{"id":12572,"date":"2025-06-17T11:24:55","date_gmt":"2025-06-17T15:24:55","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penile-prosthesis-infection-prophylaxis\/"},"modified":"2026-10-06T18:19:32","modified_gmt":"2026-10-06T22:19:32","slug":"profilaxia-de-infeccao-da-protese-peniana","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/profilaxia-de-infeccao-da-protese-peniana\/","title":{"rendered":"Profilaxia de Infec\u00e7\u00e3o da Pr\u00f3tese Peniana"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[127],"glossary-product":[104,105],"class_list":["post-12572","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-complications","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p class=\"ai-optimize-6\">A profilaxia de infec\u00e7\u00e3o da pr\u00f3tese peniana refere-se ao conjunto abrangente de medidas m\u00e9dicas e cir\u00fargicas baseadas em evid\u00eancias adotadas para prevenir infec\u00e7\u00f5es antes, durante e ap\u00f3s a implanta\u00e7\u00e3o de uma pr\u00f3tese peniana (seja um dispositivo semirr\u00edgido\/male\u00e1vel ou uma pr\u00f3tese peniana infl\u00e1vel, IPP). As pr\u00f3teses penianas s\u00e3o dispositivos m\u00e9dicos implantados para tratar a disfun\u00e7\u00e3o er\u00e9til (DE) refrat\u00e1ria a outros tratamentos.\u00b9\u02d2\u00b3 O principal objetivo da profilaxia de infec\u00e7\u00e3o nesse contexto \u00e9 minimizar o risco de contamina\u00e7\u00e3o microbiana do s\u00edtio cir\u00fargico e do pr\u00f3prio implante, que pode levar a complica\u00e7\u00f5es graves, falha do dispositivo e necessidade de cirurgia de revis\u00e3o.\u00b9\u207b\u00b3 As estrat\u00e9gias profil\u00e1ticas normalmente envolvem uma abordagem multifacetada, incluindo otimiza\u00e7\u00e3o do paciente, t\u00e9cnicas cir\u00fargicas meticulosas, administra\u00e7\u00e3o adequada de antibi\u00f3ticos e, potencialmente, o uso de revestimentos especializados nos dispositivos.\u00b9\u02d2\u00b2 A forma\u00e7\u00e3o de biofilme na superf\u00edcie da pr\u00f3tese \u00e9 um fator-chave na patog\u00eanese das infec\u00e7\u00f5es de IPP, o que torna a preven\u00e7\u00e3o fundamental.\u00b9 As diretrizes atuais das associa\u00e7\u00f5es urol\u00f3gicas fornecem recomenda\u00e7\u00f5es, embora existam algumas varia\u00e7\u00f5es, por exemplo, quanto \u00e0 dura\u00e7\u00e3o da cobertura antibi\u00f3tica ou \u00e0 inclus\u00e3o de agentes antif\u00fangicos em cen\u00e1rios espec\u00edficos de alto risco.\u00b9<\/p>","gt-synonyms":"Preven\u00e7\u00e3o de infec\u00e7\u00e3o por IPP, Controle de infec\u00e7\u00e3o de implante peniano, Profilaxia para infec\u00e7\u00e3o de implante peniano, Preven\u00e7\u00e3o de infec\u00e7\u00e3o de s\u00edtio cir\u00fargico (ISC) em cirurgia de pr\u00f3tese peniana.","gt-citation":"[1] Natsos AN, Tatanis V, Lekkou A, et al. Unveiling the Hidden Perils: A Comprehensive Review of Fungal Infections in Inflatable Penile Prosthesis Surgery. J Pers Med. 2024 Jun;14(6):644. doi: 10.3390\/jpm14060644.\r\n[2] Matthew-Onabanjo AN, Matthew AN, Famati E, Nguyen V, Rogers MJ. Perioperative infection prevention during inflatable penile prosthesis surgery: a narrative review. Transl Androl Urol. 2024 Aug 31;13(8):1628-1640. doi: 10.21037\/tau-23-497.\r\n[3] Nguyen V, Sato R, Loh-Doyle J, et al. A Nationwide Analysis of Postpenile Prosthesis Infection: Do Hospital and Surgeon Volume Matter?. Urology. Published online April 1, 2025. doi:10.1016\/j.urology.2025.03.039.","gt-clinical-context":"<p class=\"ai-optimize-7\">A profilaxia de infec\u00e7\u00e3o da pr\u00f3tese peniana \u00e9 uma considera\u00e7\u00e3o cr\u00edtica em todos os pacientes submetidos \u00e0 implanta\u00e7\u00e3o de IPP para disfun\u00e7\u00e3o er\u00e9til grave.\u00b9\u207b\u00b3 A incid\u00eancia de infec\u00e7\u00e3o ap\u00f3s a cirurgia prim\u00e1ria de IPP \u00e9 geralmente baixa, relatada em torno de 1-3%, mas pode aumentar significativamente em cirurgias de revis\u00e3o (at\u00e9 cerca de 10%, e at\u00e9 18% em homens com diabetes) ou em pacientes com fatores de risco espec\u00edficos.