{"id":32210,"date":"2026-09-09T18:28:00","date_gmt":"2026-09-09T22:28:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32210"},"modified":"2026-09-10T06:08:00","modified_gmt":"2026-09-10T10:08:00","slug":"terapia-de-continencia-ajustavel-act","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/terapia-de-continencia-ajustavel-act\/","title":{"rendered":"Terapia de Contin\u00eancia Ajust\u00e1vel (ACT)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[],"class_list":["post-32210","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices"],"acf":{"gt-definition":"<p>A Terapia de Contin\u00eancia Ajust\u00e1vel (ACT) \u00e9 um dispositivo m\u00e9dico implant\u00e1vel minimamente invasivo projetado para tratar a incontin\u00eancia urin\u00e1ria de esfor\u00e7o em homens, particularmente ap\u00f3s cirurgia de pr\u00f3stata.<sup>1<\/sup> O sistema consiste em dois pequenos bal\u00f5es de silicone ajust\u00e1veis que s\u00e3o cirurgicamente posicionados em cada lado da uretra proximal, logo distal ao colo vesical.<sup>2<\/sup> Cada bal\u00e3o \u00e9 conectado por meio de tubos a uma porta de tit\u00e2nio implantada sob a pele do escroto.<sup>3<\/sup> Os bal\u00f5es exercem uma leve press\u00e3o sobre a uretra, aumentando a resist\u00eancia do trato de sa\u00edda da bexiga e prevenindo, assim, perdas involunt\u00e1rias de urina durante atividades f\u00edsicas que elevam a press\u00e3o abdominal, como tossir, espirrar ou praticar exerc\u00edcios.<sup>4<\/sup> Uma caracter\u00edstica fundamental dessa terapia \u00e9 a sua ajustabilidade \u2014 o volume de fluido em cada bal\u00e3o pode ser modificado atrav\u00e9s das portas subcut\u00e2neas durante consultas de rotina, permitindo aos m\u00e9dicos personalizar a press\u00e3o para atender \u00e0s necessidades individuais de cada paciente, sem a necessidade de cirurgias adicionais.<sup>5<\/sup><\/p>\n","gt-synonyms":"ProACT, ProACT\u2122 Adjustable Continence Therapy, Dual Balloon Adjustable Continence Therapy (DBACT), Sistema de Bal\u00f5es Periuretrais, Bal\u00f5es Periuretrais Ajust\u00e1veis, Alternativa ao Sling Masculino","gt-citation":"[1] Larson T, Jhaveri H, Yeung LL. Adjustable continence therapy (ProACT) for the treatment of male stress urinary incontinence: A systematic review and meta-analysis. Neurourol Urodyn. 2019 Nov;38(8):2051-2059. DOI: 10.1002\/nau.24135\n\n[2] Feloney MP, Klock JA, Zhang Y. Dual balloon adjustable continence therapy for urinary incontinence. Am J Clin Exp Urol. 2023 Aug 15;11(4):334-338. PMID: 37645611; PMCID: PMC10461033.\n\n[3] Noordhoff TC, Scheepe JR, Blok BFM. Outcome and complications of adjustable continence therapy (ProACT\u2122) after radical prostatectomy: 10 years' experience in 143 patients. Neurourol Urodyn. 2018 Apr;37(4):1419-1425. DOI: 10.1002\/nau.23463\n\n[4] Crivellaro S, Morlacco A, Bodo G, et al. Systematic review of surgical treatment of post radical prostatectomy stress urinary incontinence. Neurourol Urodyn. 2016 Nov;35(8):875-881. DOI: 10.1002\/nau.22873\n\n[5] Utomo E, Groen J, Blok BF. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction. Cochrane Database Syst Rev. 2014 May 24;(5):CD004927. DOI: 10.1002\/14651858.CD004927.pub4","gt-clinical-context":"<p>A Terapia de Contin\u00eancia Ajust\u00e1vel \u00e9 indicada principalmente para o tratamento de homens adultos com incontin\u00eancia urin\u00e1ria de esfor\u00e7o (IUE) decorrente de defici\u00eancia esfincteriana intr\u00ednseca, mais comumente ap\u00f3s prostatectomia radical ou ressec\u00e7\u00e3o transuretral da pr\u00f3stata.