{"id":12879,"date":"2025-09-24T11:18:36","date_gmt":"2025-09-24T15:18:36","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/transcorporal-approach\/"},"modified":"2026-03-22T06:36:09","modified_gmt":"2026-03-22T10:36:09","slug":"abordagem-transcorporal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/abordagem-transcorporal\/","title":{"rendered":"Abordagem Transcorporal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,107],"class_list":["post-12879","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>A abordagem transcorporal \u00e9 uma t\u00e9cnica cir\u00fargica especializada utilizada em procedimentos urol\u00f3gicos, principalmente para implanta\u00e7\u00e3o de esf\u00edncter urin\u00e1rio artificial (EUA), onde o manguito \u00e9 colocado atrav\u00e9s dos corpos cavernosos do p\u00eanis<sup>1<\/sup>. Esta t\u00e9cnica envolve fazer incis\u00f5es longitudinais na t\u00fanica albug\u00ednea de ambos os corpos cavernosos, laterais \u00e0 uretra, seguidas de dissec\u00e7\u00e3o romba para criar um t\u00fanel dentro dos corpos cavernosos<sup>2<\/sup>. O manguito \u00e9 ent\u00e3o colocado atrav\u00e9s deste t\u00fanel, circundando a uretra com tecido corporal como camada protetora<sup>3<\/sup>. Esta abordagem \u00e9 usada principalmente como uma op\u00e7\u00e3o de resgate em pacientes com uretras fr\u00e1geis, como aqueles com falha anterior na implanta\u00e7\u00e3o de AUS, atrofia uretral, eros\u00e3o ou hist\u00f3rico de radioterapia p\u00e9lvica<sup>4<\/sup>.<\/p>\n<p>A abordagem transcorporal \u00e9 uma t\u00e9cnica cir\u00fargica avan\u00e7ada que envolve a passagem atrav\u00e9s do corpo cavernoso para acessar a uretra ou estruturas adjacentes. \u00c9 frequentemente utilizada na coloca\u00e7\u00e3o de esf\u00edncter urin\u00e1rio artificial (EUA) em pacientes com anatomia desafiadora ou tecido periuretral comprometido. A EAU reconhece esta abordagem como alternativa vi\u00e1vel em cen\u00e1rios complexos.<\/p>","gt-synonyms":"Implante de esf\u00edncter urin\u00e1rio artificial transcorporal, coloca\u00e7\u00e3o de TC-AUS, coloca\u00e7\u00e3o de manguito transcorporal, abordagem TC","gt-citation":"[1] Wiedemann L, Cornu JN, Haab E, Peyrat L, Beley S, Cathelineau X, Haab F. Transcorporal artificial urinary sphincter implantation as a salvage surgical procedure for challenging cases of male stress urinary incontinence: surgical technique and functional outcomes in a contemporary series. BJU Int. 2013 Dec;112(8):1163-8. DOI: https:\/\/doi.org\/10.1111\/bju.12386\n\n[2] Maurer V, Dahlem R, Howaldt M, Riechardt S, Fisch M, Ludwig TA, Engel O. Transcroporal Artificial Urinary Sphincter Placement With Closure of Corporal Bodies\u2014A Long-Term Analysis of Functional Outcomes. Front Surg. 2022 Jun 1;9:918011. DOI: https:\/\/doi.org\/10.3389\/fsurg.2022.918011\n\n[3] Sacco E, Marino F, Gandi C, Bientinesi R, Totaro A, Moretto S, Gavi F, Campetella M, Racioppi M. Transalbugineal Artificial Urinary Sphincter: A Refined Implantation Technique to Improve Surgical Outcomes. J Clin Med. 2023 Apr 21;12(8):3021. DOI: https:\/\/doi.org\/10.3390\/jcm12083021\n\n[4] Vasan R, Myrga J, Miller D, Patnaik S, Morrill C, Rusilko P. The Gullwing Technique: A Novel Method of Transcorporal Artificial Urinary Sphincter Placement for the Fragile Urethra. Urology. 