{"id":32449,"date":"2026-09-08T19:03:00","date_gmt":"2026-09-08T23:03:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32449"},"modified":"2026-09-09T06:18:00","modified_gmt":"2026-09-09T10:18:00","slug":"pressao-insuficiente-do-reservatorio-aus","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/","title":{"rendered":"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[117],"glossary-product":[108,107],"class_list":["post-32449","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-prosthetic-implants","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>A Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS) refere-se a uma complica\u00e7\u00e3o mec\u00e2nica do sistema de Esf\u00edncter Urin\u00e1rio Artificial (AUS), na qual o bal\u00e3o regulador de press\u00e3o (PRB) falha em manter a press\u00e3o adequada para manter o manguito uretral devidamente inflado, levando \u00e0 incontin\u00eancia urin\u00e1ria recorrente.<sup>1<\/sup> O bal\u00e3o regulador de press\u00e3o, um componente essencial do sistema de AUS, \u00e9 projetado para armazenar fluido a uma press\u00e3o espec\u00edfica (normalmente 51-70 cm H\u2082O) e fornecer compress\u00e3o consistente da uretra atrav\u00e9s do manguito para evitar o escape involunt\u00e1rio de urina.<sup>2<\/sup> Quando essa press\u00e3o se torna insuficiente devido a mau funcionamento do PRB, perda de fluido ou hernia\u00e7\u00e3o do bal\u00e3o, o manguito n\u00e3o consegue manter a coapta\u00e7\u00e3o uretral adequada, resultando no retorno dos sintomas de incontin\u00eancia urin\u00e1ria de esfor\u00e7o.<sup>3<\/sup> Essa condi\u00e7\u00e3o \u00e9 classificada como uma causa precoce de cirurgia de revis\u00e3o para AUS e representa uma das falhas mec\u00e2nicas mais comuns nesses dispositivos.<sup>4<\/sup><\/p>\n","gt-synonyms":"Mau funcionamento do PRB, Falha do bal\u00e3o regulador de press\u00e3o, Insufici\u00eancia de press\u00e3o do reservat\u00f3rio do AUS, Press\u00e3o inadequada do bal\u00e3o (AUS), Falha do reservat\u00f3rio de press\u00e3o","gt-citation":"[1] Brant WO, Martins FE. Artificial urinary sphincter. Transl Androl Urol. 2017;6(4):682-694. DOI: 10.21037\/tau.2017.07.31\n\n[2] Srivastava A, Joice GA, Patel HD, et al. Causes of Artificial Urinary Sphincter Failure and Strategies for Surgical Revision: Implications of Device Component Survival. Eur Urol Focus. 2019;5(5):887-893. DOI: 10.1016\/j.euf.2018.02.014\n\n[3] Khouri RK Jr, Baumgarten AS, Ortiz NM, et al. Pressure Regulating Balloon Herniation: A Correctable Cause of Artificial Urinary Sphincter Malfunction. Urology. 2020;139:188-192. DOI: 10.1016\/j.urology.2020.01.036\n\n[4] Frazier RL, Jones ME, Hofer MD. Artificial Urinary Sphincter Complications: A Narrative Review. J Clin Med. 2024;13(7):1913. DOI: 10.3390\/jcm13071913\n\n[5] Hussain M, Greenwell TJ, Venn SN, Mundy AR. The current role of the artificial urinary sphincter for the treatment of urinary incontinence. J Urol. 2005;174(2):418-424. DOI: 10.1097\/01.ju.0000165345.11199.98","gt-clinical-context":"<p>A Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS) \u00e9 observada principalmente em pacientes do sexo masculino que foram submetidos previamente ao implante de AUS para incontin\u00eancia urin\u00e1ria de esfor\u00e7o, mais comumente ap\u00f3s prostatectomia radical, radioterapia ou procedimentos transuretrais.<sup>1<\/sup> Os pacientes normalmente se apresentam com incontin\u00eancia urin\u00e1ria recorrente ou com piora ap\u00f3s um per\u00edodo de contin\u00eancia bem-sucedida com seu dispositivo de AUS.<sup>2<\/sup><\/p>\n<p>O diagn\u00f3stico envolve uma avalia\u00e7\u00e3o sistem\u00e1tica do dispositivo, incluindo exame f\u00edsico para avaliar os componentes do dispositivo, teste de ciclagem do dispositivo e avalia\u00e7\u00e3o cistouretrosc\u00f3pica para verificar a coapta\u00e7\u00e3o uretral.<sup>3<\/sup> Em alguns casos, exames de imagem podem ser utilizados para identificar a hernia\u00e7\u00e3o do PRB, que foi relatada em aproximadamente 3,2% dos pacientes com AUS.<sup>3<\/sup><\/p>\n<p>As op\u00e7\u00f5es de tratamento dependem da causa espec\u00edfica da press\u00e3o insuficiente. Para pacientes com hernia\u00e7\u00e3o ou mau funcionamento do PRB sem perda de fluido, a substitui\u00e7\u00e3o isolada do PRB pode ser eficaz, com estudos demonstrando taxas de sucesso de 78-95%.<sup>3<\/sup> Essa abordagem evita uma segunda incis\u00e3o e a exposi\u00e7\u00e3o uretral. Em casos de perda de fluido do sistema ou falha de m\u00faltiplos componentes, pode ser necess\u00e1ria a revis\u00e3o completa do dispositivo.