{"id":12491,"date":"2025-05-27T11:14:18","date_gmt":"2025-05-27T15:14:18","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/cuff-erosion\/"},"modified":"2026-10-06T10:51:24","modified_gmt":"2026-10-06T14:51:24","slug":"erosao-do-cuff","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/erosao-do-cuff\/","title":{"rendered":"Eros\u00e3o do Cuff"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[127,126],"glossary-product":[108,107],"class_list":["post-12491","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-complications","glossary-category-urological-conditions","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p class=\"ai-optimize-6\">A eros\u00e3o do manguito (cuff), no contexto de dispositivos prot\u00e9ticos urol\u00f3gicos como o esf\u00edncter urin\u00e1rio artificial (EUA), refere-se ao desgaste gradual ou \u00e0 migra\u00e7\u00e3o do componente do manguito do dispositivo atrav\u00e9s do tecido uretral. Esse processo pode levar \u00e0 exposi\u00e7\u00e3o do material do manguito no l\u00famen uretral ou nos tecidos adjacentes.<sup>1<\/sup> Trata-se de uma complica\u00e7\u00e3o significativa, que pode comprometer o funcionamento do dispositivo prot\u00e9tico e pode exigir interven\u00e7\u00e3o cir\u00fargica, incluindo a remo\u00e7\u00e3o do dispositivo e o reparo uretral.<sup>2<\/sup> A eros\u00e3o pode ocorrer devido a diversos fatores, incluindo necrose por press\u00e3o, infec\u00e7\u00e3o, atrofia tecidual ou t\u00e9cnica cir\u00fargica inadequada.<sup>1,2<\/sup> O principal prop\u00f3sito de identificar e compreender a eros\u00e3o do manguito \u00e9 facilitar o diagn\u00f3stico e o manejo oportunos, a fim de prevenir complica\u00e7\u00f5es adicionais, como estenose uretral, forma\u00e7\u00e3o de f\u00edstula ou incontin\u00eancia persistente, e de preservar a integridade uretral para poss\u00edveis interven\u00e7\u00f5es futuras.<sup>1,2<\/sup><\/p>","gt-synonyms":"Eros\u00e3o artificial do manguito do esf\u00edncter urin\u00e1rio, eros\u00e3o do manguito AUS, eros\u00e3o do manguito uretral, eros\u00e3o do dispositivo (AUS), perfura\u00e7\u00e3o do manguito na uretra, eros\u00e3o do manguito esfincteriano.","gt-citation":"[1] Diao L, Nealon SW, Carpinito GP, Badkhshan S, Wolfe AR, Dropkin BM, Sanders SC, Hudak SJ, Morey AF. Presenting signs and symptoms of artificial urinary sphincter cuff erosion. Int Braz J Urol. 2022 Mar-Apr;48(4):679-685. doi: 10.1590\/S1677-5538.IBJU.2022.0089.\r\n\r\n[2] Rozanski AT, Tausch TJ, Ramirez D, Simhan J, Scott JF, Morey AF. Immediate urethral repair during explantation prevents stricture formation after artificial urinary sphincter cuff erosion. J Urol. 2014 Aug;192(2):442-6. doi: 10.1016\/j.juro.2014.02.007. PMID: 24512955.","gt-clinical-context":"<p class=\"ai-optimize-7\">A eros\u00e3o do manguito (cuff) \u00e9 uma complica\u00e7\u00e3o reconhecida, associada principalmente \u00e0 implanta\u00e7\u00e3o de um esf\u00edncter urin\u00e1rio artificial (EUA), dispositivo comumente utilizado para tratar a incontin\u00eancia urin\u00e1ria de esfor\u00e7o grave, particularmente em homens ap\u00f3s prostatectomia.<sup>1<\/sup> Ela geralmente se apresenta com sintomas como inflama\u00e7\u00e3o escrotal (sensibilidade, eritema, edema ao redor da bomba do EUA, \u00e0s vezes chamada de \"pump-itis\"), sintomas miccionais obstrutivos ou piora da incontin\u00eancia.<sup>1<\/sup> Esses sintomas devem motivar uma investiga\u00e7\u00e3o adicional para eros\u00e3o do manguito.<sup>1<\/sup> Pacientes com hist\u00f3ria de radioterapia p\u00e9lvica apresentam maior risco de desenvolver eros\u00e3o do manguito do EUA.<sup>1<\/sup> O diagn\u00f3stico \u00e9 frequentemente confirmado por cistoscopia, que permite visualizar o manguito erodido no l\u00famen uretral.<sup>2<\/sup> O manejo da eros\u00e3o do manguito envolve tradicionalmente a remo\u00e7\u00e3o do dispositivo e a drenagem com cateter de Foley, frequentemente seguidas de um per\u00edodo de repouso uretral antes de se considerarem outras interven\u00e7\u00f5es, como uretroplastia ou reimplante do EUA.<sup>2<\/sup> O reconhecimento e o manejo precoces s\u00e3o fundamentais para minimizar complica\u00e7\u00f5es como estenose uretral e f\u00edstula, e para preservar op\u00e7\u00f5es para futuros procedimentos de contin\u00eancia.<sup>1,2<\/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 v28.6 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Eros\u00e3o do Cuff: Complica\u00e7\u00e3o do Esf\u00edncter Urin\u00e1rio | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre a eros\u00e3o do cuff do esf\u00edncter urin\u00e1rio artificial: fatores de risco, sinais cl\u00ednicos, diagn\u00f3stico e manejo cir\u00fargico. 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