{"id":12730,"date":"2025-07-21T08:10:15","date_gmt":"2025-07-21T12:10:15","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/urinary-tract-reconstruction\/"},"modified":"2026-10-06T12:50:55","modified_gmt":"2026-10-06T16:50:55","slug":"reconstrucao-do-trato-urinario","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/reconstrucao-do-trato-urinario\/","title":{"rendered":"Reconstru\u00e7\u00e3o do Trato Urin\u00e1rio"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[119],"glossary-product":[108,107],"class_list":["post-12730","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-reconstruction","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>A reconstru\u00e7\u00e3o do trato urin\u00e1rio refere-se a um conjunto de procedimentos cir\u00fargicos destinados a reparar ou reconstruir partes do trato urin\u00e1rio que est\u00e3o danificadas ou n\u00e3o funcionam adequadamente.<sup>1<\/sup> Esses procedimentos envolvem modificar, substituir ou redirecionar componentes do sistema urin\u00e1rio para restaurar o fluxo e o armazenamento adequados da urina.<sup>2<\/sup> As t\u00e9cnicas reconstrutivas podem incluir o uso de segmentos do intestino do pr\u00f3prio paciente para criar novas estruturas, como uma neobexiga, um conduto urin\u00e1rio ou um reservat\u00f3rio continente.<sup>3<\/sup> Essas cirurgias s\u00e3o adaptadas \u00e0s necessidades espec\u00edficas de cada indiv\u00edduo e t\u00eam como objetivo preservar a fun\u00e7\u00e3o renal, melhorar a qualidade de vida e prevenir complica\u00e7\u00f5es graves.<sup>4<\/sup><\/p>","gt-synonyms":"Deriva\u00e7\u00e3o urin\u00e1ria, deriva\u00e7\u00e3o do trato urin\u00e1rio, reconstru\u00e7\u00e3o do sistema urin\u00e1rio, reconstru\u00e7\u00e3o do trato urin\u00e1rio inferior, reconstru\u00e7\u00e3o urin\u00e1ria, reconstru\u00e7\u00e3o da neobexiga, reconstru\u00e7\u00e3o ortot\u00f3pica da neobexiga, reconstru\u00e7\u00e3o uretral, aumento da bexiga, deriva\u00e7\u00e3o urin\u00e1ria continente, deriva\u00e7\u00e3o urin\u00e1ria incontinente","gt-citation":"[1] Johnson EU, Singh G. Long-term outcomes of urinary tract reconstruction in patients with neurogenic urinary tract dysfunction. Indian J Urol. 2013 Oct;29(4):328-37. DOI: 10.4103\/0970-1591.120116\n\n[2] Mayo Clinic Staff. Neobladder reconstruction. Mayo Clinic. 2024 Mar 13. https:\/\/www.mayoclinic.org\/tests-procedures\/neobladder-reconstruction\/about\/pac-20385066\n\n[3] Cleveland Clinic. Urinary Reconstruction & Diversion. Cleveland Clinic. https:\/\/my.clevelandclinic.org\/health\/procedures\/12546-urinary-reconstruction--diversion\n\n[4] Yale Medicine Department of Urology. Reconstructive Urethral Surgery. Yale Medicine. https:\/\/www.yalemedicine.org\/conditions\/reconstruction-of-urethra","gt-clinical-context":"<p>A reconstru\u00e7\u00e3o do trato urin\u00e1rio tem indica\u00e7\u00e3o cl\u00ednica em diversas situa\u00e7\u00f5es em que a via urin\u00e1ria normal est\u00e1 comprometida ou precisa ser modificada.<sup>1<\/sup> As principais condi\u00e7\u00f5es que exigem esses procedimentos incluem:<\/p>\n    \n    <ul>\n        <li><strong>C\u00e2ncer de bexiga<\/strong> que requer cistectomia (remo\u00e7\u00e3o da bexiga)<sup>2<\/sup><\/li>\n        <li><strong>Disfun\u00e7\u00e3o vesical neurog\u00eanica<\/strong> decorrente de condi\u00e7\u00f5es como les\u00e3o da medula espinhal, esclerose m\u00faltipla ou espinha b\u00edfida<sup>1<\/sup><\/li>\n        <li><strong>Anomalias cong\u00eanitas<\/strong> que afetam o trato urin\u00e1rio<sup>2<\/sup><\/li>\n        <li><strong>Trauma<\/strong> do sistema