{"id":32167,"date":"2026-09-07T19:03:00","date_gmt":"2026-09-07T23:03:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32167"},"modified":"2026-09-08T06:18:00","modified_gmt":"2026-09-08T10:18:00","slug":"sling-masculino-retropubico","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/sling-masculino-retropubico\/","title":{"rendered":"Sling Masculino Retrop\u00fabico"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[106],"glossary-product":[108,107],"class_list":["post-32167","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-male-stress-urinary-incontinence","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"

O sling masculino retrop\u00fabico \u00e9 um dispositivo cir\u00fargico minimamente invasivo projetado para tratar a incontin\u00eancia urin\u00e1ria de esfor\u00e7o (SUI) masculina, fornecendo suporte \u00e0 uretra bulbar.1<\/sup> O sling \u00e9 posicionado sob a uretra bulbar anterior por meio de uma abordagem retrop\u00fabica, passando por tr\u00e1s do osso p\u00fabico.2<\/sup> Esse posicionamento cria uma estrutura de suporte semelhante a uma rede que exerce compress\u00e3o sobre a uretra bulbar, reposicionando eficazmente a uretra proximal e alinhando-a ao complexo esfincteriano uretral.3<\/sup> Ao refor\u00e7ar o suporte uretral, o sling evita perdas durante atividades que aumentam a press\u00e3o intra-abdominal, como tossir, espirrar ou levantar peso.4<\/sup> O objetivo principal desse procedimento \u00e9 restaurar a contin\u00eancia em homens com incontin\u00eancia urin\u00e1ria de esfor\u00e7o leve a moderada, especialmente ap\u00f3s cirurgia de pr\u00f3stata.5<\/sup><\/p>\n","gt-synonyms":"Sling uretral masculino, Sling uretral retrop\u00fabico, Sling suburetral masculino, Sling suburetral retrop\u00fabico, Sling pubovaginal masculino, Sling para incontin\u00eancia masculina, Sistema de suporte uretral retrop\u00fabico masculino","gt-citation":"[1] Harrison WJ, Leslie SW, Desai D. Slings for Male Incontinence. StatPearls [Internet]. 2024 Jan. DOI: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK599557\/\n\n[2] Inouye BM, Premo HA, Weil D, Peterson AC. The male sling for stress urinary incontinence: tips and tricks for success. Int Braz J Urol. 2021 Feb 28;47(6):1131-1135. DOI: 10.1590\/S1677-5538.IBJU.2020.1122\n\n[3] Comiter CV. The male sling for stress urinary incontinence: a prospective study. J Urol. 2002 Feb;167(2 Pt 1):597-601. DOI: 10.1016\/s0022-5347(01)69088-8\n\n[4] Chung E. Contemporary male slings for stress urinary incontinence. Ther Adv Urol. 2023;15:17562872231187199. DOI: 10.1177\/17562872231187199\n\n[5] Kretschmer A, H\u00fcbner W, Sandhu JS, Bauer RM. Evaluation and Management of Postprostatectomy Incontinence: A Systematic Review of Current Literature. Eur Urol Focus. 2016 Jun;2(3):245-259. DOI: 10.1016\/j.euf.2016.01.002","gt-clinical-context":"

O sling masculino retrop\u00fabico \u00e9 indicado principalmente para homens com incontin\u00eancia urin\u00e1ria de esfor\u00e7o (SUI) leve a moderada, tipicamente definida pelo uso de 0 a 2 absorventes por dia ou peso total de absorventes inferior a 500 grams em 24 horas.1<\/sup> Alguns especialistas sugerem um peso de absorvente em 24 horas de 150 grams ou menos como ponto de corte para a indica\u00e7\u00e3o do implante de sling uretral.2<\/sup> A causa mais comum de SUI masculina \u00e9 a prostatectomia radical, afetando aproximadamente 5% a 10% dos homens com 65 anos ou mais, com at\u00e9 60% dos homens apresentando algum grau de incontin\u00eancia urin\u00e1ria ap\u00f3s a prostatectomia.3<\/sup><\/p>\n

A sele\u00e7\u00e3o dos pacientes \u00e9 fundamental para a obten\u00e7\u00e3o de resultados ideais. Os candidatos ideais devem demonstrar algum grau de fun\u00e7\u00e3o esfincteriana volunt\u00e1ria residual, que pode ser avaliada endoscopicamente durante cistoscopia com o paciente acordado ou por meio de estudos urodin\u00e2micos.4<\/sup> Os pacientes devem gerar press\u00e3o vesical suficiente para vencer a resist\u00eancia uretral produzida pelo sling.5<\/sup> Uma press\u00e3o de perda ao esfor\u00e7o sob Valsalva (VLPP) maior que 60cmH\u2082O est\u00e1 associada a maiores taxas de sucesso, com alguns estudos sugerindo que uma VLPP superior a 100cmH\u2082O correlaciona-se com desfechos ainda melhores.6<\/sup><\/p>\n

A abordagem retrop\u00fabica para inser\u00e7\u00e3o do sling masculino utiliza incis\u00f5es perineais e abdominais.7<\/sup> O procedimento envolve o posicionamento do sling sob a uretra bulbar e sua fixa\u00e7\u00e3o na f\u00e1scia do reto abdominal ou no osso p\u00fabico, criando uma tens\u00e3o que comprime e eleva a uretra.8<\/sup> Essa altera\u00e7\u00e3o anat\u00f4mica aumenta o comprimento funcional da uretra membranosa de uma m\u00e9dia de 3mm para 17.2mm, o que contribui para a melhora da contin\u00eancia.9<\/sup><\/p>\n

As taxas de sucesso do sling masculino retrop\u00fabico variam de 70% a 90% em pacientes adequadamente selecionados, com a maioria dos estudos relatando melhoras significativas na qualidade de vida.10<\/sup> No entanto, hist\u00f3rico de radioterapia p\u00e9lvica est\u00e1 associado a menores taxas de sucesso e \u00e9 considerado uma contraindica\u00e7\u00e3o relativa por muitos cirurgi\u00f5es.11<\/sup> Outras contraindica\u00e7\u00f5es relativas incluem instabilidade do detrusor, infec\u00e7\u00e3o ativa do trato urin\u00e1rio, obstru\u00e7\u00e3o do trato de sa\u00edda da bexiga, capacidade vesical reduzida, estenoses uretrais recorrentes e volume residual p\u00f3s-miccional elevado.12<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"\nSling Masculino Retrop\u00fabico: Tratamento da Incontin\u00eancia<\/title>\n<meta name=\"description\" content=\"O sling masculino retrop\u00fabico \u00e9 um tratamento 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