{"id":12478,"date":"2025-05-20T08:01:08","date_gmt":"2025-05-20T12:01:08","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/malleable-penile-prosthesis\/"},"modified":"2026-10-06T10:51:24","modified_gmt":"2026-10-06T14:51:24","slug":"protese-peniana-maleavel","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/protese-peniana-maleavel\/","title":{"rendered":"Pr\u00f3tese Peniana Male\u00e1vel"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[117],"glossary-product":[105],"class_list":["post-12478","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-prosthetic-implants","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>A pr\u00f3tese peniana male\u00e1vel \u00e9 um dispositivo m\u00e9dico implantado cirurgicamente no p\u00eanis para tratar a disfun\u00e7\u00e3o er\u00e9til (DE), particularmente em homens que n\u00e3o responderam a outros tratamentos, como medicamentos orais, inje\u00e7\u00f5es ou dispositivos de ere\u00e7\u00e3o a v\u00e1cuo.\u00b9 Ela consiste em um par de hastes flex\u00edveis, normalmente com revestimento externo de silicone e n\u00facleo de a\u00e7o inoxid\u00e1vel ou de outro metal male\u00e1vel, que s\u00e3o colocadas dentro dos corpos cavernosos (as c\u00e2maras er\u00e9teis) do p\u00eanis.\u00b2 Essas hastes proporcionam firmeza permanente, permitindo que o p\u00eanis seja posicionado manualmente para a rela\u00e7\u00e3o sexual e dobrado para baixo para ser disfar\u00e7ado quando n\u00e3o estiver em uso.\u00b3 Ao contr\u00e1rio das pr\u00f3teses penianas infl\u00e1veis, os implantes male\u00e1veis n\u00e3o precisam de bomba nem de reservat\u00f3rio e t\u00eam design e funcionamento mais simples, oferecendo um estado constante de semirrigidez.<sup>4<\/sup>\u00a0A principal finalidade da pr\u00f3tese peniana male\u00e1vel \u00e9 restaurar a fun\u00e7\u00e3o er\u00e9til, possibilitando uma atividade sexual satisfat\u00f3ria e melhorando a qualidade de vida de pacientes com DE grave.<sup>5<\/sup><\/p>","gt-synonyms":"Pr\u00f3tese peniana semirr\u00edgida, pr\u00f3tese peniana n\u00e3o infl\u00e1vel, implante peniano dobr\u00e1vel, implante de haste, MPP.","gt-citation":"[1] Cavayero CT, McIntosh GV. Penile Prosthesis Implantation. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK563292\/\n\r\n[2] Satwikananda H, Laksita TB, Djatisoesanto W, Soebadi DM. Efficacy and safety of malleable penile prosthesis compared to inflatable penile prosthesis in erectile dysfunction patients. Arch Ital Urol Androl. 2024 Jun 27;96(2). DOI: 10.4081\/aiua.2024.12353\r\n\r\n[3] Perito Urology. MTP #96: What is a Malleable Penile Implant? PeritoUrology.com. Published September 11, 2024. Available at: https:\/\/peritourology.com\/2024\/09\/mtp-96-what-is-a-malleable-penile-implant\/\r\n\r\n[4] Kapadia A. Malleable Versus Inflatable Penile Prosthesis. KapadiaMD.com. Published October 14, 2024. (Informational patient-focused source, similar to above).\r\n\r\n[5] Chung E, Wang J. State-of-art review of current malleable penile prosthesis devices in the commercial market. Ther Adv Urol. 2023 Jan-Dec;15:17562872231179008. DOI: 10.1177\/17562872231179008. PMID: 37465318\r\n\r\n[6] Shamloul R, Ghanem H. Erectile dysfunction. Lancet. 2013 Jan 12;381(9861):153-65. DOI: 10.1016\/S0140-6736(12)60520-0\r\n\r\n[7] Polchert M, Dick B, Raheem O. Narrative review of penile prosthetic implant technology and surgical results, including transgender patients. Transl Androl Urol. 2021 Jul;10(7):2629-2647. DOI: 10.21037\/tau-20-1279\r\n\r\n[8] Habous M, Tealab A, Farag M, Soliman T, Williamson B, Mahmoud S, et al. Malleable Penile Implant Is an Effective Therapeutic Option in Men With Peyronie's Disease and Erectile Dysfunction. Sex Med. 2018 Mar;6(1):24-29. DOI: 10.1016\/j.esxm.2017.10.004. PMID: 29336942","gt-clinical-context":"<p>A pr\u00f3tese peniana male\u00e1vel \u00e9 clinicamente indicada para homens adultos com disfun\u00e7\u00e3o er\u00e9til (DE) que n\u00e3o responderam a tratamentos menos invasivos, n\u00e3o s\u00e3o candidatos a eles ou est\u00e3o insatisfeitos com eles, como medicamentos orais (p. ex., inibidores da PDE5), inje\u00e7\u00f5es intracavernosas ou dispositivos de ere\u00e7\u00e3o a v\u00e1cuo.