<sup>4<\/sup><\/p>\n<p>A sele\u00e7\u00e3o de pacientes para revis\u00e3o de AUS devido \u00e0 press\u00e3o insuficiente do reservat\u00f3rio deve considerar fatores como a sa\u00fade geral do paciente, a condi\u00e7\u00e3o da uretra e o tempo decorrido desde o implante original. Pacientes com uretra de alto risco (por exemplo, aqueles com radioterapia pr\u00e9via, reconstru\u00e7\u00e3o uretral ou eros\u00e3o pr\u00e9via) podem se beneficiar de PRBs de menor press\u00e3o (51-60 cm H\u2082O) durante a revis\u00e3o para minimizar complica\u00e7\u00f5es.<sup>5<\/sup><\/p>\n<p>Os desfechos esperados ap\u00f3s uma revis\u00e3o bem-sucedida para press\u00e3o insuficiente do reservat\u00f3rio incluem a restaura\u00e7\u00e3o da contin\u00eancia (definida como \u22641 absorvente por dia) em aproximadamente 80% dos pacientes.<sup>3<\/sup> A confirma\u00e7\u00e3o cistosc\u00f3pica de uma melhor coapta\u00e7\u00e3o esfincteriana durante a cirurgia de revis\u00e3o parece ser um preditor confi\u00e1vel do sucesso do tratamento.<sup>3<\/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>Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo<\/title>\n<meta name=\"description\" content=\"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.\" \/>\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\/pressao-insuficiente-do-reservatorio-aus\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo\" \/>\n<meta property=\"og:description\" content=\"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/\" \/>\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=\"2026-09-09T10:18:00+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=\"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo\" \/>\n<meta name=\"twitter:description\" content=\"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.\" \/>\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\\\/pressao-insuficiente-do-reservatorio-aus\\\/\",\"url\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/pressao-insuficiente-do-reservatorio-aus\\\/\",\"name\":\"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/#website\"},\"datePublished\":\"2026-09-08T23:03:00+00:00\",\"dateModified\":\"2026-09-09T10:18:00+00:00\",\"description\":\"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/pressao-insuficiente-do-reservatorio-aus\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/pressao-insuficiente-do-reservatorio-aus\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.rigicon.com\\\/pt-br\\\/glossary-term\\\/pressao-insuficiente-do-reservatorio-aus\\\/#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\":\"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS)\"}]},{\"@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":"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo","description":"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.","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\/pressao-insuficiente-do-reservatorio-aus\/","og_locale":"pt_BR","og_type":"article","og_title":"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo","og_description":"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.","og_url":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/","og_site_name":"Rigicon","article_publisher":"https:\/\/www.facebook.com\/rigiconurology\/","article_modified_time":"2026-09-09T10:18:00+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":"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo","twitter_description":"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.","twitter_site":"@rigiconurology","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/","url":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/","name":"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS): Manejo","isPartOf":{"@id":"https:\/\/www.rigicon.com\/pt-br\/#website"},"datePublished":"2026-09-08T23:03:00+00:00","dateModified":"2026-09-09T10:18:00+00:00","description":"A press\u00e3o insuficiente do reservat\u00f3rio (AUS) ocorre por falha no bal\u00e3o regulador, causando retorno da incontin\u00eancia urin\u00e1ria ap\u00f3s o implante.","breadcrumb":{"@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/pressao-insuficiente-do-reservatorio-aus\/#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":"Press\u00e3o Insuficiente do Reservat\u00f3rio (AUS)"}]},{"@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\/32449","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=32449"}],"wp:term":[{"taxonomy":"glossary-category","embeddable":true,"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-category?post=32449"},{"taxonomy":"glossary-product","embeddable":true,"href":"https:\/\/www.rigicon.com\/pt-br\/wp-json\/wp\/v2\/glossary-product?post=32449"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}