{"id":12808,"date":"2025-08-01T12:41:56","date_gmt":"2025-08-01T16:41:56","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/perineal-prostatectomy\/"},"modified":"2025-08-01T12:41:56","modified_gmt":"2025-08-01T16:41:56","slug":"prostatectomia-perineal-pt-br","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/prostatectomia-perineal-pt-br\/","title":{"rendered":"Prostatectomia Perineal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12808","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>A prostatectomia perineal \u00e9 um procedimento cir\u00fargico no qual a pr\u00f3stata \u00e9 removida atrav\u00e9s de uma incis\u00e3o feita no per\u00edneo (\u00e1rea entre o escroto e o reto).<sup>1<\/sup> Essa abordagem pode ser realizada como um procedimento radical, onde toda a pr\u00f3stata e parte do tecido circundante, incluindo as ves\u00edculas seminais (gl\u00e2ndulas que ajudam a produzir o s\u00eamen), s\u00e3o removidos.<sup>2<\/sup> Durante o procedimento, o cirurgi\u00e3o acessa o pr\u00f3stata atrav\u00e9s de uma pequena incis\u00e3o, separa-a das estruturas circundantes e remove-a, preservando nervos e vasos sangu\u00edneos cr\u00edticos quando poss\u00edvel.<sup>3<\/sup> A bexiga \u00e9 ent\u00e3o recolocada na uretra e um cateter \u00e9 colocado para drenar a urina durante a cura.<sup>4<\/sup> Esta t\u00e9cnica \u00e9 usada principalmente para tratar c\u00e2ncer de pr\u00f3stata localizado e oferece vantagens espec\u00edficas, incluindo perda de sangue reduzida, tempo operat\u00f3rio mais curto e excelente acesso ao \u00e1pice prost\u00e1tico e neurovascular pacotes.<sup>5<\/sup><\/p>\n<p>A prostatectomia perineal \u00e9 uma abordagem cir\u00fargica para remo\u00e7\u00e3o da pr\u00f3stata realizada atrav\u00e9s de incis\u00e3o no per\u00edneo (entre escroto e \u00e2nus). Oferece acesso direto \u00e0 pr\u00f3stata sem necessidade de incis\u00e3o abdominal. Pode ser radical (para c\u00e2ncer de pr\u00f3stata) ou simples (para HPB). A t\u00e9cnica tem sido menos utilizada com o advento da cirurgia rob\u00f3tica, mas mant\u00e9m indica\u00e7\u00f5es espec\u00edficas.<\/p>","gt-synonyms":"Prostatectomia perineal radical (RPP), procedimento de Young, prostatectomia por abordagem perineal, prostatectomia perineal minimamente invasiva","gt-citation":"[1] Wro\u0144ski S. Radical perineal prostatectomy \u2013 the contemporary resurgence of a genuinely minimally invasive procedure: Procedure outline. Comparison of the advantages, disadvantages, and outcomes of different surgical techniques of treating organ-confined prostate cancer (PCa). A literature review with special focus on perineal prostatectomy. Cent European J Urol. 2012;65(4):188-194. DOI: 10.5173\/ceju.2012.04.art2\n\n[2] National Cancer Institute. Definition of radical perineal prostatectomy - NCI Dictionary of Cancer Terms. https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/radical-perineal-prostatectomy\n\n[3] Leung AC, Melman A. Radical Perineal Prostatectomy: A More Optimal Treatment Approach Than Laparoscopic Radical Prostatectomy in Obese Patients? Rev Urol. 2005;7(1):48-52. PMID: 16985806","gt-clinical-context":"<p>A prostatectomia perineal \u00e9 indicada principalmente para o tratamento do c\u00e2ncer de pr\u00f3stata localizado que n\u00e3o se espalhou al\u00e9m da pr\u00f3stata.<sup>1<\/sup> Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes geralmente incluem aqueles com doen\u00e7a confinada ao \u00f3rg\u00e3o, expectativa de vida de pelo menos 10 anos e bom estado geral de sa\u00fade.<sup>2<\/sup> O procedimento \u00e9 particularmente vantajoso para pacientes obesos, pois a abordagem perineal fornece acesso direto \u00e0 pr\u00f3stata, independentemente do tamanho abdominal, e para pacientes com cirurgias abdominais anteriores, onde outras abordagens podem ser desafiadoras.<sup>3<\/sup><\/p>\n \n <p>O procedimento cir\u00fargico envolve colocar o paciente em uma posi\u00e7\u00e3o de litotomia exagerada com pelve elevada e quadris girados para fora.<sup>1<\/sup> Um afastador de Lowsley curvo \u00e9 usado para trazer a pr\u00f3stata para o plano perineal, facilitando o acesso.<sup>1<\/sup> Para fins de preserva\u00e7\u00e3o dos nervos, a f\u00e1scia de Denonvillier \u00e9 cuidadosamente incisada e separada junto com os feixes neurovasculares para preservar a fun\u00e7\u00e3o er\u00e9til quando oncologicamente apropriado.<sup>1<\/sup><\/p>\n \n <p>Os resultados esperados incluem controle do c\u00e2ncer compar\u00e1vel a outras abordagens cir\u00fargicas, com taxas de contin\u00eancia de 93-95% e taxas de pot\u00eancia variando de 41-77%, dependendo do estado pr\u00e9-operat\u00f3rio e da t\u00e9cnica de preserva\u00e7\u00e3o dos nervos.<sup>3<\/sup> O procedimento geralmente resulta em interna\u00e7\u00f5es hospitalares mais curtas (geralmente alta no 2\u00ba dia p\u00f3s-operat\u00f3rio), redu\u00e7\u00e3o da perda de sangue e requisitos m\u00ednimos de controle da dor em compara\u00e7\u00e3o com outras abordagens.<sup>4<\/sup> As poss\u00edveis complica\u00e7\u00f5es incluem incontin\u00eancia urin\u00e1ria, disfun\u00e7\u00e3o er\u00e9til, margens cir\u00fargicas positivas (particularmente na superf\u00edcie anterior e no colo da bexiga) e riscos cir\u00fargicos padr\u00e3o.<sup>5<\/sup><\/p>\n<p>Vantagens incluem menor dor p\u00f3s-operat\u00f3ria, aus\u00eancia de cicatriz abdominal e recupera\u00e7\u00e3o mais r\u00e1pida. As limita\u00e7\u00f5es incluem impossibilidade de linfadenectomia simult\u00e2nea e vis\u00e3o limitada em pr\u00f3statas muito grandes. A EAU reconhece a prostatectomia perineal como op\u00e7\u00e3o em centros com experi\u00eancia, especialmente para pacientes obesos ou com cirurgias abdominais pr\u00e9vias extensas que dificultam a abordagem retrop\u00fabica ou rob\u00f3tica.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":62},"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>Prostatectomia Perineal: Acesso Perineal para Pr\u00f3stata | Rigicon<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a prostatectomia perineal, abordagem cir\u00fargica para remo\u00e7\u00e3o da pr\u00f3stata por via perineal. Indica\u00e7\u00f5es, vantagens e limita\u00e7\u00f5es. 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