{"id":12480,"date":"2025-05-20T09:42:07","date_gmt":"2025-05-20T13:42:07","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/hydrophilic-coating\/"},"modified":"2026-10-07T01:28:59","modified_gmt":"2026-10-07T05:28:59","slug":"revestimento-hidrofilico","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/revestimento-hidrofilico\/","title":{"rendered":"Revestimento Hidrof\u00edlico"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[118,113],"glossary-product":[108,107,104,105],"class_list":["post-12480","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-medical-device-coatings","glossary-category-surgical-devices","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>Um revestimento hidrof\u00edlico \u00e9 uma camada superficial que atrai \u00e1gua; nas pr\u00f3teses penianas, o revestimento hidrof\u00edlico em uso cl\u00ednico \u00e9 \u00e0 base de polivinilpirrolidona, que reduz a ades\u00e3o bacteriana e adsorve antibi\u00f3ticos hidrof\u00edlicos antes da implanta\u00e7\u00e3o.<sup>1<\/sup> O revestimento torna os componentes do dispositivo escorregadios e impede a ades\u00e3o bacteriana; permite a r\u00e1pida absor\u00e7\u00e3o de antibi\u00f3ticos a partir de uma solu\u00e7\u00e3o aquosa, e esses antibi\u00f3ticos hidrossol\u00faveis s\u00e3o ent\u00e3o liberados do dispositivo para os espa\u00e7os do implante.<sup>2<\/sup> Enquanto um revestimento impregnado com antibi\u00f3tico \u00e9 aplicado durante a fabrica\u00e7\u00e3o, o revestimento hidrof\u00edlico absorve antibi\u00f3ticos quando o dispositivo \u00e9 submerso em uma solu\u00e7\u00e3o antes da implanta\u00e7\u00e3o,<sup>3<\/sup> de modo que o cirurgi\u00e3o pode personalizar o revestimento antibi\u00f3tico.<sup>1<\/sup> Os revestimentos hidrof\u00edlicos s\u00e3o usados em pr\u00f3teses penianas tanto infl\u00e1veis quanto male\u00e1veis.<sup>1<\/sup> Entre os dispositivos mais recentes, a pr\u00f3tese peniana infl\u00e1vel Infla10 da Rigicon, lan\u00e7ada em 2019, \u00e9 descrita na literatura como tendo revestimento hidrof\u00edlico em todas as superf\u00edcies externas.<sup>1<\/sup><\/p>","gt-synonyms":"Revestimento que adora \u00e1gua, Revestimento lubrificante, Revestimento de hidrogel, Revestimento de baixa fric\u00e7\u00e3o, Revestimento escorregadio, Revestimento HC","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] Serefoglu EC, Mandava SH, Gokce A, Chouhan JD, Wilson SK, Hellstrom WJ. Long-term revision rate due to infection in hydrophilic-coated inflatable penile prostheses: 11-year follow-up. J Sex Med. 2012;9(8):2182-6. doi:10.1111\/j.1743-6109.2012.02830.x. PMID: 22759917.\n\n[3] Swanton AR, Munarriz RM, Gross MS. Updates in penile prosthesis infections. Asian J Androl. 2020;22(1):28-33. doi:10.4103\/aja.aja_84_19. PMID: 31489848.\n\n[4] Salonia A, Boeri L, Capogrosso P, et al. EAU Guidelines on Sexual and Reproductive Health. Edn. presented at the EAU Annual Congress, Madrid 2025. EAU Guidelines Office, Arnhem, The Netherlands. ISBN 978-94-92671-29-5.\n\n[5] Mandava SH, Serefoglu EC, Freier MT, Wilson SK, Hellstrom WJ. Infection retardant coated inflatable penile prostheses decrease the incidence of infection: a systematic review and meta-analysis. J Urol. 2012;188(5):1855-60. doi:10.1016\/j.juro.2012.07.022. PMID: 22999690.\n\n[6] Lokeshwar SD, Bitran J, Madhusoodanan V, Kava B, Ramasamy R. A Surgeon's Guide to the Various Antibiotic Dips Available During Penile Prosthesis Implantation. Curr Urol Rep. 2019;20(2):11. doi:10.1007\/s11934-019-0874-8. PMID: 30701340.\n\n[7] Simhal R, Im BH, Shah S, et al. Antibiotic dip and irrigation solutions confer increased antimicrobial efficacy of inflatable penile prosthesis hydrophilic surfaces compared with 0.05% chlorhexidine gluconate. J Sex Med. 2024;21(9):816-822. doi:10.1093\/jsxmed\/qdae073. PMID: 38979774.