{"id":32617,"date":"2026-09-11T18:49:00","date_gmt":"2026-09-11T22:49:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32617"},"modified":"2026-09-12T06:14:00","modified_gmt":"2026-09-12T10:14:00","slug":"abordagem-perineal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/abordagem-perineal\/","title":{"rendered":"Abordagem Perineal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[115],"class_list":["post-32617","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-rigicon-hl-dilator"],"acf":{"gt-definition":"<p>A abordagem perineal \u00e9 uma via cir\u00fargica que fornece acesso a estruturas urol\u00f3gicas atrav\u00e9s de uma incis\u00e3o no per\u00edneo, a \u00e1rea da pele entre o escroto e o \u00e2nus em homens.<sup>1<\/sup> Esta abordagem permite acesso direto \u00e0 uretra bulbar ou membranosa, pr\u00f3stata e outras estruturas do trato urin\u00e1rio inferior sem entrar na cavidade abdominal.<sup>2<\/sup> \u00c9 caracterizada por uma incis\u00e3o pequena, excelente exposi\u00e7\u00e3o da anatomia-alvo e preserva\u00e7\u00e3o de grandes vasos sangu\u00edneos e grupos musculares.<sup>3<\/sup> A abordagem perineal \u00e9 utilizada em v\u00e1rios procedimentos urol\u00f3gicos, incluindo prostatectomia radical perineal, uretrostomia perineal e corre\u00e7\u00e3o de estenoses uretrais.<sup>4<\/sup><\/p>\n","gt-synonyms":"Acesso perineal, Via perineal, Abordagem transperineal, Abordagem cir\u00fargica perineal, Abordagem de Belt (t\u00e9cnica espec\u00edfica)","gt-citation":"[1] Melman A, Boczko J, Figueroa J, Leung AC. Critical surgical techniques for radical perineal prostatectomy. J Urol. 2004 Feb;171(2 Pt 1):786-90. DOI: 10.1097\/01.ju.0000107834.23316.59\n\n[2] Kaouk JH, Akca O, Zargar H, Caputo P, Ramirez D, Andrade H, Albayrak S, Laydner H, Angermeier K. Descriptive Technique and Initial Results for Robotic Radical Perineal Prostatectomy. Urology. 2016 Aug:94:129-38. DOI: 10.1016\/j.urology.2016.02.063\n\n[3] Schreiter F, Jordan G. Reconstructive Urethral Surgery. Springer Medizin Verlag Heidelberg, 2006.\n\n[4] Siccardi MA, Bordoni B. Anatomy, Abdomen and Pelvis, Perineal Body. StatPearls [Internet]. 2023.","gt-clinical-context":"<p>A abordagem perineal \u00e9 clinicamente indicada em diversas condi\u00e7\u00f5es e procedimentos urol\u00f3gicos. No tratamento do c\u00e2ncer de pr\u00f3stata, a prostatectomia radical perineal oferece uma alternativa \u00e0s abordagens retrop\u00fabica ou rob\u00f3tica, sendo particularmente ben\u00e9fica para pacientes com cirurgias abdominais pr\u00e9vias, obesidade ou quando a linfadenectomia p\u00e9lvica n\u00e3o \u00e9 necess\u00e1ria.<sup>1<\/sup><\/p>\n<p>Para estenoses uretrais, especialmente aquelas que envolvem a uretra bulbar ou membranosa, a abordagem perineal oferece excelente exposi\u00e7\u00e3o para reconstru\u00e7\u00e3o.<sup>3<\/sup> A uretrostomia perineal \u00e9 realizada em casos de estenoses uretrais complexas ou recorrentes, ap\u00f3s penectomia ou quando outros procedimentos reconstrutivos falharam.<sup>4<\/sup><\/p>\n<p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem a considera\u00e7\u00e3o do bi\u00f3tipo corporal, hist\u00f3rico cir\u00fargico pr\u00e9vio e considera\u00e7\u00f5es anat\u00f4micas espec\u00edficas. A abordagem perineal \u00e9 contraindicada em pacientes com limita\u00e7\u00e3o grave da rota\u00e7\u00e3o do quadril.<sup>1<\/sup><\/p>\n<p>Os procedimentos cir\u00fargicos que utilizam essa abordagem geralmente envolvem colocar o paciente em posi\u00e7\u00e3o de litotomia exagerada, com o per\u00edneo paralelo ao ch\u00e3o. Uma incis\u00e3o mediana ou curva \u00e9 feita no per\u00edneo, seguida de dissec\u00e7\u00e3o cuidadosa atrav\u00e9s dos tecidos subcut\u00e2neos e sec\u00e7\u00e3o do tend\u00e3o central, protegendo o reto.<sup>2<\/sup> O m\u00fasculo bulboesponjoso \u00e9 dividido na linha m\u00e9dia para expor estruturas mais profundas.<sup>3<\/sup><\/p>\n<p>Os resultados esperados incluem menor tempo de interna\u00e7\u00e3o hospitalar, redu\u00e7\u00e3o da perda de sangue em compara\u00e7\u00e3o com as abordagens retrop\u00fabicas e resultados oncol\u00f3gicos e funcionais equivalentes em casos de prostatectomia.<sup>2<\/sup> A recupera\u00e7\u00e3o normalmente envolve cateterismo por 7 a 14 dias e retorno gradual \u00e0s atividades normais.<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 with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - 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