{"id":32224,"date":"2026-09-09T18:21:00","date_gmt":"2026-09-09T22:21:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32224"},"modified":"2026-09-10T06:06:00","modified_gmt":"2026-09-10T10:06:00","slug":"necrose-da-glande","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/necrose-da-glande\/","title":{"rendered":"Necrose da Glande"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[127],"glossary-product":[104],"class_list":["post-32224","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-complications","glossary-product-infla10-pulse-ipp-series"],"acf":{"gt-definition":"<p>A necrose da glande refere-se \u00e0 morte tecidual da glande peniana, uma complica\u00e7\u00e3o rara, por\u00e9m catastr\u00f3fica, que ocorre devido \u00e0 interrup\u00e7\u00e3o da circula\u00e7\u00e3o sangu\u00ednea da glande (art\u00e9rias dorsais e ramos terminais das art\u00e9rias esponjosas)<sup>1<\/sup>. Essa condi\u00e7\u00e3o pode se desenvolver ap\u00f3s cirurgias penianas, como postectomia, implante de pr\u00f3tese peniana ou procedimentos de aumento peniano<sup>2<\/sup>. Tamb\u00e9m pode ocorrer secundariamente a condi\u00e7\u00f5es m\u00e9dicas, incluindo diabetes mellitus, doen\u00e7a cardiovascular ateroscler\u00f3tica grave e s\u00edndrome antifosfol\u00edpide<sup>3<\/sup>. O processo necr\u00f3tico geralmente se apresenta com descolora\u00e7\u00e3o da glande, tempo de enchimento capilar ausente ou diminu\u00eddo e forma\u00e7\u00e3o de bolhas<sup>4<\/sup>. Sem interven\u00e7\u00e3o imediata, a necrose da glande pode levar \u00e0 perda tecidual permanente, complica\u00e7\u00f5es uretrais e significativo impacto funcional e psicol\u00f3gico<sup>5<\/sup>.<\/p>\n","gt-synonyms":"Necrose glandular peniana, Gangrena isqu\u00eamica da glande, Isquemia aguda da glande peniana, Gangrena seca do p\u00eanis, Necrose da ponta do p\u00eanis, Isquemia da glande peniana","gt-citation":"[1] Truong MH, Ngo TQ, Vu TD. Penile Glans Necrosis Associated With Antiphospholipid Syndrome: A Rare Complication. Cureus. 2023;15(6):e39999. DOI: 10.7759\/cureus.39999\n\n[2] Arikan Y. Management of Post-Circumcision Glans\/Penile Necrosis. In: Male Reproductive Anatomy. IntechOpen. 2021. DOI: 10.5772\/intechopen.98695\n\n[3] Sato Y, Otsubo H, Yanagibayashi S, et al. Long\u2010term follow\u2010up of penile glans necrosis due to paraphimosis. IJU Case Reports. 2019;2(6):316-319. DOI: 10.1002\/iju5.12064\n\n[4] Cayetano-Alcaraz AA, Yassin M, Desai A, et al. Penile implant surgery-managing complications. Fac Rev. 2021;10:73. DOI: 10.12703\/r\/10-73\n\n[5] Wilson SK, Mora-Estaves C, Egydio P, et al. Glans Necrosis Following Penile Prosthesis Implantation: Prevention and Treatment Suggestions. Urology. 2017;107:144-148. DOI: 10.1016\/j.urology.2017.06.027","gt-clinical-context":"<p>A necrose da glande \u00e9 observada na pr\u00e1tica urol\u00f3gica principalmente ap\u00f3s interven\u00e7\u00f5es cir\u00fargicas ou em pacientes com comorbidades vasculares significativas<sup>1<\/sup>. Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes para o manejo cir\u00fargico incluem a avalia\u00e7\u00e3o de fatores de risco vascular, como diabetes mellitus, tabagismo e hist\u00f3rico de doen\u00e7a cardiovascular<sup>2<\/sup>. Em casos de implante de pr\u00f3tese peniana, pacientes com fatores de risco pr\u00e9-operat\u00f3rios devem evitar manobras cir\u00fargicas adjuvantes de alto risco<sup>3<\/sup>. O diagn\u00f3stico \u00e9 essencialmente cl\u00ednico, com o ultrassom Doppler fornecendo uma avalia\u00e7\u00e3o valiosa do grau de isquemia<sup>4<\/sup>. As abordagens terap\u00eauticas variam conforme a gravidade e incluem a remo\u00e7\u00e3o imediata da pr\u00f3tese (se aplic\u00e1vel), interven\u00e7\u00f5es farmacol\u00f3gicas (pentoxifilina, enoxaparina, corticosteroides), oxigenoterapia hiperb\u00e1rica e desbridamento cir\u00fargico com reconstru\u00e7\u00e3o<sup>5<\/sup>. A interven\u00e7\u00e3o precoce \u00e9 fundamental, pois o atraso no tratamento frequentemente resulta na perda total da glande. O manejo conservador tem demonstrado sucesso em casos selecionados, principalmente com o uso de pentoxifilina e aplica\u00e7\u00f5es t\u00f3picas de testosterona<sup>2<\/sup>. A cirurgia reconstrutiva pode exigir m\u00faltiplos est\u00e1gios, mas \u00e9 capaz de restaurar as fun\u00e7\u00f5es urin\u00e1ria e er\u00e9til em muitos pacientes<sup>1<\/sup>.<\/p>\n","gt-related-evidence":null,"gt-featured":false,"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>Necrose da Glande: Causas, Diagn\u00f3stico e Manejo Cl\u00ednico<\/title>\n<meta name=\"description\" content=\"A necrose da glande \u00e9 a morte tecidual p\u00f3s-cirurgia ou doen\u00e7a vascular, exigindo interven\u00e7\u00e3o r\u00e1pida para prevenir a perda tecidual permanente.\" \/>\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\/necrose-da-glande\/\" \/>\n<meta property=\"og:locale\" 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