{"id":32186,"date":"2026-09-11T18:00:00","date_gmt":"2026-09-11T22:00:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32186"},"modified":"2026-09-12T06:00:00","modified_gmt":"2026-09-12T10:00:00","slug":"tecnica-de-ghattas","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/","title":{"rendered":"T\u00e9cnica de Ghattas"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[105,130,115],"class_list":["post-32186","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-rigi10-malleable-penile-prosthesis","glossary-product-rigicon-hl-levine-combo-prosthesis-tool","glossary-product-rigicon-hl-dilator"],"acf":{"gt-definition":"<p>A T\u00e9cnica de Ghattas \u00e9 um procedimento cir\u00fargico especializado em urologia que envolve a confec\u00e7\u00e3o de uma bainha de tela de polipropileno que envolve e \u00e9 fixada a um cilindro de pr\u00f3tese male\u00e1vel de 13 mm para aumentar seu di\u00e2metro em pacientes com corpos cavernosos maiores.<sup>1<\/sup> Essa abordagem inovadora aborda uma limita\u00e7\u00e3o significativa no implante de pr\u00f3tese peniana, em que as pr\u00f3teses male\u00e1veis padr\u00e3o (di\u00e2metro m\u00e1ximo de 13 mm) s\u00e3o insuficientes para pacientes que necessitam de di\u00e2metros maiores.<sup>2<\/sup> A t\u00e9cnica envolve envolver a tela de polipropileno ao redor da pr\u00f3tese e modificar o n\u00famero de camadas para obter o dimensionamento ideal, prevenindo complica\u00e7\u00f5es como encurtamento peniano, instabilidade da pr\u00f3tese e quebra, que podem ocorrer com implantes subdimensionados.<sup>1<\/sup><\/p>\n<p>Desenvolvida pelo Dr. Osama Ghattas e colaboradores, essa t\u00e9cnica oferece uma solu\u00e7\u00e3o para casos em que o di\u00e2metro da pr\u00f3tese male\u00e1vel padr\u00e3o (13 mm) \u00e9 inadequado para o tamanho dos corpos cavernosos do paciente.<sup>1<\/sup> Ao utilizar uma tela de polipropileno biocompat\u00edvel \u2014 o mesmo material utilizado com seguran\u00e7a no reparo de h\u00e9rnias \u2014, o procedimento permite a personaliza\u00e7\u00e3o do di\u00e2metro da pr\u00f3tese enquanto mant\u00e9m a funcionalidade.<sup>1<\/sup> O n\u00famero de camadas de tela pode ser ajustado de acordo com as necessidades espec\u00edficas de cada paciente, oferecendo uma abordagem personalizada para o implante de pr\u00f3tese peniana.<sup>1<\/sup><\/p>\n","gt-synonyms":"","gt-citation":"[1] Ghattas O, Doheim MF, Kotb H, Burnett AL. Modified malleable prosthesis with a fixed mesh: case series for the Ghattas technique. Asian J Androl. 2022;24(2):167-172. DOI: https:\/\/doi.org\/10.4103\/aja.aja_55_21\n\n[2] Ghattas O, Doheim MF, Burnett AL. A letter to the editor on the original article: spontaneous penile tumescence by sparing cavernous tissue in the course of malleable penile prosthesis implantation. J Sex Med. 2020;17:1405. DOI: https:\/\/doi.org\/10.1016\/j.jsxm.2020.03.011","gt-clinical-context":"<p>A T\u00e9cnica de Ghattas \u00e9 utilizada principalmente em pacientes com disfun\u00e7\u00e3o er\u00e9til (ED) org\u00e2nica que necessitam de implante de pr\u00f3tese peniana, mas possuem corpos cavernosos maiores que seriam inadequadamente atendidos por pr\u00f3teses male\u00e1veis padr\u00e3o.<sup>1<\/sup> Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem aqueles com di\u00e2metros intracorporais superiores a 13 mm ap\u00f3s a dilata\u00e7\u00e3o, particularmente pacientes que tiveram desfechos insatisfat\u00f3rios com pr\u00f3teses padr\u00e3o, incluindo encurtamento peniano, flacidez ou quebra da pr\u00f3tese.<sup>1<\/sup><\/p>\n<p>O procedimento cir\u00fargico inicia-se com uma incis\u00e3o ventral para expor os corpos cavernosos, seguida pela coloca\u00e7\u00e3o de suturas de tra\u00e7\u00e3o bilaterais em ambos os corpos cavernosos.<sup>1<\/sup> Uma incis\u00e3o de corporotomia de aproximadamente 2,5 cm em cada corpo cavernoso fornece acesso suficiente para a dilata\u00e7\u00e3o.<sup>1<\/sup> Ap\u00f3s a medi\u00e7\u00e3o das dimens\u00f5es intracorporais e a realiza\u00e7\u00e3o de irriga\u00e7\u00e3o com solu\u00e7\u00e3o antibi\u00f3tica, o cirurgi\u00e3o determina se a T\u00e9cnica de Ghattas \u00e9 necess\u00e1ria com base no di\u00e2metro cavernoso.<sup>1<\/sup><\/p>\n<p>Para di\u00e2metros intracorporais superiores a 13 mm ap\u00f3s a dilata\u00e7\u00e3o, uma bainha de tela de polipropileno \u00e9 confeccionada e envolvida ao redor de um cilindro de pr\u00f3tese peniana de 13 mm.<sup>1<\/sup> O n\u00famero de camadas de tela \u00e9 modificado para se ajustar ao tamanho aparente do corpo cavernoso, e a tela \u00e9 fixada \u00e0 pr\u00f3tese por meio de pontos de polipropileno.