{"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":"2025-08-07T10:53:14","modified_gmt":"2025-08-07T14:53:14","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 emparelhadas dentro do p\u00eanis respons\u00e1veis pela fun\u00e7\u00e3o er\u00e9til.<sup>1<\/sup> Esta t\u00e9cnica aborda anormalidades estruturais, deformidades ou danos nos corpos corporais proximais, normalmente perto da crura, onde se fixam ao osso p\u00fabico.<sup>2<\/sup> O procedimento pode envolver v\u00e1rios 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 estabilidade do dispositivo prot\u00e9tico.<sup>4<\/sup> O objetivo principal deste procedimento \u00e9 criar uma base anat\u00f4mica est\u00e1vel para um p\u00eanis adequado. posicionamento da pr\u00f3tese, 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>\n<p>A reconstru\u00e7\u00e3o corporal proximal refere-se \u00e0s t\u00e9cnicas cir\u00fargicas avan\u00e7adas para manejo dos corpos cavernosos proximais (crura) durante a implanta\u00e7\u00e3o de pr\u00f3tese peniana, especialmente em casos com fibrose grave. Inclui dilata\u00e7\u00e3o proximal estendida, cavernotomia crural e uso de instrumenta\u00e7\u00e3o especializada para criar espa\u00e7o adequado para acomodar os cilindros e extensores de ponta traseira.<\/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 corporal proximal \u00e9 indicada principalmente em cen\u00e1rios cl\u00ednicos espec\u00edficos onde a integridade estrutural dos corpos cavernosos proximais est\u00e1 comprometida, afetando a fun\u00e7\u00e3o er\u00e9til ou a estabilidade da pr\u00f3tese peniana.<sup>1<\/sup> O procedimento \u00e9 mais comumente realizado 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 (PIP) que desenvolvem deformidades corporais proximais, incluindo dilata\u00e7\u00e3o corporal (expans\u00e3o do espa\u00e7o corporal) ou ruptura corporal, o que pode levar ao mau funcionamento do dispositivo, dilata\u00e7\u00e3o aneurism\u00e1tica ou quebra do dispositivo.<sup>1<\/sup> Estudos demonstraram que essas deformidades s\u00e3o frequentemente associadas ao uso prolongado de IPP, com uma dura\u00e7\u00e3o m\u00e9dia 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 Corporal Grave<\/strong>: Em pacientes com fibrose significativa dos corpos cavernosos devido a condi\u00e7\u00f5es como doen\u00e7a de Peyronie, priapismo ou explanta\u00e7\u00e3o pr\u00e9via de uma pr\u00f3tese peniana infectada.<sup>2<\/sup> Esses pacientes geralmente requerem 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 a implanta\u00e7\u00e3o<\/strong>: Quando a perfura\u00e7\u00e3o crural ocorre durante a fase de dilata\u00e7\u00e3o da implanta\u00e7\u00e3o da pr\u00f3tese peniana, t\u00e9cnicas de reconstru\u00e7\u00e3o corporal proximal usando enxertos vasculares sint\u00e9ticos moldados em uma estrutura em forma de copo podem ser empregadas 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 a potencial 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 geralmente incluem homens com disfun\u00e7\u00e3o er\u00e9til que falharam ou n\u00e3o s\u00e3o candidatos a tratamentos menos invasivos e que apresentam desafios anat\u00f4micos espec\u00edficos nos corpos proximais que comprometeriam o implante de pr\u00f3tese peniana padr\u00e3o.<sup>4<\/sup> O procedimento cir\u00fargico varia de acordo com a deformidade espec\u00edfica, mas geralmente envolve dissec\u00e7\u00e3o corporal cuidadosa, t\u00e9cnicas especializadas de dilata\u00e7\u00e3o e, em alguns casos, o uso de materiais de enxerto (aut\u00f3logos ou sint\u00e9ticos) para reconstruir o proximal corpora.<sup>2,4<\/sup><\/p>\n \n <p>Os resultados esperados ap\u00f3s uma reconstru\u00e7\u00e3o corporal proximal bem-sucedida incluem posicionamento est\u00e1vel da pr\u00f3tese, preven\u00e7\u00e3o da 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 do paciente.<sup>1<\/sup> Estudos relataram que a corporoplastia redutora realizada adequadamente com a substitui\u00e7\u00e3o apropriada do dispositivo pode alcan\u00e7ar a 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>\n<p>A fibrose crural \u00e9 particularmente desafiadora em pacientes com priapismo pr\u00e9vio ou m\u00faltiplas cirurgias. As t\u00e9cnicas incluem dilata\u00e7\u00e3o escalonada com dilatadores de Hegar, uso de dilatadores de Brooks e, em casos extremos, incis\u00e3o longitudinal do crura com bisturi. O objetivo \u00e9 criar um canal de di\u00e2metro e comprimento adequados para o cilindro, preservando a integridade estrutural do crura e prevenindo perfura\u00e7\u00e3o para a fossa isquiorretal.<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":50},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - 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\/\" 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