10.1016\/j.urology.2015.05.029. PMID: 26135815.","gt-clinical-context":"<p>A coloca\u00e7\u00e3o da bomba est\u00e1 intimamente ligada \u00e0 via de acesso cir\u00fargica. A via penoescrotal \u00e9 descrita como uma abordagem que simplifica a coloca\u00e7\u00e3o da bomba, ao passo que as desvantagens relatadas da via infrap\u00fabica incluem a dificuldade de coloca\u00e7\u00e3o da bomba devido \u00e0 poss\u00edvel migra\u00e7\u00e3o da bomba.<sup>6<\/sup> Cirurgi\u00f5es que descrevem a t\u00e9cnica penoescrotal tamb\u00e9m relatam que a incis\u00e3o ajuda a prevenir a migra\u00e7\u00e3o da bomba.<sup>7<\/sup><\/p>\n<p>Durante a implanta\u00e7\u00e3o por via penoescrotal, cria-se uma bolsa subdartos no meio do escroto ou em um dos hemiescrotos, e o tubo da bomba \u00e9, de prefer\u00eancia, exteriorizado pela face posterior da bolsa.<sup>3<\/sup> Alguns cirurgi\u00f5es fixam a bomba em sua loja com um ponto de \"travamento\". Em uma s\u00e9rie, dois pacientes (1,7%) precisaram de revis\u00e3o porque a bomba havia migrado para o per\u00edneo e era dif\u00edcil de manipular; os autores n\u00e3o relataram outros problemas com a posi\u00e7\u00e3o da bomba ap\u00f3s adotarem o ponto de travamento.<sup>7<\/sup><\/p>\n<p>A migra\u00e7\u00e3o da bomba pode resultar do fechamento inadequado do espa\u00e7o escrotal ou de complica\u00e7\u00f5es como hematoma, e os pacientes podem apresentar dificuldade para usar a bomba.<sup>2<\/sup> Em uma revis\u00e3o de centro \u00fanico de 99 primeiras reopera\u00e7\u00f5es de pr\u00f3tese peniana, a bomba com v\u00e1lvula foi o componente reposicionado com maior frequ\u00eancia entre as reopera\u00e7\u00f5es por causas t\u00e9cnicas (n = 11, 39,3%), e os autores conclu\u00edram que mais de um quarto das reopera\u00e7\u00f5es poderia ter sido evitado por meio de mudan\u00e7as na t\u00e9cnica cir\u00fargica, no posicionamento do dispositivo e nos cuidados p\u00f3s-operat\u00f3rios.<sup>4<\/sup> A eros\u00e3o escrotal da bomba geralmente est\u00e1 relacionada \u00e0 infec\u00e7\u00e3o, embora a eros\u00e3o isolada tenha sido descrita; o tratamento pode exigir a remo\u00e7\u00e3o de todo o implante, mas tamb\u00e9m foram relatadas t\u00e9cnicas de salvamento que se concentram exclusivamente na revis\u00e3o da bomba.<sup>8<\/sup><\/p>\n<p>A anatomia do paciente tamb\u00e9m \u00e9 importante. Homens com grande complei\u00e7\u00e3o corporal podem ter dificuldade para manipular uma bomba colocada no escroto, e uma pequena s\u00e9rie de casos de tr\u00eas pacientes descreveu, como alternativa, a coloca\u00e7\u00e3o ect\u00f3pica da bomba em uma loja subcut\u00e2nea no coxim adiposo do monte p\u00fabico.<sup>9<\/sup><\/p>\n<p>No AUS, a bomba geralmente \u00e9 colocada do lado da m\u00e3o dominante do paciente, na parte baixa do escroto, em uma bolsa subdartos; o edema p\u00f3s-operat\u00f3rio ou um hematoma podem faz\u00ea-la migrar para cima e dificultar a manipula\u00e7\u00e3o.<sup>5<\/sup> Em uma s\u00e9rie de 1.082 implanta\u00e7\u00f5es prim\u00e1rias de AUS, 29 pacientes foram submetidos a cirurgia secund\u00e1ria por mau posicionamento da bomba ou complica\u00e7\u00f5es do tubo.<sup>10<\/sup><\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":88},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 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