<sup>1<\/sup> Ap\u00f3s a coloca\u00e7\u00e3o do cilindro de pr\u00f3tese peniana revestido dentro do corpo cavernoso, a incis\u00e3o cir\u00fargica \u00e9 fechada por planos e o p\u00eanis \u00e9 enfaixado com uma bandagem el\u00e1stica.<sup>1<\/sup><\/p>\n<p>Os desfechos cl\u00ednicos t\u00eam sido promissores, com melhorias significativas na fun\u00e7\u00e3o er\u00e9til avaliadas pelos escores do IIEF-5 (aumento de 8,3 para 24,6, P &lt; 0,001) e alta satisfa\u00e7\u00e3o dos pacientes (escore m\u00e9dio do EDITS de 94,9).<sup>1<\/sup> A t\u00e9cnica demonstrou efic\u00e1cia particular em casos de revis\u00e3o nos quais implantes anteriores falharam devido a limita\u00e7\u00f5es de di\u00e2metro.<sup>1<\/sup> As complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias s\u00e3o m\u00ednimas, com alguns pacientes relatando dor peniana leve a moderada (17,4%), que se resolve gradualmente durante o acompanhamento, e ejacula\u00e7\u00e3o retardada (8,7%).<sup>1<\/sup><\/p>\n<p>A T\u00e9cnica de Ghattas oferece dois benef\u00edcios principais: otimiza\u00e7\u00e3o do di\u00e2metro da pr\u00f3tese e posicionamento mais confort\u00e1vel da pr\u00f3tese no p\u00eanis, proporcionando em conjunto maior satisfa\u00e7\u00e3o para o paciente.<sup>1<\/sup> Embora a maleabilidade da pr\u00f3tese possa diminuir ligeiramente dependendo do n\u00famero de camadas envolvidas, essa redu\u00e7\u00e3o n\u00e3o \u00e9 significativa a ponto de interferir na funcionalidade.<sup>1<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>T\u00e9cnica de Ghattas na Cirurgia de Pr\u00f3tese Peniana (IPP)<\/title>\n<meta name=\"description\" content=\"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.\" \/>\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\/tecnica-de-ghattas\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u00e9cnica de Ghattas em Cirurgia de Pr\u00f3tese Peniana\" \/>\n<meta property=\"og:description\" content=\"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/\" \/>\n<meta property=\"og:site_name\" content=\"Rigicon\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/rigiconurology\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-12T10:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.rigicon.com\/wp-content\/uploads\/2025\/05\/header-d.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1440\" \/>\n\t<meta property=\"og:image:height\" content=\"718\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"T\u00e9cnica de Ghattas em Cirurgia de Pr\u00f3tese Peniana\" \/>\n<meta name=\"twitter:description\" content=\"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.\" \/>\n<meta name=\"twitter:site\" content=\"@rigiconurology\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/tecnica-de-ghattas\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/tecnica-de-ghattas\\\/\",\"name\":\"T\u00e9cnica de Ghattas na Cirurgia de Pr\u00f3tese Peniana (IPP)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#website\"},\"datePublished\":\"2026-09-11T22:00:00+00:00\",\"dateModified\":\"2026-09-12T10:00:00+00:00\",\"description\":\"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/tecnica-de-ghattas\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/tecnica-de-ghattas\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/tecnica-de-ghattas\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Glossary Terms\",\"item\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/urology-glossary\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"T\u00e9cnica de Ghattas\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#website\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/\",\"name\":\"Rigicon\",\"description\":\"Innovative Urological Solutions\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#organization\"},\"alternateName\":\"Innovative Urological Solutions\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#organization\",\"name\":\"Rigicon, Inc.\",\"alternateName\":\"Innovative Urological Solutions\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/wp-content\\\/uploads\\\/2024\\\/07\\\/cropped-Logo-Square-Kopya.jpg\",\"contentUrl\":\"https:\\\/\\\/www.rigicon.com\\\/wp-content\\\/uploads\\\/2024\\\/07\\\/cropped-Logo-Square-Kopya.jpg\",\"width\":512,\"height\":512,\"caption\":\"Rigicon, Inc.