2022 Nov;169:237-240. DOI: https:\/\/doi.org\/10.1016\/j.urology.2022.06.032","gt-clinical-context":"<p>A abordagem transcorporal \u00e9 indicada principalmente em casos desafiadores de incontin\u00eancia urin\u00e1ria de esfor\u00e7o (IUE) masculina, particularmente em pacientes com uretras fr\u00e1geis<sup>1<\/sup>. Os cen\u00e1rios cl\u00ednicos espec\u00edficos incluem:<\/p>\n \n <p>1. Pacientes com hist\u00f3rico de falha na implanta\u00e7\u00e3o anterior de esf\u00edncter urin\u00e1rio artificial devido a eros\u00e3o ou atrofia uretral<sup>2<\/sup><br>\n 2. Pacientes submetidos \u00e0 uretroplastia bulbar<sup>3<\/sup><br>\n 3. Pacientes com atrofia uretral grave ap\u00f3s radioterapia p\u00e9lvica<sup>1<\/sup><br>\n 4. Como procedimento cir\u00fargico de resgate ap\u00f3s falha de cirurgia antiincontin\u00eancia anterior<sup>1<\/sup><\/p>\n \n <p>O procedimento \u00e9 realizado sob anestesia geral com o paciente em posi\u00e7\u00e3o de litotomia. \u00c9 feita uma incis\u00e3o perineal na linha m\u00e9dia, seguida de dissec\u00e7\u00e3o para expor a uretra e os corpos cavernosos adjacentes<sup>2<\/sup>. A coloca\u00e7\u00e3o do manguito \u00e9 normalmente 2-3 cm distal ao local original do manguito ou local da uretroplastia<sup>2<\/sup>.<\/p>\n \n <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem aqueles com incontin\u00eancia urin\u00e1ria de esfor\u00e7o moderada a grave que falharam no tratamento conservador e t\u00eam hist\u00f3rico de comprometimento uretral<sup>4<\/sup>. O procedimento mostrou bons resultados em termos de taxas de contin\u00eancia, com estudos relatando taxas de contin\u00eancia social (0-1 absorvente por dia) de aproximadamente 78-83% em 12 meses<sup>3<\/sup>.<\/p>\n \n <p>Uma considera\u00e7\u00e3o significativa com a abordagem transcorporal tradicional \u00e9 o impacto potencial na fun\u00e7\u00e3o er\u00e9til devido \u00e0 les\u00e3o necess\u00e1ria dos corpos cavernosos<sup>2<\/sup>. No entanto, estudos demonstraram que a fun\u00e7\u00e3o er\u00e9til pode ser mantida em alguns pacientes apesar da dissec\u00e7\u00e3o do corpo<sup>1<\/sup>. Modifica\u00e7\u00f5es recentes na t\u00e9cnica, como a T\u00e9cnica Gullwing e a abordagem transalbug\u00ednea, visam preservar melhor a fun\u00e7\u00e3o er\u00e9til, mantendo os benef\u00edcios protetores para a uretra<sup>3,4<\/sup>.<\/p>\n<p>Na pr\u00e1tica urol\u00f3gica, a abordagem transcorporal \u00e9 reservada para casos em que a dissec\u00e7\u00e3o periuretral convencional n\u00e3o \u00e9 poss\u00edvel, como ap\u00f3s radioterapia p\u00e9lvica ou cirurgias pr\u00e9vias. Permite a coloca\u00e7\u00e3o segura do cuff do EUA ao redor da uretra bulbar, reduzindo o risco de eros\u00e3o uretral em tecidos previamente irradiados.<\/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>Abordagem Transcorporal: T\u00e9cnica Cir\u00fargica Urol\u00f3gica | Rigicon<\/title>\n<meta name=\"description\" content=\"Entenda a abordagem transcorporal, t\u00e9cnica utilizada na coloca\u00e7\u00e3o de esf\u00edncter urin\u00e1rio artificial e reimplante de pr\u00f3tese peniana. 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