{"id":12826,"date":"2025-08-06T10:17:03","date_gmt":"2025-08-06T14:17:03","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/corporal-crossover\/"},"modified":"2026-10-06T10:51:24","modified_gmt":"2026-10-06T14:51:24","slug":"crossover-corporal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/crossover-corporal\/","title":{"rendered":"Crossover Corporal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105],"class_list":["post-12826","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>O crossover dos corpos cavernosos \u00e9 uma complica\u00e7\u00e3o intraoperat\u00f3ria ou p\u00f3s-operat\u00f3ria do implante de pr\u00f3tese peniana em que um cilindro prot\u00e9tico passa inadvertidamente de um corpo cavernoso para o outro atrav\u00e9s de uma perfura\u00e7\u00e3o ou fenestra\u00e7\u00e3o no septo intercavernoso<sup>1<\/sup>. Essa complica\u00e7\u00e3o ocorre quando o dilatador, o instrumento de Furlow ou o cilindro prot\u00e9tico penetra a parede septal durante a dilata\u00e7\u00e3o dos corpos cavernosos ou a coloca\u00e7\u00e3o do cilindro, criando uma comunica\u00e7\u00e3o anormal entre as duas c\u00e2maras cavernosas<sup>2<\/sup>. A estrutura fenestrada da parede septal m\u00e9dia e distal dos corpos cavernosos a torna particularmente suscet\u00edvel a les\u00f5es durante a instrumenta\u00e7\u00e3o<sup>3<\/sup>. Esse cruzamento pode ocorrer em localiza\u00e7\u00f5es proximais ou distais nos corpos cavernosos, sendo os crossovers distais relatados com mais frequ\u00eancia<sup>4<\/sup>. A condi\u00e7\u00e3o resulta em posicionamento assim\u00e9trico do cilindro, o que pode causar deformidade peniana, encurtamento e disfun\u00e7\u00e3o se n\u00e3o for prontamente reconhecida e corrigida<sup>5<\/sup>.<\/p>","gt-synonyms":"Crossover de cilindro, crossover prot\u00e9tico, perfura\u00e7\u00e3o septal com crossover, migra\u00e7\u00e3o intercorporal de cilindro, crossover de c\u00e2mara corporal","gt-citation":"[1] Wang C, Barreto Guimaraes PV, Raheem O, Kocjancic E. Reconstruction of Complex Midline Septal Corporal Defect in a Distal Crossover Penile Implant Cylinder: A Step-by-step Demonstration of Surgical Technique. J Sex Med. 2024;21(Supplement_1):qdae001.186. DOI: https:\/\/doi.org\/10.1093\/jsxmed\/qdae001.186\n\n[2] Antonini G, Busetto GM, Del Giudice F, et al. Distal Corporal Anchoring Stitch: A Technique to Address Distal Corporal Crossovers and Impending Lateral Extrusions of a Penile Prosthesis. J Sex Med. 2017;14(6):767-773. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2017.04.669\n\n[3] Raheem OA, Kalidoss S, Pomar HA, Suarez-Sarmiento A Jr, Perito P. Double distal corporal anchoring stitch for lateral penile implant cylinder extrusion. J Sex Med. 2024;21(10):967-970. DOI: https:\/\/doi.org\/10.1093\/jsxmed\/qdae100\n\n[4] Pearlman AM, Terlecki RP. Proximal Corporal Perforation During Penile Prosthesis Surgery: Prevention, Recognition, and Review of Historical and Novel Management Strategies. J Sex Med. 2018;15(7):1055-1060. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2018.04.635\n\n[5] Chung E, Solomon M, DeYoung L, Brock GB. Clinical outcomes and patient satisfaction rates among elderly male aged \u226575 years with inflatable penile prosthesis implant for medically refractory erectile dysfunction. World J Urol. 2014;32(1):173-177. DOI: https:\/\/doi.org\/10.1007\/s00345-013-1102-7. PMID: 23708698","gt-clinical-context":"<p>O crossover dos corpos cavernosos \u00e9 encontrado clinicamente durante procedimentos de implante de pr\u00f3tese peniana infl\u00e1vel (PPI), particularmente em pacientes com fatores de risco espec\u00edficos<sup>1<\/sup>. A complica\u00e7\u00e3o \u00e9 observada com mais frequ\u00eancia nas vias de acesso cir\u00fargico infrap\u00fabica ou subcoronal em compara\u00e7\u00e3o com a via penoescrotal<sup>2<\/sup>. Os fatores de risco incluem fibrose dos corpos cavernosos, doen\u00e7a de Peyronie, radioterapia p\u00e9lvica pr\u00e9via e erros t\u00e9cnicos cir\u00fargicos<sup>3<\/sup>.<\/p>\n\n<p>No intraoperat\u00f3rio, pode-se suspeitar de crossover quando h\u00e1 medi\u00e7\u00e3o assim\u00e9trica do comprimento dos corpos cavernosos durante o \"teste da trave\" (goal post test), dificuldade na inser\u00e7\u00e3o do segundo cilindro ou um \"tilintar\" aud\u00edvel de instrumentos met\u00e1licos durante a dilata\u00e7\u00e3o<sup>4<\/sup>. Os sinais cl\u00ednicos incluem o posicionamento do cateter uretral fora da linha m\u00e9dia quando a pr\u00f3tese \u00e9 ativada e a apar\u00eancia at\u00edpica do p\u00eanis durante a insufla\u00e7\u00e3o<sup>5<\/sup>.<\/p>\n\n<p>No p\u00f3s-operat\u00f3rio, os pacientes podem apresentar curvatura peniana dolorosa para a esquerda ou para a direita durante as ere\u00e7\u00f5es, desinsufla\u00e7\u00e3o incompleta da pr\u00f3tese, glande inclinada ou p\u00eanis ereto assim\u00e9trico quando os cilindros s\u00e3o insuflados<sup>1<\/sup>. O diagn\u00f3stico \u00e9 normalmente confirmado por resson\u00e2ncia magn\u00e9tica (RM), que pode demonstrar claramente o posicionamento anormal do cilindro<sup>5<\/sup>.<\/p>\n\n<p>O tratamento requer corre\u00e7\u00e3o cir\u00fargica por meio de corporotomia, reconstru\u00e7\u00e3o septal (frequentemente com enxertos biol\u00f3gicos como o Tutoplast) e redirecionamento do cilindro deslocado para o espa\u00e7o cavernoso adequado<sup>1<\/sup>. As t\u00e9cnicas avan\u00e7adas incluem o m\u00e9todo do ponto de ancoragem distal dos corpos cavernosos, que tem demonstrado excelentes resultados com complica\u00e7\u00f5es m\u00ednimas<sup>2<\/sup>. As taxas de sucesso da corre\u00e7\u00e3o cir\u00fargica s\u00e3o altas quando realizada por urologistas experientes em pr\u00f3teses, com a maioria dos pacientes recuperando a fun\u00e7\u00e3o er\u00e9til e a capacidade de acionar o dispositivo<sup>4<\/sup>.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":86},"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>Crossover Corporal: Complica\u00e7\u00e3o da Pr\u00f3tese Peniana | Rigicon<\/title>\n<meta name=\"description\" content=\"Entenda o crossover corporal, perfura\u00e7\u00e3o do septo intercavernoso durante implante de pr\u00f3tese peniana. 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