<sup>1<\/sup> A terapia \u00e9 tipicamente considerada para pacientes que n\u00e3o obtiveram sucesso com tratamentos conservadores, como exerc\u00edcios para o assoalho p\u00e9lvico e modifica\u00e7\u00f5es comportamentais, e que apresentaram sintomas por pelo menos 12 meses ap\u00f3s a cirurgia de pr\u00f3stata.<sup>2<\/sup><\/p>\n<p>O procedimento de implante \u00e9 realizado sob anestesia geral ou raquianestesia e dura aproximadamente 30 minutos.<sup>3<\/sup> Utilizando orienta\u00e7\u00e3o fluorosc\u00f3pica ou ultrassonogr\u00e1fica, o cirurgi\u00e3o posiciona dois bal\u00f5es em cada lado da uretra proximal por meio de pequenas incis\u00f5es perineais. As portas de tit\u00e2nio conectadas s\u00e3o posicionadas no escroto para futuros ajustes.<sup>4<\/sup><\/p>\n<p>Os ajustes p\u00f3s-operat\u00f3rios geralmente come\u00e7am de 2 a 4 semanas ap\u00f3s o implante, com aumentos graduais no volume do bal\u00e3o (0,5 a 1,0 cc por lado) para obter a contin\u00eancia ideal enquanto se mant\u00e9m a mic\u00e7\u00e3o normal.<sup>5<\/sup> Esses ajustes s\u00e3o realizados em ambiente ambulatorial sob anestesia local.<\/p>\n<p>Resultados cl\u00ednicos de meta-an\u00e1lises demonstram que aproximadamente 60,2% dos pacientes alcan\u00e7am a contin\u00eancia completa, enquanto 81,9% apresentam uma melhora de pelo menos 50% em seus sintomas de incontin\u00eancia.<sup>1<\/sup> Os escores de qualidade de vida mostram uma melhora significativa, com um aumento m\u00e9dio de 30,8 pontos em rela\u00e7\u00e3o ao valor basal.<sup>1<\/sup> A terapia tem demonstrado resultados duradouros, com estudos relatando efic\u00e1cia sustentada em per\u00edodos de acompanhamento com m\u00e9dia de 3,6 anos.<sup>1<\/sup><\/p>\n<p>As complica\u00e7\u00f5es s\u00e3o geralmente discretas e incluem dor perineal tempor\u00e1ria (15%), migra\u00e7\u00e3o do bal\u00e3o (5-10%), reten\u00e7\u00e3o urin\u00e1ria (3-5%) e infec\u00e7\u00e3o (2-3%).<sup>3<\/sup> Se necess\u00e1rio, o dispositivo pode ser removido ou substitu\u00eddo em um procedimento minimamente invasivo, tornando-o uma op\u00e7\u00e3o de tratamento revers\u00edvel.<sup>4<\/sup><\/p>\n<p>O ACT oferece diversas vantagens em rela\u00e7\u00e3o a tratamentos alternativos, como o esf\u00edncter urin\u00e1rio artificial, incluindo menor invasividade, aus\u00eancia de necessidade de ativa\u00e7\u00e3o manual e menores taxas de infec\u00e7\u00e3o.<sup>2<\/sup> \u00c9 considerado uma op\u00e7\u00e3o cir\u00fargica vi\u00e1vel de primeira linha para candidatos apropriados, especialmente aqueles que n\u00e3o s\u00e3o candidatos ideais para procedimentos mais invasivos.<sup>1<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":true,"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>Terapia de Contin\u00eancia Ajust\u00e1vel (ACT) no Manejo da IUE<\/title>\n<meta name=\"description\" content=\"A Terapia de Contin\u00eancia Ajust\u00e1vel (ACT) \u00e9 um dispositivo minimamente invasivo com bal\u00f5es ajust\u00e1veis para tratar a incontin\u00eancia urin\u00e1ria de esfor\u00e7o.\" \/>\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\/terapia-de-continencia-ajustavel-act\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Terapia de 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