\n\n[8] Im BH, Hochberg AR, Giordano AH, et al. Hydrophilic inflatable penile prosthesis surface coatings readily rebind antibiotics and maintain antimicrobial efficacy ex vivo. Int J Impot Res. 2026;38(2):134-140. doi:10.1038\/s41443-025-01104-8. PMID: 40500460.","gt-clinical-context":"<p>De acordo com as Diretrizes da EAU, a taxa de infec\u00e7\u00e3o ap\u00f3s a implanta\u00e7\u00e3o prim\u00e1ria pode ser reduzida ainda mais para 1-2% com a implanta\u00e7\u00e3o de uma pr\u00f3tese impregnada com antibi\u00f3tico ou com revestimento hidrof\u00edlico.<sup>4<\/sup> Em um registro volunt\u00e1rio do fabricante com 36.391 implantes prim\u00e1rios, 1,4% dos implantes com revestimento hidrof\u00edlico, acompanhados por at\u00e9 8 anos, e 4,6% dos implantes sem revestimento, acompanhados por at\u00e9 11 anos, foram removidos ou substitu\u00eddos por causa de infec\u00e7\u00e3o. Os antibi\u00f3ticos usados na imers\u00e3o n\u00e3o foram registrados, portanto \u00e9 incerto qual escolha produziu os melhores resultados.<sup>2<\/sup> Uma metan\u00e1lise de 9.910 primeiros implantes relatou taxas de infec\u00e7\u00e3o de 1,11% apenas com o revestimento hidrof\u00edlico, de 0,55% ap\u00f3s imers\u00e3o em rifampicina\/gentamicina e de 4,42% ap\u00f3s imers\u00e3o em vancomicina\/gentamicina, em compara\u00e7\u00e3o com 2,32% para dispositivos sem revestimento.<sup>5<\/sup><\/p>\n<p>Portanto, a escolha da solu\u00e7\u00e3o de imers\u00e3o \u00e9 importante. Rifampicina\/gentamicina \u00e9 a combina\u00e7\u00e3o mais estudada, mas a mistura antibi\u00f3tica ideal ainda n\u00e3o foi estabelecida e ainda s\u00e3o necess\u00e1rias compara\u00e7\u00f5es controladas.<sup>6<\/sup> Em estudos laboratoriais, superf\u00edcies de pr\u00f3teses hidrof\u00edlicas imersas em vancomicina\/gentamicina reduziram a ades\u00e3o bacteriana mais do que superf\u00edcies imersas em gliconato de clorexidina a 0,05%, e a irriga\u00e7\u00e3o com clorexidina ou soro fisiol\u00f3gico removeu a solu\u00e7\u00e3o de imers\u00e3o adsorvida \u00e0 superf\u00edcie hidrof\u00edlica. Esses s\u00e3o achados in vitro que podem n\u00e3o se traduzir totalmente para a pr\u00e1tica cl\u00ednica.<sup>7<\/sup> Superf\u00edcies hidrof\u00edlicas recuperadas durante cirurgias de revis\u00e3o por falha mec\u00e2nica mantiveram sua integridade e voltaram a ligar vancomicina\/gentamicina ex vivo.<sup>8<\/sup><\/p>\n<p>Um revestimento hidrof\u00edlico n\u00e3o elimina a necessidade de outras medidas preventivas, como protocolos rigorosos que evitam a exposi\u00e7\u00e3o prolongada da ferida e minimizam o contato com a pele.<sup>4<\/sup> Os microrganismos causadores de infec\u00e7\u00e3o passaram de bact\u00e9rias Gram-positivas para bact\u00e9rias Gram-negativas e fungos,<sup>6<\/sup> e os implantes revestidos foram associados a mais bact\u00e9rias at\u00edpicas e a menos infec\u00e7\u00f5es estafiloc\u00f3cicas, o que sugere que os revestimentos podem estar deslocando a infec\u00e7\u00e3o para pat\u00f3genos mais virulentos.<sup>3<\/sup><\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":118},"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>Revestimento Hidrof\u00edlico: Superf\u00edcie que Absorve Antibi\u00f3tico<\/title>\n<meta name=\"description\" content=\"Como o revestimento hidrof\u00edlico das pr\u00f3teses penianas absorve solu\u00e7\u00e3o antibi\u00f3tica antes da implanta\u00e7\u00e3o, seu efeito na infec\u00e7\u00e3o e a escolha da imers\u00e3o.\" \/>\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\/pt-br\/glossary-term\/revestimento-hidrofilico\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Revestimento Hidrof\u00edlico: Prote\u00e7\u00e3o Antimicrobiana | Rigicon\" \/>\n<meta property=\"og:description\" content=\"Conhe\u00e7a o revestimento hidrof\u00edlico em pr\u00f3teses penianas: tecnologia antibacteriana que absorve antibi\u00f3tico e reduz infec\u00e7\u00e3o p\u00f3s-implante. 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