{"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":"2026-10-06T10:51:24","modified_gmt":"2026-10-06T14:51:24","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, particularmente no implante de esf\u00edncter urin\u00e1rio artificial (AUS), na qual o manguito \u00e9 posicionado atrav\u00e9s dos corpos cavernosos do p\u00eanis<sup>1<\/sup>. Essa t\u00e9cnica envolve a realiza\u00e7\u00e3o de incis\u00f5es longitudinais na t\u00fanica albug\u00ednea de ambos os corpos cavernosos, lateralmente \u00e0 uretra, seguida de dissec\u00e7\u00e3o romba para criar um t\u00fanel no interior dos corpos cavernosos<sup>2<\/sup>. O manguito \u00e9 ent\u00e3o posicionado atrav\u00e9s desse t\u00fanel, envolvendo a uretra com tecido cavernoso como camada protetora<sup>3<\/sup>. Essa abordagem \u00e9 utilizada principalmente como op\u00e7\u00e3o de resgate em pacientes com uretra fr\u00e1gil, como aqueles com falha de implante pr\u00e9vio de AUS, atrofia uretral, eros\u00e3o ou hist\u00f3rico de radioterapia p\u00e9lvica<sup>4<\/sup>.<\/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 uretra fr\u00e1gil<sup>1<\/sup>. Os cen\u00e1rios cl\u00ednicos espec\u00edficos incluem:<\/p>\n        \n        <p>1. Pacientes com hist\u00f3rico de falha de implante pr\u00e9vio de esf\u00edncter urin\u00e1rio artificial devido a eros\u00e3o ou atrofia uretral<sup>2<\/sup><br>\n        2. Pacientes submetidos a 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 anti-incontin\u00eancia pr\u00e9via<sup>1<\/sup><\/p>\n        \n        <p>O procedimento \u00e9 realizado sob anestesia geral, com o paciente em posi\u00e7\u00e3o de litotomia. Faz-se 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>. O manguito \u00e9 normalmente posicionado distalmente \u00e0 localiza\u00e7\u00e3o do manguito original ou ao 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 n\u00e3o responderam ao tratamento conservador e t\u00eam hist\u00f3rico de comprometimento uretral<sup>4<\/sup>. O procedimento tem apresentado 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% aos 12 meses<sup>3<\/sup>.<\/p>\n        \n        <p>Uma considera\u00e7\u00e3o importante na abordagem transcorporal tradicional \u00e9 o poss\u00edvel impacto sobre a fun\u00e7\u00e3o er\u00e9til devido \u00e0 les\u00e3o necess\u00e1ria dos corpos cavernosos<sup>2<\/sup>. No entanto, estudos mostraram que a fun\u00e7\u00e3o er\u00e9til pode ser mantida em alguns pacientes apesar da dissec\u00e7\u00e3o do corpo cavernoso<sup>1<\/sup>. Modifica\u00e7\u00f5es recentes da t\u00e9cnica, como a Gullwing Technique 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>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":84},"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>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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