\u00b9\u207b\u00b3<\/p>\r\n<h4 class=\"ai-optimize-8\">Sele\u00e7\u00e3o de pacientes e fatores de risco:<\/h4>\r\n<p class=\"ai-optimize-9\">Os principais fatores de risco relacionados ao paciente que exigem medidas profil\u00e1ticas cuidadosas incluem diabetes mellitus n\u00e3o controlado (especialmente com HbA1c &gt; 8,5%), obesidade, imunossupress\u00e3o, tabagismo, idade avan\u00e7ada (&gt;75 anos), radioterapia p\u00e9lvica pr\u00e9via, les\u00e3o medular e sorologia positiva para HIV.\u00b9\u207b\u00b3 A otimiza\u00e7\u00e3o pr\u00e9-operat\u00f3ria dessas comorbidades \u00e9 uma etapa profil\u00e1tica importante.\u00b2<\/p>\r\n<h4 class=\"ai-optimize-10\">Procedimentos cir\u00fargicos e medidas profil\u00e1ticas:<\/h4>\r\n<p class=\"ai-optimize-11\">A profilaxia abrange todo o per\u00edodo perioperat\u00f3rio:<\/p>\r\n<ul>\r\n\t<li class=\"ai-optimize-12\"><strong>Pr\u00e9-operat\u00f3rio:<\/strong>\u00a0Inclui o tratamento de quaisquer infec\u00e7\u00f5es sist\u00eamicas, cut\u00e2neas ou do trato urin\u00e1rio existentes.\u00b9 A otimiza\u00e7\u00e3o do paciente, como o controle glic\u00eamico, \u00e9 aconselhada, embora pontos de corte r\u00edgidos de HbA1c sejam debatidos.\u00b2 O preparo do campo cir\u00fargico com solu\u00e7\u00f5es \u00e0 base de clorexidina demonstrou superioridade em rela\u00e7\u00e3o \u00e0s solu\u00e7\u00f5es \u00e0 base de iodo para a antissepsia da pele.\u00b2 Antibi\u00f3ticos sist\u00eamicos perioperat\u00f3rios adequadamente selecionados, administrados antes da incis\u00e3o cir\u00fargica, s\u00e3o cruciais.\u00b2<\/li>\r\n\t<li class=\"ai-optimize-13\"><strong>Intraoperat\u00f3rio:<\/strong>\u00a0Uma t\u00e9cnica cir\u00fargica meticulosa \u00e9 fundamental. A t\u00e9cnica \"no-touch\" (sem toque), que minimiza o contato direto entre a pr\u00f3tese e a pele do paciente, reduz significativamente o risco de infec\u00e7\u00e3o.\u00b2 O uso de pr\u00f3teses com revestimento antibi\u00f3tico ou hidrof\u00edlico \u00e9 outra medida intraoperat\u00f3ria importante.\u00b2 O tempo operat\u00f3rio deve ser minimizado, pois dura\u00e7\u00f5es mais longas est\u00e3o associadas a um maior risco de infec\u00e7\u00e3o.\u00b9 Volumes elevados de casos por cirurgi\u00e3o e por hospital t\u00eam sido associados a taxas de infec\u00e7\u00e3o mais baixas, sugerindo que a experi\u00eancia desempenha um papel.\u00b3<\/li>\r\n\t<li class=\"ai-optimize-14\"><strong>P\u00f3s-operat\u00f3rio:<\/strong>\u00a0O papel da administra\u00e7\u00e3o prolongada de antibi\u00f3ticos no p\u00f3s-operat\u00f3rio \u00e9 menos claro, com algumas evid\u00eancias sugerindo que ela pode n\u00e3o reduzir significativamente as taxas de infec\u00e7\u00e3o al\u00e9m da cobertura perioperat\u00f3ria inicial.\u00b2 No entanto, as diretrizes variam quanto a esse aspecto.\u00b9<\/li>\r\n<\/ul>\r\n<h4 class=\"ai-optimize-15\">Resultados esperados:<\/h4>\r\n<p class=\"ai-optimize-16\">Uma profilaxia eficaz visa manter uma baixa taxa de infec\u00e7\u00e3o, garantindo o sucesso e a funcionalidade a longo prazo da pr\u00f3tese peniana e preservando a qualidade de vida do paciente.\u00b9 A preven\u00e7\u00e3o bem-sucedida evita a necessidade de procedimentos complexos de salvamento ou de explanta\u00e7\u00e3o do dispositivo, que acarretam maiores riscos e menores taxas de sucesso, particularmente nas infec\u00e7\u00f5es f\u00fangicas.\u00b9<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":94},"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>Profilaxia de Infec\u00e7\u00e3o da Pr\u00f3tese Peniana | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre a profilaxia de infec\u00e7\u00e3o na cirurgia de pr\u00f3tese peniana: antibi\u00f3ticos, t\u00e9cnicas ass\u00e9pticas e dispositivos antimicrobianos. 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