\"},\"image\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/rigiconurology\\\/\",\"https:\\\/\\\/x.com\\\/rigiconurology\",\"https:\\\/\\\/www.instagram.com\\\/rigiconurology\\\/\",\"https:\\\/\\\/www.youtube.com\\\/@Rigicon\\\/podcasts\",\"https:\\\/\\\/www.youtube.com\\\/Rigicon\",\"https:\\\/\\\/www.threads.net\\\/@rigiconurology\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/rigicon\\\/\"],\"description\":\"Rigicon is a global provider of innovative, diverse, and complete portfolio of prosthetic urology options.\",\"email\":\"operations@rigicon.com\",\"telephone\":\"+1 (888) 202-9790\",\"legalName\":\"Rigicon, Inc.\",\"vatID\":\"81-3545645\",\"taxID\":\"81-3545645\",\"duns\":\"045247683\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"T\u00e9cnica de Ghattas na Cirurgia de Pr\u00f3tese Peniana (IPP)","description":"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/","og_locale":"pt_BR","og_type":"article","og_title":"T\u00e9cnica de Ghattas em Cirurgia de Pr\u00f3tese Peniana","og_description":"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.","og_url":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/","og_site_name":"Rigicon","article_publisher":"https:\/\/www.facebook.com\/rigiconurology\/","article_modified_time":"2026-09-12T10:00:00+00:00","og_image":[{"width":1440,"height":718,"url":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2025\/05\/header-d.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_title":"T\u00e9cnica de Ghattas em Cirurgia de Pr\u00f3tese Peniana","twitter_description":"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.","twitter_site":"@rigiconurology","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/","url":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/","name":"T\u00e9cnica de Ghattas na Cirurgia de Pr\u00f3tese Peniana (IPP)","isPartOf":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#website"},"datePublished":"2026-09-11T22:00:00+00:00","dateModified":"2026-09-12T10:00:00+00:00","description":"Conhe\u00e7a a T\u00e9cnica de Ghattas, m\u00e9todo cir\u00fargico com tela para aumentar o di\u00e2metro da pr\u00f3tese peniana male\u00e1vel em corpos cavernosos amplos.","breadcrumb":{"@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/tecnica-de-ghattas\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.rigicon.com\/pt-br\/"},{"@type":"ListItem","position":2,"name":"Glossary Terms","item":"https:\/\/www.rigicon.com\/pt-br\/urology-glossary\/"},{"@type":"ListItem","position":3,"name":"T\u00e9cnica de Ghattas"}]},{"@type":"WebSite","@id":"https:\/\/www.rigicon.com\/pt-br\/#website","url":"https:\/\/www.rigicon.com\/pt-br\/","name":"Rigicon","description":"Innovative Urological Solutions","publisher":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#organization"},"alternateName":"Innovative Urological Solutions","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.rigicon.com\/pt-br\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.rigicon.com\/pt-br\/#organization","name":"Rigicon, Inc.","alternateName":"Innovative Urological Solutions","url":"https:\/\/www.rigicon.com\/pt-br\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.rigicon.com\/pt-br\/#\/schema\/logo\/image\/","url":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2024\/07\/cropped-Logo-Square-Kopya.jpg","contentUrl":"https:\/\/www.rigicon.com\/wp-content\/uploads\/2024\/07\/cropped-Logo-Square-Kopya.jpg","width":512,"height":512,"caption":"Rigicon, Inc."},"image":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/rigiconurology\/","https:\/\/x.com\/rigiconurology","https:\/\/www.instagram.com\/rigiconurology\/","https:\/\/www.youtube.com\/@Rigicon\/podcasts","https:\/\/www.youtube.com\/Rigicon","https:\/\/www.threads.net\/@rigiconurology","https:\/\/www.linkedin.com\/company\/rigicon\/"],"description":"Rigicon is a global provider of innovative, diverse, and complete portfolio of prosthetic urology options.","email":"operations@rigicon.com","telephone":"+1 (888) 202-9790","legalName":"Rigicon, Inc.","vatID":"81-3545645","taxID":"81-3545645","duns":"045247683"}]}},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-term\/32186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-term"}],"about":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/types\/glossary-term"}],"wp:attachment":[{"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/media?parent=32186"}],"wp:term":[{"taxonomy":"glossary-category","embeddable":true,"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-category?post=32186"},{"taxonomy":"glossary-product","embeddable":true,"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-product?post=32186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}