\u00b9 \u00c9 considerada uma terapia de terceira linha para a DE.<sup>6<\/sup> Os implantes male\u00e1veis podem ser particularmente adequados para pacientes com destreza manual limitada ou comprometimento cognitivo, que poderiam ter dificuldade para operar uma pr\u00f3tese infl\u00e1vel, ou para aqueles que preferem um dispositivo mais simples e permanentemente firme.\u00b2 Outras indica\u00e7\u00f5es podem incluir a DE secund\u00e1ria a condi\u00e7\u00f5es como a doen\u00e7a de Peyronie (com ou sem incis\u00e3o\/excis\u00e3o da placa e enxerto), o priapismo que leva \u00e0 fibrose corporal ou ap\u00f3s cirurgias p\u00e9lvicas radicais (p. ex., prostatectomia, cistectomia) que resultam em DE intrat\u00e1vel.<sup>7<\/sup><\/p>\r\n<p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes envolvem um hist\u00f3rico m\u00e9dico minucioso, exame f\u00edsico e discuss\u00e3o sobre as expectativas e o estilo de vida do paciente e do(a) parceiro(a).\u00b2\u00b9 As principais considera\u00e7\u00f5es incluem o estado geral de sa\u00fade do paciente, a aptid\u00e3o cir\u00fargica, a motiva\u00e7\u00e3o e a compreens\u00e3o dos poss\u00edveis resultados, riscos e limita\u00e7\u00f5es da pr\u00f3tese.\u00b9\u2078 Pacientes com infec\u00e7\u00f5es ativas (sist\u00eamicas ou localizadas no trato urin\u00e1rio\/genit\u00e1lia), disfun\u00e7\u00e3o miccional n\u00e3o resolvida ou que n\u00e3o estejam dispostos a se submeter a uma poss\u00edvel cirurgia de revis\u00e3o geralmente n\u00e3o s\u00e3o candidatos.\u00b9 As contraindica\u00e7\u00f5es tamb\u00e9m incluem condi\u00e7\u00f5es psicol\u00f3gicas graves que possam prejudicar a capacidade de lidar com um implante, ou expectativas irrealistas em rela\u00e7\u00e3o ao tamanho ou \u00e0 fun\u00e7\u00e3o do p\u00eanis.\u00b2\u00b2<\/p>\r\n<p>O procedimento cir\u00fargico normalmente envolve a realiza\u00e7\u00e3o de uma incis\u00e3o (p. ex., penoescrotal, infrap\u00fabica) para acessar os corpos cavernosos (as c\u00e2maras er\u00e9teis do p\u00eanis). Os corpos cavernosos s\u00e3o ent\u00e3o dilatados para criar espa\u00e7o para os dois cilindros prot\u00e9ticos. As hastes male\u00e1veis s\u00e3o dimensionadas adequadamente e inseridas em cada corpo cavernoso.\u00b9 O p\u00eanis permanece semirr\u00edgido, podendo ser posicionado manualmente para a rela\u00e7\u00e3o sexual ou dobrado para baixo para ser disfar\u00e7ado. O procedimento geralmente \u00e9 realizado sob anestesia geral ou raquidiana.\u00b2\u2075<\/p>\r\n<p>Os resultados esperados incluem a capacidade de obter uma ere\u00e7\u00e3o peniana firme o suficiente para a rela\u00e7\u00e3o sexual, restaurando assim a fun\u00e7\u00e3o sexual em muitos pacientes.\u2075 As taxas de satisfa\u00e7\u00e3o dos pacientes com pr\u00f3teses male\u00e1veis s\u00e3o geralmente boas, embora possam ser ligeiramente inferiores \u00e0s dos dispositivos infl\u00e1veis de tr\u00eas componentes em alguns estudos, muitas vezes devido \u00e0 semirrigidez permanente.\u00b2 No entanto, os implantes male\u00e1veis apresentam menor risco de falha mec\u00e2nica em compara\u00e7\u00e3o com os dispositivos infl\u00e1veis.\u00b2 As poss\u00edveis complica\u00e7\u00f5es incluem infec\u00e7\u00e3o (o risco mais grave), eros\u00e3o do dispositivo atrav\u00e9s da pele, dor, mau funcionamento mec\u00e2nico (embora menos comum do que nos infl\u00e1veis) e possibilidade de encurtamento peniano ou altera\u00e7\u00e3o da sensibilidade.\u00b9\u00b3 Um aconselhamento pr\u00e9-operat\u00f3rio minucioso \u00e9 crucial para estabelecer expectativas realistas quanto ao comprimento e \u00e0 circunfer\u00eancia do p\u00eanis e \u00e0 natureza da ere\u00e7\u00e3o obtida com uma pr\u00f3tese male\u00e1vel.\u00b2\u00b9<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":194},"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>Pr\u00f3tese Peniana Male\u00e1vel: Op\u00e7\u00e3o Simplificada para DE | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre a pr\u00f3tese peniana male\u00e1vel (semirr\u00edgida) para disfun\u00e7\u00e3o er\u00e9til: funcionamento, indica\u00e7\u00f5es, cirurgia e compara\u00e7\u00e3o com infl\u00e1vel. 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