{"id":32504,"date":"2026-09-10T18:28:00","date_gmt":"2026-09-10T22:28:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32504"},"modified":"2026-09-11T06:08:00","modified_gmt":"2026-09-11T10:08:00","slug":"cuff-em-tandem","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/cuff-em-tandem\/","title":{"rendered":"Cuff em Tandem"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-32504","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>Um cuff em tandem \u00e9 uma configura\u00e7\u00e3o cir\u00fargica na qual dois cuffs de esf\u00edncter urin\u00e1rio artificial (AUS) s\u00e3o posicionados em s\u00e9rie ao redor da uretra para melhorar a contin\u00eancia em pacientes com incontin\u00eancia urin\u00e1ria de esfor\u00e7o, particularmente em casos nos quais um \u00fanico cuff falhou devido \u00e0 atrofia uretral ou quando h\u00e1 alto risco de eros\u00e3o ou infec\u00e7\u00e3o.<sup>1<\/sup> <sup>2<\/sup> Essa t\u00e9cnica envolve o posicionamento de um segundo cuff uretral proximal ou distal (tipicamente com 1-2cm de dist\u00e2ncia) em rela\u00e7\u00e3o a um cuff existente, com ambos os cuffs conectados a um \u00fanico bal\u00e3o regulador de press\u00e3o e bomba de controle por meio de um adaptador em Y.<sup>3<\/sup> <sup>4<\/sup> A configura\u00e7\u00e3o em tandem visa fornecer compress\u00e3o circunferencial adicional da uretra, aumentando assim o efeito oclusivo e melhorando os resultados de contin\u00eancia em casos desafiadores.<sup>5<\/sup><\/p>\n","gt-synonyms":"Esf\u00edncter urin\u00e1rio artificial de duplo cuff, esf\u00edncter urin\u00e1rio artificial em tandem, AUS de duplo cuff, cuff de esf\u00edncter urin\u00e1rio artificial transcorporal em tandem, posicionamento sequencial de cuffs","gt-citation":"[1] DiMarco DS, Elliott DS. Tandem cuff artificial urinary sphincter as a salvage procedure following failed primary sphincter placement for the treatment of post-prostatectomy incontinence. J Urol. 2003 Oct;170(4 Pt 1):1252-4. DOI: 10.1097\/01.ju.0000085787.21140.db\n\n[2] Magera JS Jr, Elliott DS. Tandem transcorporal artificial urinary sphincter cuff salvage technique: surgical description and results. J Urol. 2007 Mar;177(3):1015-9. DOI: 10.1016\/j.juro.2006.10.052\n\n[3] Manka MG, Wright EJ. Does Use of a Second Cuff Improve Artificial Urinary Sphincter Effectiveness? Evaluation Using a Comparative Cadaver Model. J Urol. 2015 Dec;194(6):1688-91. DOI: 10.1016\/j.juro.2015.06.102\n\n[4] Linder BJ, Piotrowski JT, Ziegelmann MJ, Rivera ME, Rangel LJ, Elliott DS. Artificial urinary sphincter revision for urethral atrophy: comparing single cuff downsizing and tandem cuff placement. Int Braz J Urol. 2017 Mar-Apr;43(2):264-270. DOI: 10.1590\/S1677-5538.IBJU.2016.0240\n\n[5] Pearlman AM, Rasper AM, Terlecki RP. Exposing the myth of urethral atrophy after artificial urinary sphincter: Comparative analysis of AUS outcomes based on surgical approach and time. Int Neurourol J. 2018 Sep;22(3):275-281. DOI: 10.4111\/icu.2018.59.4.275","gt-clinical-context":"<p>A configura\u00e7\u00e3o de cuff em tandem \u00e9 utilizada principalmente como um procedimento de resgate em pacientes que apresentaram incontin\u00eancia urin\u00e1ria de esfor\u00e7o recorrente ap\u00f3s o implante prim\u00e1rio de esf\u00edncter urin\u00e1rio artificial.<sup>1<\/sup> Esse cen\u00e1rio cl\u00ednico ocorre mais frequentemente devido \u00e0 atrofia uretral, que se desenvolve quando a compress\u00e3o circunferencial constante do corpo esponjoso pelo AUS leva ao adelga\u00e7amento tecidual ao longo do tempo.<sup>4<\/sup><\/p>\n<p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes para o implante de cuff em tandem incluem:<\/p>\n<ul>\n<li>Pacientes com incontin\u00eancia urin\u00e1ria de esfor\u00e7o p\u00f3s-prostatectomia que falharam ao implante prim\u00e1rio de AUS<sup>5<\/sup><\/li>\n<li>Pacientes com atrofia uretral confirmada (identificada durante a cistoscopia como coapta\u00e7\u00e3o uretral incompleta durante a ciclagem do dispositivo)<sup>4<\/sup><\/li>\n<li>Pacientes com incontin\u00eancia persistente apesar do volume adequado de fluido no sistema do AUS<sup>5<\/sup><\/li>\n<li>Casos com alto risco de re-eros\u00e3o ou infec\u00e7\u00e3o ap\u00f3s falha do implante de AUS<sup>2<\/sup><\/li>\n<\/ul>\n<p>O processo de implante cir\u00fargico envolve o posicionamento de um segundo cuff a aproximadamente 1-2cm distal ou proximal ao cuff existente.<sup>4<\/sup> Um adaptador em Y \u00e9 utilizado para conectar a tubula\u00e7\u00e3o da bomba a ambos os cuffs, e fluido adicional (1-3cc) \u00e9 adicionado ao sistema para compensar o volume sequestrado no segundo cuff.<sup>4<\/sup> Em casos com tecidos uretrais gravemente atr\u00f3ficos (medida &lt;3.5cm), afilamento uretral distal ou planos de dissec\u00e7\u00e3o dif\u00edceis (por exemplo, em pacientes com radioterapia p\u00e9lvica pr\u00e9via ou implante de sling uretral), uma abordagem transcorporal pode ser utilizada.<sup>2<\/sup><\/p>\n<p>Os resultados cl\u00ednicos ap\u00f3s o implante de cuff em tandem mostram melhora significativa na contin\u00eancia. Estudos relatam uma redu\u00e7\u00e3o no uso di\u00e1rio de absorventes de uma mediana de 5,0 para 2,0 absorventes (p&lt;0,001),<sup>2<\/sup> com 56-69% dos pacientes necessitando de 2 ou menos absorventes por dia.<sup>2<\/sup> A satisfa\u00e7\u00e3o dos pacientes \u00e9 geralmente alta, com 88-94% dos pacientes relatando que se submeteriam ao procedimento novamente ou o recomendariam a outras pessoas.<sup>1<\/sup> No entanto, as complica\u00e7\u00f5es podem incluir eros\u00e3o do cuff (aproximadamente 11%) e infec\u00e7\u00e3o do dispositivo, particularmente em pacientes sob terapia de priva\u00e7\u00e3o androg\u00eanica.<sup>2<\/sup> <sup>3<\/sup> A taxa de sobrevida do dispositivo em 3 anos \u00e9 de aproximadamente 76%, o que \u00e9 compar\u00e1vel aos procedimentos de redu\u00e7\u00e3o de tamanho de cuff \u00fanico (downsizing).<sup>4<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"<!-- This site is optimized 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