{"id":12612,"date":"2025-07-07T08:33:29","date_gmt":"2025-07-07T12:33:29","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penile-revascularization\/"},"modified":"2025-07-07T08:33:29","modified_gmt":"2025-07-07T12:33:29","slug":"revascularizacao-peniana","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/revascularizacao-peniana\/","title":{"rendered":"Revasculariza\u00e7\u00e3o Peniana"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105],"class_list":["post-12612","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction-treatments","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>A revasculariza\u00e7\u00e3o peniana, tamb\u00e9m conhecida como cirurgia de bypass arterial microvascular para impot\u00eancia, \u00e9 um procedimento cir\u00fargico projetado para restaurar o fluxo sangu\u00edneo arterial adequado para o p\u00eanis.<sup>1<\/sup> \u00c9 semelhante a um bypass card\u00edaco, mas realizado no p\u00eanis.<sup>2<\/sup> O objetivo principal da revasculariza\u00e7\u00e3o peniana \u00e9 tratar a disfun\u00e7\u00e3o er\u00e9til arteriog\u00eanica (DE), especialmente em homens mais jovens que tiveram doen\u00e7a arterial oclusiva focal devido a contus\u00e3o p\u00e9lvica, trauma perineal ou peniano.<sup>2<\/sup> O procedimento normalmente envolve a cria\u00e7\u00e3o de uma anastomose microvascular, onde uma art\u00e9ria doadora (geralmente a art\u00e9ria epig\u00e1strica inferior) \u00e9 conectada a uma art\u00e9ria receptora no p\u00eanis (geralmente a art\u00e9ria peniana dorsal).<sup>1<\/sup> Isso contorna o segmento arterial bloqueado, teoricamente aumentando a press\u00e3o de perfus\u00e3o para as art\u00e9rias cavernosas por meio de ramos perfurantes da art\u00e9ria dorsal, melhorando assim a ere\u00e7\u00e3o fun\u00e7\u00e3o.<sup>2<\/sup><\/p>\n<p>A revasculariza\u00e7\u00e3o peniana \u00e9 um procedimento microcir\u00fargico que visa restaurar o fluxo arterial para os corpos cavernosos em pacientes com disfun\u00e7\u00e3o er\u00e9til de causa arterial. A t\u00e9cnica mais utilizada envolve a anastomose da art\u00e9ria epig\u00e1strica inferior \u00e0 art\u00e9ria dorsal do p\u00eanis. \u00c9 um procedimento raro e com indica\u00e7\u00f5es muito espec\u00edficas na urologia moderna.<\/p>","gt-synonyms":"Cirurgia de bypass arterial microvascular para impot\u00eancia, bypass arterial peniano, reconstru\u00e7\u00e3o arterial peniana","gt-citation":"[1] Penile Revascularization Surgery. Boston University Medical Campus Sexual Medicine. Accessed May 15, 2025. https:\/\/www.bumc.bu.edu\/sexualmedicine\/patientinformation-physicians\/penile-revascularization-surgery\/\n\n[2] Dicks B, Bastuba M, Goldstein I. Penile revascularization\u2014contemporary update. Asian J Androl. 2013 Mar;15(2):171-5. doi: 10.1038\/aja.2012.146. Epub 2012 Dec 17. PMID: 23241636; PMCID: PMC3739123.","gt-clinical-context":"<p>A revasculariza\u00e7\u00e3o peniana \u00e9 normalmente considerada para homens saud\u00e1veis, geralmente com menos de 50 anos de idade, que apresentam disfun\u00e7\u00e3o er\u00e9til devido \u00e0 oclus\u00e3o arterial focal e nenhuma evid\u00eancia de vazamento venoso no momento do teste.<sup>1<\/sup> As causas mais comuns que levam a esse tipo espec\u00edfico de DE s\u00e3o traumatismo contuso no per\u00edneo ou na pelve, ou, \u00e0s vezes, andar de bicicleta prolongado, que pode causar les\u00e3o endotelial focal no p\u00eanis art\u00e9rias.<sup>1,2<\/sup><\/p>\n<p>A sele\u00e7\u00e3o de pacientes \u00e9 fundamental para resultados bem-sucedidos. Os candidatos ideais s\u00e3o homens jovens com hist\u00f3rico de trauma perineal ou p\u00e9lvico, onde a arteriografia revela uma les\u00e3o localizada na art\u00e9ria peniana comum.<sup>1<\/sup> Pacientes com patologia vascular generalizada s\u00e3o geralmente maus candidatos, pois a doen\u00e7a subjacente provavelmente afetar\u00e1 o segmento revascularizado ao longo do tempo.<sup>1<\/sup><\/p>\n<p>O procedimento cir\u00fargico \u00e9 altamente especializado, exigindo conhecimentos em cirurgia microvascular. Envolve dissecar uma art\u00e9ria doadora, como a art\u00e9ria epig\u00e1strica inferior, e anastomos\u00e1-la a uma art\u00e9ria receptora no p\u00eanis, como a art\u00e9ria peniana dorsal, para contornar o bloqueio.<sup>1<\/sup> A art\u00e9ria doadora cortada \u00e9 cuidadosamente trazida atrav\u00e9s do anel inguinal at\u00e9 o escroto para a anastomose microvascular.<sup>1<\/sup><\/p>\n<p>Os resultados esperados podem ser excelentes com permeabilidade a longo prazo e satisfa\u00e7\u00e3o do paciente, desde que crit\u00e9rios rigorosos de sele\u00e7\u00e3o de pacientes sejam respeitados.<sup>1<\/sup> O objetivo \u00e9 restaurar a fun\u00e7\u00e3o er\u00e9til natural sem depender de ajudas ou dispositivos farmacol\u00f3gicos.<sup>2<\/sup><\/p>\n<p>A EAU restringe a indica\u00e7\u00e3o de revasculariza\u00e7\u00e3o a homens jovens (< 55 anos) com DE vascular arteriog\u00eanica pura, documentada por estudo Doppler e arteriografia, sem fuga venosa e sem fatores de risco cardiovascular significativos. O cen\u00e1rio mais comum \u00e9 trauma p\u00e9lvico\/perineal em homens jovens. A taxa de sucesso a longo prazo varia de 40-60%, com decl\u00ednio dos resultados ao longo dos anos. A pr\u00f3tese peniana permanece como op\u00e7\u00e3o definitiva para falhas.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":48},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Revasculariza\u00e7\u00e3o Peniana: Cirurgia Vascular | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a revasculariza\u00e7\u00e3o peniana, cirurgia microvascular para DE vascular em homens jovens. Indica\u00e7\u00f5es restritas, t\u00e9cnica e resultados. 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