{"id":32787,"date":"2026-09-10T18:00:00","date_gmt":"2026-09-10T22:00:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32787"},"modified":"2026-09-11T06:00:00","modified_gmt":"2026-09-11T10:00:00","slug":"dispositivo-pro-act","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/dispositivo-pro-act\/","title":{"rendered":"Dispositivo Pro-ACT"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[],"class_list":["post-32787","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-devices"],"acf":{"gt-definition":"<p>O Dispositivo Pro-ACT (Adjustable Continence Therapy) \u00e9 um dispositivo m\u00e9dico implant\u00e1vel minimamente invasivo projetado para tratar a incontin\u00eancia urin\u00e1ria de esfor\u00e7o masculina. Ele consiste em dois pequenos bal\u00f5es de silicone ajust\u00e1veis conectados por tubos a portas de tit\u00e2nio.<sup>1<\/sup> Cada bal\u00e3o \u00e9 colocado cirurgicamente em ambos os lados do colo vesical ou da uretra onde a pr\u00f3stata foi removida ou ressecada.<sup>2<\/sup> Os bal\u00f5es preenchidos com fluido aplicam press\u00e3o para dar suporte ao colo vesical, o que ajuda a prevenir a perda involunt\u00e1ria de urina durante atividades f\u00edsicas, tosse ou espirros.<sup>3<\/sup> As portas de tit\u00e2nio s\u00e3o colocadas subcutaneamente no escroto, permitindo o ajuste p\u00f3s-operat\u00f3rio do volume do bal\u00e3o para alcan\u00e7ar a contin\u00eancia ideal com base nas necessidades individuais do paciente.<sup>4<\/sup><\/p>\n","gt-synonyms":"ProACT\u2122 Adjustable Continence Therapy for Men, sistema ProACT, bal\u00f5es ProACT, Terapia de Contin\u00eancia Ajust\u00e1vel, dispositivo ACT","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] Kong L, Coddington ND, Flynn BJ. Secondary placement of adjustable continence therapy (ProACT\u2122) using open perineal technique: Case report of ProACT placement in a man with a devastated urethra following pelvic trauma and multiple AUS erosions. Urol Case Rep. 2023 May 24;49:102424. DOI: 10.1016\/j.eucr.2023.102424\n\n[3] U.S. Food and Drug Administration. Summary of Safety and Effectiveness Data (SSED) - ProACT Adjustable Continence Therapy for Men. P130018. November 24, 2015. Available at: https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf13\/P130018B.pdf\n\n[4] Uromedica, Inc. ProACT Adjustable Continence Therapy for Men. Manufacturer's official product information. Available at: https:\/\/www.uromedica-inc.com\/proact","gt-clinical-context":"<p>O Dispositivo Pro-ACT \u00e9 clinicamente indicado para o tratamento de homens adultos que apresentam incontin\u00eancia urin\u00e1ria de esfor\u00e7o decorrente de defici\u00eancia esfincteriana intr\u00ednseca.<sup>3<\/sup> Ele \u00e9 projetado especificamente para pacientes que foram submetidos a prostatectomia radical ou ressec\u00e7\u00e3o transuretral da pr\u00f3stata (RTUP) e apresentam incontin\u00eancia h\u00e1 pelo menos doze meses ap\u00f3s o procedimento.<sup>3<\/sup> O dispositivo \u00e9 recomendado para pacientes que n\u00e3o responderam adequadamente a op\u00e7\u00f5es de terapia conservadora, como exerc\u00edcios para o assoalho p\u00e9lvico e modifica\u00e7\u00f5es comportamentais.<sup>1<\/sup><\/p>\n<p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem homens com incontin\u00eancia urin\u00e1ria de esfor\u00e7o confirmada, destreza manual adequada para eventual autocateterismo, se necess\u00e1rio, e aus\u00eancia de contraindica\u00e7\u00f5es como infec\u00e7\u00f5es ativas do trato urin\u00e1rio, instabilidade do detrusor, complac\u00eancia vesical reduzida ou res\u00edduo p\u00f3s-miccional significativo superior a 100 cc.<sup>3<\/sup> O dispositivo tamb\u00e9m \u00e9 contraindicado em pacientes que estejam recebendo radioterapia ou que planejem receb\u00ea-la dentro de 6 meses.<sup>3<\/sup><\/p>\n<p>O procedimento de implante cir\u00fargico \u00e9 minimamente invasivo, levando aproximadamente 30 minutos para ser conclu\u00eddo.<sup>2<\/sup> Os bal\u00f5es s\u00e3o posicionados por via perineal, com as portas localizadas subcutaneamente no escroto para ajustes futuros.<sup>2<\/sup> No p\u00f3s-operat\u00f3rio, os ajustes normalmente come\u00e7am de 4 a 6 semanas ap\u00f3s o implante, com resultados ideais geralmente alcan\u00e7ados ap\u00f3s 3 a 4 consultas de ajuste.<sup>4<\/sup><\/p>\n<p>Os desfechos cl\u00ednicos de uma revis\u00e3o sistem\u00e1tica e metan\u00e1lise de 19 estudos com 1.264 pacientes mostraram melhora significativa nos escores de qualidade de vida (melhora de 30,8 pontos em rela\u00e7\u00e3o ao valor basal) e redu\u00e7\u00e3o no uso de absorventes de uma m\u00e9dia de 4,0 absorventes por dia para 1,1 absorvente por dia.<sup>1<\/sup> Aproximadamente 60,2% dos pacientes atingiram contin\u00eancia completa, enquanto 81,9% apresentaram contin\u00eancia completa ou melhora superior a 50% em sua condi\u00e7\u00e3o.<sup>1<\/sup> O tempo m\u00e9dio de seguimento nesses estudos foi de 3,6 anos, demonstrando a efic\u00e1cia a longo prazo do dispositivo.<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>Dispositivo Pro-ACT: Terapia de Contin\u00eancia Ajust\u00e1vel<\/title>\n<meta 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