{"id":12853,"date":"2025-08-12T10:32:41","date_gmt":"2025-08-12T14:32:41","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/penile-straightening\/"},"modified":"2026-10-06T10:51:24","modified_gmt":"2026-10-06T14:51:24","slug":"retificacao-peniana","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/retificacao-peniana\/","title":{"rendered":"Retifica\u00e7\u00e3o Peniana"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104],"class_list":["post-12853","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction-treatments","glossary-product-infla10-pulse-ipp-series"],"acf":{"gt-definition":"<p>A retifica\u00e7\u00e3o peniana refere-se \u00e0 corre\u00e7\u00e3o cir\u00fargica da curvatura peniana durante o implante de pr\u00f3tese, um procedimento realizado principalmente em pacientes com doen\u00e7a de Peyronie (DP) que tamb\u00e9m apresentam disfun\u00e7\u00e3o er\u00e9til (DE).<sup>1<\/sup> Essa abordagem terap\u00eautica envolve o implante de uma pr\u00f3tese peniana infl\u00e1vel (IPP), com ou sem manobras adicionais de retifica\u00e7\u00e3o, para corrigir a curvatura anormal ou a deformidade do p\u00eanis causada por placas fibrosas na t\u00fanica albug\u00ednea.<sup>2<\/sup> O procedimento visa tratar simultaneamente a fun\u00e7\u00e3o er\u00e9til e a deformidade peniana, permitindo uma rela\u00e7\u00e3o sexual satisfat\u00f3ria.<sup>3<\/sup> Diversas t\u00e9cnicas podem ser empregadas durante o procedimento, incluindo modelagem manual, plicatura e incis\u00e3o\/excis\u00e3o da placa com ou sem enxerto, dependendo da gravidade e das caracter\u00edsticas da curvatura.<sup>4<\/sup><\/p>","gt-synonyms":"Implante de pr\u00f3tese peniana com modelagem, IPP com manobras de endireitamento, corre\u00e7\u00e3o prot\u00e9tica de curvatura peniana, reconstru\u00e7\u00e3o peniana com pr\u00f3tese, corre\u00e7\u00e3o cir\u00fargica de deformidade peniana, pr\u00f3tese peniana com procedimentos auxiliares de endireitamento","gt-citation":"[1] Raheem OA, Hsieh TC. Penile prosthetic surgery for the management of Peyronie's disease. Transl Androl Urol. 2017;6(Suppl 5):S815-S821. DOI: 10.21037\/tau.2017.03.83\n\n[2] Anaissie J, Yafi FA. A review of surgical strategies for penile prosthesis implantation in patients with Peyronie's disease. Transl Androl Urol. 2016;5(3):342-350. DOI: 10.21037\/tau.2016.04.04\n\n[3] Osmonov D, Ragheb A, Ward S, et al. ESSM Position Statement on Surgical Treatment of Peyronie's Disease. Sex Med. 2022;10:100459. DOI: 10.1016\/j.esxm.2021.100459\n\n[4] Good J, Crist N, Henderson B, et al. Inflatable penile prosthesis placement in Peyronie's disease: a review of surgical considerations, approaches, and maneuvers. Transl Androl Urol. 2024;13(1):139-155. DOI: 10.21037\/tau-23-180. PMID: 38404553\n\n[5] Carson CC. Penile prosthesis implantation in the treatment of Peyronie's disease. Int J Impot Res. 1998;10(2):125-128. DOI: 10.1038\/sj.ijir.3900330. PMID: 9647951","gt-clinical-context":"<p>A retifica\u00e7\u00e3o peniana durante o implante de pr\u00f3tese \u00e9 indicada principalmente para pacientes com doen\u00e7a de Peyronie que tamb\u00e9m apresentam disfun\u00e7\u00e3o er\u00e9til concomitante refrat\u00e1ria \u00e0 terapia medicamentosa.<sup>1<\/sup> Essa condi\u00e7\u00e3o afeta aproximadamente 3-9% da popula\u00e7\u00e3o masculina geral, com disfun\u00e7\u00e3o er\u00e9til ocorrendo em at\u00e9 58% desses casos.<sup>2<\/sup> O procedimento \u00e9 normalmente realizado durante a fase cr\u00f4nica da doen\u00e7a de Peyronie, caracterizada por deformidade peniana estabilizada e inflama\u00e7\u00e3o resolvida, o que geralmente ocorre 12-18 meses ap\u00f3s o in\u00edcio da doen\u00e7a.<sup>3<\/sup><\/p>\n    \n    <p>A sele\u00e7\u00e3o dos pacientes \u00e9 crucial para resultados ideais, sendo essencial um aconselhamento pr\u00e9-operat\u00f3rio abrangente para manejar as expectativas quanto ao poss\u00edvel encurtamento peniano, que ocorre em at\u00e9 54% dos pacientes.<sup>4<\/sup> A abordagem cir\u00fargica depende de v\u00e1rios fatores, incluindo o grau de curvatura peniana, o comprimento do p\u00eanis, a presen\u00e7a de calcifica\u00e7\u00f5es extensas da placa e a fun\u00e7\u00e3o er\u00e9til pr\u00e9-operat\u00f3ria do paciente.<sup>1<\/sup><\/p>\n    \n    <p>O procedimento come\u00e7a com o implante de uma pr\u00f3tese peniana infl\u00e1vel, que por si s\u00f3 pode resolver a curvatura em 33-90% dos pacientes.<sup>5<\/sup> Para curvaturas residuais, podem ser empregadas t\u00e9cnicas adicionais de retifica\u00e7\u00e3o:<\/p>\n    <ul>\n        <li>A modelagem manual pode corrigir a curvatura residual com uma taxa de sucesso de 86-100%, mas acarreta um risco de 4% de les\u00e3o uretral<sup>5<\/sup><\/li>\n        <li>Para curvaturas residuais p\u00f3s-modelagem superiores a 30 graus, recomenda-se incis\u00e3o de libera\u00e7\u00e3o da placa ou plicatura<sup>5<\/sup><\/li>\n        <li>O enxerto \u00e9 normalmente empregado se o defeito incisional resultante for maior que dois cent\u00edmetros<sup>5<\/sup><\/li>\n    <\/ul>\n    \n    <p>As taxas de satisfa\u00e7\u00e3o dos pacientes variam de 72-100%, com taxas de satisfa\u00e7\u00e3o dos parceiros relatadas em aproximadamente 89%.<sup>5<\/sup> As poss\u00edveis complica\u00e7\u00f5es incluem encurtamento peniano, redu\u00e7\u00e3o da sensibilidade, desvio do dispositivo, infec\u00e7\u00f5es (3-9%), falha mec\u00e2nica (7%), curvatura persistente (4%) e eros\u00e3o (2%).<sup>4,5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":116},"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>Retifica\u00e7\u00e3o Peniana: Corre\u00e7\u00e3o da Curvatura | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre retifica\u00e7\u00e3o peniana, procedimentos para enderezar o p\u00eanis em doen\u00e7a de Peyronie. 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