{"id":12837,"date":"2025-08-07T10:53:14","date_gmt":"2025-08-07T14:53:14","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/proximal-corporal-reconstruction\/"},"modified":"2026-10-06T10:51:24","modified_gmt":"2026-10-06T14:51:24","slug":"reconstrucao-corporal-proximal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/reconstrucao-corporal-proximal\/","title":{"rendered":"Reconstru\u00e7\u00e3o Corporal Proximal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104],"class_list":["post-12837","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction-treatments","glossary-product-infla10-pulse-ipp-series"],"acf":{"gt-definition":"<p>A reconstru\u00e7\u00e3o corporal proximal \u00e9 um procedimento cir\u00fargico urol\u00f3gico especializado que envolve o reparo e a reconstru\u00e7\u00e3o da por\u00e7\u00e3o proximal dos corpos cavernosos, as estruturas cil\u00edndricas pareadas no interior do p\u00eanis respons\u00e1veis pela fun\u00e7\u00e3o er\u00e9til.<sup>1<\/sup> Essa t\u00e9cnica trata anormalidades estruturais, deformidades ou les\u00f5es nos corpos cavernosos proximais, normalmente pr\u00f3ximo aos crura, onde eles se fixam ao osso p\u00fabico.<sup>2<\/sup> O procedimento pode envolver diversos m\u00e9todos reconstrutivos, incluindo enxerto de tecido, coloca\u00e7\u00e3o de material sint\u00e9tico ou t\u00e9cnicas especializadas de corporoplastia, para restaurar a integridade anat\u00f4mica e a capacidade funcional do mecanismo er\u00e9til.<sup>3<\/sup> A reconstru\u00e7\u00e3o corporal proximal \u00e9 frequentemente realizada em conjunto com o implante de pr\u00f3tese peniana para tratar complica\u00e7\u00f5es como dilata\u00e7\u00e3o corporal proximal, ruptura ou fibrose, que podem comprometer a fun\u00e7\u00e3o e a estabilidade do dispositivo prot\u00e9tico.<sup>4<\/sup> O principal objetivo desse procedimento \u00e9 criar uma base anat\u00f4mica est\u00e1vel para o posicionamento adequado da pr\u00f3tese peniana, evitando a migra\u00e7\u00e3o proximal e garantindo o funcionamento ideal do dispositivo em pacientes com disfun\u00e7\u00e3o er\u00e9til.<sup>5<\/sup><\/p>","gt-synonyms":"Corporoplastia proximal, Reconstru\u00e7\u00e3o crural, Corporoplastia corporal proximal, Reconstru\u00e7\u00e3o peniana proximal, Repara\u00e7\u00e3o corporal crural, Reconstru\u00e7\u00e3o de corpos cavernosos proximais, Corporoplastia peniana proximal","gt-citation":"[1] Rajih E, Burnett AL. Proximal corporal reconstruction: adjunct of penile prosthesis revision surgery. Int J Impot Res. 2020 Jan;32(1):107-112. DOI: 10.1038\/s41443-019-0119-x\n\n[2] Tran VQ, Lesser TF, Kim DH, Aboseif SR. Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis. Adv Urol. 2008 Nov 4;2008:370947. DOI: 10.1155\/2008\/370947\n\n[3] Mulcahy JJ. A Technique of Maintaining Penile Prosthesis Position to Prevent Proximal Migration. J Urol. 1987 Feb;137(2):294-296. DOI: 10.1016\/S0022-5347(17)43985-1\n\n[4] Chung E, Bettocchi C, Egydio P, et al. The International Penile Prosthesis Implant Consensus Forum: clinical recommendations and surgical principles on the inflatable 3-piece penile prosthesis implant. Nat Rev Urol. 2022;19:534-546. DOI: 10.1038\/s41585-022-00607-z\n\n[5] Hsu GL. Reconstructive surgery for idealising penile shape and function. Arab J Urol. 2013;11(4):375-382. DOI: 10.1016\/j.aju.2013.08.009","gt-clinical-context":"<p>A reconstru\u00e7\u00e3o proximal dos corpos cavernosos \u00e9 indicada principalmente em cen\u00e1rios cl\u00ednicos espec\u00edficos em que a integridade estrutural da por\u00e7\u00e3o proximal dos corpos cavernosos est\u00e1 comprometida, afetando a fun\u00e7\u00e3o er\u00e9til ou a estabilidade da pr\u00f3tese peniana.