urin\u00e1rio, incluindo les\u00f5es uretrais associadas a fratura p\u00e9lvica<sup>3<\/sup><\/li>\n        <li><strong>Les\u00e3o por radia\u00e7\u00e3o<\/strong> da bexiga decorrente do tratamento do c\u00e2ncer<sup>2<\/sup><\/li>\n        <li><strong>Condi\u00e7\u00f5es inflamat\u00f3rias cr\u00f4nicas<\/strong> que afetam a fun\u00e7\u00e3o da bexiga<sup>2<\/sup><\/li>\n        <li><strong>Incontin\u00eancia urin\u00e1ria grave<\/strong> que n\u00e3o responde a outros tratamentos<sup>2<\/sup><\/li>\n        <li><strong>Estenoses uretrais<\/strong> causadas por trauma, infec\u00e7\u00f5es ou cirurgias pr\u00e9vias<sup>4<\/sup><\/li>\n    <\/ul>\n\n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem avalia\u00e7\u00e3o abrangente da fun\u00e7\u00e3o renal, estudos urodin\u00e2micos e avalia\u00e7\u00e3o da destreza manual e da capacidade cognitiva (particularmente para deriva\u00e7\u00f5es continentes que exigem autocateterismo).<sup>1<\/sup><\/p>\n\n    <p>A abordagem cir\u00fargica varia conforme o defeito anat\u00f4mico espec\u00edfico e os fatores do paciente. Os principais tipos de reconstru\u00e7\u00e3o incluem:<\/p>\n\n    <ul>\n        <li><strong>Deriva\u00e7\u00e3o urin\u00e1ria incontinente (conduto ileal)<\/strong>: Os ureteres s\u00e3o conectados a um segmento de intestino que \u00e9 exteriorizado na superf\u00edcie da pele como estoma, com a urina drenando continuamente para uma bolsa coletora externa.<sup>3<\/sup><\/li>\n        <li><strong>Deriva\u00e7\u00e3o urin\u00e1ria continente (bolsa de Indiana)<\/strong>: Um reservat\u00f3rio interno \u00e9 criado a partir de segmentos intestinais, com um mecanismo valvular que permite armazenar a urina e dren\u00e1-la periodicamente por cateterismo atrav\u00e9s de um pequeno estoma.<sup>3<\/sup><\/li>\n        <li><strong>Reconstru\u00e7\u00e3o com neobexiga ortot\u00f3pica<\/strong>: Uma nova bexiga \u00e9 criada a partir de tecido intestinal e conectada \u00e0 uretra, permitindo uma mic\u00e7\u00e3o mais natural.<sup>2<\/sup><\/li>\n        <li><strong>Reconstru\u00e7\u00e3o uretral (uretroplastia)<\/strong>: Reparo da uretra por meio de diversas t\u00e9cnicas, incluindo enxertos ou retalhos de tecido, com taxas de sucesso de at\u00e9 90-95% em candidatos adequados, dependendo da t\u00e9cnica e das caracter\u00edsticas da estenose.<sup>4<\/sup><\/li>\n    <\/ul>\n\n    <p>Os resultados esperados incluem a preserva\u00e7\u00e3o da fun\u00e7\u00e3o renal, a melhora da qualidade de vida e a preven\u00e7\u00e3o de complica\u00e7\u00f5es graves.<sup>1<\/sup> A recupera\u00e7\u00e3o normalmente envolve interna\u00e7\u00e3o por v\u00e1rios dias, seguida de um per\u00edodo de adapta\u00e7\u00e3o enquanto o sistema reconstru\u00eddo come\u00e7a a funcionar.<sup>2<\/sup> As poss\u00edveis complica\u00e7\u00f5es incluem infec\u00e7\u00f5es do trato urin\u00e1rio, forma\u00e7\u00e3o de c\u00e1lculos, dist\u00farbios metab\u00f3licos e incontin\u00eancia.<sup>1<\/sup> O acompanhamento de longo prazo \u00e9 essencial para monitorar esses poss\u00edveis problemas e garantir o funcionamento adequado e cont\u00ednuo da reconstru\u00e7\u00e3o.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":94},"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>Reconstru\u00e7\u00e3o do Trato Urin\u00e1rio: Cirurgia Reconstrutiva | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre reconstru\u00e7\u00e3o do trato urin\u00e1rio: uretroplastia, reimplante ureteral, amplia\u00e7\u00e3o vesical e deriva\u00e7\u00e3o urin\u00e1ria. 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