{"id":32205,"date":"2026-09-03T18:14:00","date_gmt":"2026-09-03T22:14:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32205"},"modified":"2026-09-04T06:04:00","modified_gmt":"2026-09-04T10:04:00","slug":"isquemia-da-glande","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/isquemia-da-glande\/","title":{"rendered":"Isquemia da Glande"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[141],"glossary-product":[104,105],"class_list":["post-32205","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-erectile-dysfunction-treatments","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"<p>A isquemia da glande \u00e9 uma complica\u00e7\u00e3o p\u00f3s-operat\u00f3ria rara caracterizada pelo fluxo sangu\u00edneo inadequado para a extremidade do p\u00eanis (glande peniana) ap\u00f3s a cirurgia de implante peniano ou outros procedimentos penianos.<sup>1<\/sup> Essa condi\u00e7\u00e3o envolve toda a glande, com uma altera\u00e7\u00e3o de cor uniforme e distinta entre a coroa e a haste peniana, resultante do comprometimento do suprimento vascular.<sup>2<\/sup> A isquemia pode variar de um comprometimento vascular leve e revers\u00edvel a casos graves que podem evoluir para necrose e perda de tecido se n\u00e3o forem tratados prontamente.<sup>3<\/sup> O exame f\u00edsico geralmente revela uma apar\u00eancia escurecida ou p\u00e1lida da glande, frequentemente acompanhada de dor na ponta do p\u00eanis, embora a sensibilidade possa permanecer intacta nos est\u00e1gios iniciais.<sup>4<\/sup><\/p>\n","gt-synonyms":"Isquemia p\u00f3s-IPP, necrose de glande, isquemia da glande peniana, isquemia de glande p\u00f3s-pr\u00f3tese, isquemia peniana distal p\u00f3s-implante","gt-citation":"[1] Hebert KJ, Kohler TS. Glans ischemia following inflatable penile prosthesis surgery. Transl Androl Urol. 2020 Apr;9(2):824-827. DOI: 10.21037\/tau.2020.01.04\n\n[2] Garc\u00eda G\u00f3mez B, Romero Otero J, D\u00edez Sicilia L, Jim\u00e9nez Alcaide E, Garc\u00eda-Cruz E, Rodr\u00edguez Antol\u00edn A. Ischemic Gangrene of the Glans following Penile Prosthesis Implantation. Case Rep Urol. 2013;2013:323574. DOI: 10.1155\/2013\/323574\n\n[3] Wilson SK, Mora-Estaves C, Egydio P, Ralph D, Habous M, Love C, Yafi FA. Glans Necrosis Following Penile Prosthesis Implantation: Prevention and Treatment Suggestions. Urology. 2017 Sep;107:144-148. DOI: 10.1016\/j.urology.2017.06.027\n\n[4] Hebert KJ, Kohler TS. Acute Post-Inflatable Penile Prosthesis Glans Ischemia: Review of Incidence, Pathophysiology, and Management Recommendations. J Sex Med. 2019 Jan;16(1):1-4. DOI: 10.1016\/j.jsxm.2018.11.007","gt-clinical-context":"<p>A isquemia da glande \u00e9 observada principalmente como uma complica\u00e7\u00e3o ap\u00f3s a cirurgia de pr\u00f3tese peniana infl\u00e1vel (IPP) para disfun\u00e7\u00e3o er\u00e9til, embora tamb\u00e9m possa ocorrer ap\u00f3s outros procedimentos penianos.<sup>1<\/sup> A condi\u00e7\u00e3o \u00e9 extremamente rara, com menos de vinte e um casos documentados na literatura m\u00e9dica.<sup>2<\/sup> Os fatores de risco incluem diabetes mellitus (que tem sido um denominador comum nos casos relatados), hist\u00f3rico de tabagismo, doen\u00e7a vascular perif\u00e9rica e terapia de anticoagula\u00e7\u00e3o.<sup>3<\/sup><\/p>\n<p>O diagn\u00f3stico \u00e9 essencialmente cl\u00ednico, baseado nos achados do exame f\u00edsico de uma glande escurecida ou p\u00e1lida, com uma altera\u00e7\u00e3o n\u00edtida de cor na coroa.<sup>4<\/sup> A ultrassonografia com Doppler pode ser utilizada para confirmar a aus\u00eancia de vasculariza\u00e7\u00e3o na \u00e1rea afetada.<sup>2<\/sup> Os protocolos de manejo variam de acordo com a gravidade, mas o reconhecimento precoce \u00e9 fundamental. Para casos leves, as medidas conservadoras podem incluir a desinsufla\u00e7\u00e3o do dispositivo, remo\u00e7\u00e3o de curativos compressivos e interven\u00e7\u00f5es farmacol\u00f3gicas para melhorar o fluxo sangu\u00edneo.<sup>1<\/sup><\/p>\n<p>Nos casos em que n\u00e3o se observa melhora substancial dentro de 24 horas, o explante urgente do dispositivo \u00e9 recomendado para prevenir a perda de tecido glandular.<sup>1<\/sup> Para casos graves que evoluem para necrose, o desbridamento cir\u00fargico do tecido necr\u00f3tico \u00e9 necess\u00e1rio, frequentemente seguido pela remo\u00e7\u00e3o do dispositivo.<sup>2<\/sup> O progn\u00f3stico \u00e9 geralmente favor\u00e1vel com interven\u00e7\u00e3o precoce, com a maioria dos pacientes apresentando melhora gradual na viabilidade da glande e revasculariza\u00e7\u00e3o completa dentro de v\u00e1rias semanas de manejo adequado.<sup>1<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":4},"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>Isquemia da Glande: Complica\u00e7\u00e3o de Implante Peniano<\/title>\n<meta name=\"description\" content=\"A isquemia da glande \u00e9 uma complica\u00e7\u00e3o rara com redu\u00e7\u00e3o do fluxo sangu\u00edneo ap\u00f3s implante peniano, exigindo interven\u00e7\u00e3o cl\u00ednica urgente.\" \/>\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\/isquemia-da-glande\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Isquemia da Glande: 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