<sup>1<\/sup> O procedimento \u00e9 realizado com mais frequ\u00eancia nos seguintes contextos:<\/p>\n    \n    <p>1. <strong>Cirurgia de revis\u00e3o de pr\u00f3tese peniana<\/strong>: Em pacientes com implante pr\u00e9vio de pr\u00f3tese peniana infl\u00e1vel (PPI) que desenvolvem deformidades proximais dos corpos cavernosos, incluindo dilata\u00e7\u00e3o dos corpos cavernosos (expans\u00e3o do espa\u00e7o cavernoso) ou ruptura dos corpos cavernosos, o que pode levar a mau funcionamento do dispositivo, dilata\u00e7\u00e3o aneurism\u00e1tica ou quebra do dispositivo.<sup>1<\/sup> Estudos mostraram que essas deformidades est\u00e3o frequentemente associadas ao uso prolongado da PPI, com uma dura\u00e7\u00e3o mediana de tratamento de aproximadamente 14 anos antes que a revis\u00e3o se torne necess\u00e1ria.<sup>1<\/sup><\/p>\n    \n    <p>2. <strong>Fibrose grave dos corpos cavernosos<\/strong>: Em pacientes com fibrose significativa dos corpos cavernosos devida a condi\u00e7\u00f5es como doen\u00e7a de Peyronie, priapismo ou explante pr\u00e9vio de uma pr\u00f3tese peniana infectada.<sup>2<\/sup> Esses pacientes frequentemente necessitam de t\u00e9cnicas cir\u00fargicas especializadas para criar espa\u00e7o adequado para a coloca\u00e7\u00e3o da pr\u00f3tese, mantendo a integridade estrutural.<sup>2,4<\/sup><\/p>\n    \n    <p>3. <strong>Perfura\u00e7\u00e3o proximal durante o implante<\/strong>: Quando ocorre perfura\u00e7\u00e3o crural durante a fase de dilata\u00e7\u00e3o do implante de pr\u00f3tese peniana, podem ser empregadas t\u00e9cnicas de reconstru\u00e7\u00e3o proximal dos corpos cavernosos com enxertos vasculares sint\u00e9ticos moldados em uma estrutura semelhante a uma ta\u00e7a para reparar o defeito e estabilizar a pr\u00f3tese.<sup>3<\/sup><\/p>\n    \n    <p>4. <strong>Preven\u00e7\u00e3o da migra\u00e7\u00e3o proximal<\/strong>: Nos casos em que h\u00e1 preocupa\u00e7\u00e3o com uma poss\u00edvel migra\u00e7\u00e3o proximal dos cilindros da pr\u00f3tese peniana, o que pode levar \u00e0 diminui\u00e7\u00e3o do comprimento funcional e \u00e0 insatisfa\u00e7\u00e3o do paciente.<sup>3,4<\/sup><\/p>\n    \n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes normalmente incluem homens com disfun\u00e7\u00e3o er\u00e9til que n\u00e3o obtiveram sucesso com tratamentos menos invasivos ou que n\u00e3o s\u00e3o candidatos a eles, e que apresentam desafios anat\u00f4micos espec\u00edficos na por\u00e7\u00e3o proximal dos corpos cavernosos que comprometeriam o implante padr\u00e3o de pr\u00f3tese peniana.<sup>4<\/sup> O procedimento cir\u00fargico varia de acordo com a deformidade espec\u00edfica, mas geralmente envolve uma dissec\u00e7\u00e3o cuidadosa dos corpos cavernosos, t\u00e9cnicas especializadas de dilata\u00e7\u00e3o e, em alguns casos, o uso de materiais de enxerto (aut\u00f3logos ou sint\u00e9ticos) para reconstruir a por\u00e7\u00e3o proximal dos corpos cavernosos.<sup>2,4<\/sup><\/p>\n    \n    <p>Os resultados esperados ap\u00f3s uma reconstru\u00e7\u00e3o proximal dos corpos cavernosos bem-sucedida incluem o posicionamento est\u00e1vel da pr\u00f3tese, a preven\u00e7\u00e3o de migra\u00e7\u00e3o ou mau funcionamento do dispositivo e, em \u00faltima an\u00e1lise, rela\u00e7\u00f5es sexuais bem-sucedidas com altas taxas de satisfa\u00e7\u00e3o dos pacientes.<sup>1<\/sup> Estudos relataram que a corporoplastia de redu\u00e7\u00e3o adequadamente realizada, com a substitui\u00e7\u00e3o apropriada do dispositivo, pode alcan\u00e7ar uma fun\u00e7\u00e3o sexual bem-sucedida em quase todos os pacientes dentro de 6 meses ap\u00f3s a revis\u00e3o cir\u00fargica.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":82},"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 Corporal Proximal: T\u00e9cnica Avan\u00e7ada | Rigicon<\/title>\n<meta name=\"description\" content=\"Entenda a reconstru\u00e7\u00e3o corporal proximal na cirurgia de pr\u00f3tese peniana: manejo de fibrose crural e t\u00e9cnicas de dilata\u00e7\u00e3o avan\u00e7ada.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/reconstrucao-corporal-proximal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" 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