{"id":32873,"date":"2026-09-09T18:42:00","date_gmt":"2026-09-09T22:42:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32873"},"modified":"2026-09-10T06:12:00","modified_gmt":"2026-09-10T10:12:00","slug":"terapia-com-dispositivo-de-continencia-ajustavel-de-balao-duplo-dbact","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/terapia-com-dispositivo-de-continencia-ajustavel-de-balao-duplo-dbact\/","title":{"rendered":"Terapia com Dispositivo de Contin\u00eancia Ajust\u00e1vel de Bal\u00e3o Duplo (DBACT)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[113],"glossary-product":[108,107],"class_list":["post-32873","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>A Terapia com Dispositivo de Contin\u00eancia Ajust\u00e1vel de Bal\u00e3o Duplo (DBACT) \u00e9 um tratamento minimamente invasivo para a incontin\u00eancia urin\u00e1ria de esfor\u00e7o masculina que utiliza dois bal\u00f5es de silicone ajust\u00e1veis implantados bilateralmente no espa\u00e7o periuretral logo distal ao colo vesical.<sup>1<\/sup> Cada bal\u00e3o \u00e9 conectado por meio de tubos a uma porta de tit\u00e2nio posicionada por via subcut\u00e2nea no escroto, permitindo ajustes de volume p\u00f3s-operat\u00f3rios sem a necessidade de cirurgia adicional.<sup>2<\/sup> Os bal\u00f5es funcionam aumentando a resist\u00eancia do trato de sa\u00edda da bexiga por meio da press\u00e3o aplicada \u00e0 uretra proximal, o que ajuda a prevenir a perda involunt\u00e1ria de urina durante per\u00edodos de aumento da press\u00e3o intra-abdominal.<sup>3<\/sup> Essa terapia \u00e9 indicada principalmente para homens que apresentam incontin\u00eancia urin\u00e1ria de esfor\u00e7o ap\u00f3s cirurgia de pr\u00f3stata, especialmente prostatectomia radical ou ressec\u00e7\u00e3o transuretral da pr\u00f3stata (RTUP).<sup>4<\/sup> A natureza ajust\u00e1vel da DBACT permite que os m\u00e9dicos personalizem o grau de compress\u00e3o uretral com base nas necessidades individuais do paciente, otimizando os resultados de contin\u00eancia e minimizando o risco de reten\u00e7\u00e3o urin\u00e1ria.<sup>5<\/sup><\/p>\n","gt-synonyms":"ProACT, Terapia de Contin\u00eancia Ajust\u00e1vel, Sistema ProACT, Implante de Bal\u00e3o Periuretral Ajust\u00e1vel, Bal\u00f5es Periuretrais Ajust\u00e1veis, Terapia de Contin\u00eancia com Bal\u00e3o Duplo","gt-citation":"[1] Feloney MP, Klock JA, Zhang Y. Dual balloon adjustable continence therapy for urinary incontinence. Am J Clin Exp Urol. 2023;11(4):334-338. DOI: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10461033\/\n\n[2] Klock JA, Palacios A, Leslie S, Feloney M. Artificial Urinary Sphincters and Adjustable Dual-Balloon Continence Therapy in Men. [Updated 2023 Nov 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. DOI: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK597382\/\n\n[3] H\u00fcbner WA, Schlarp OM. Adjustable continence therapy (ProACT): evolution of the surgical technique and comparison of the original 50 patients with the most recent 50 patients at a single centre. Eur Urol. 2007;52(3):680-686. DOI: https:\/\/doi.org\/10.1016\/j.eururo.2006.10.054\n\n[4] Noordhoff TC, Scheepe JR, Blok BFM. Outcome and complications of adjustable continence therapy (ProACT) after radical prostatectomy: 10 years' experience in 143 patients. Neurourol Urodyn. 2018;37(4):1419-1425. DOI: https:\/\/doi.org\/10.1002\/nau.23463\n\n[5] Ruggiero G, Vitagliano G, Capece M, et al. Long-term durability of adjustable peri-urethral balloons ProACT\u2122 in the treatment of post-prostatectomy stress urinary incontinence: a single-center experience. World J Urol. 2023;41(1):245-251. DOI: https:\/\/doi.org\/10.1007\/s00345-022-04155-4","gt-clinical-context":"<p>A DBACT \u00e9 clinicamente indicada para o tratamento da incontin\u00eancia urin\u00e1ria de esfor\u00e7o masculina, particularmente em pacientes submetidos \u00e0 prostatectomia radical ou \u00e0 ressec\u00e7\u00e3o transuretral da pr\u00f3stata.<sup>1<\/sup> Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes incluem: incontin\u00eancia urin\u00e1ria de esfor\u00e7o persistente por pelo menos 12 meses ap\u00f3s a cirurgia de pr\u00f3stata, falha de tratamentos conservadores, como exerc\u00edcios para o assoalho p\u00e9lvico, aus\u00eancia de anormalidades anat\u00f4micas significativas ou estenoses uretrais e mobilidade uretral suficiente.<sup>2<\/sup> O procedimento cir\u00fargico \u00e9 realizado sob anestesia geral em regime ambulatorial, com duas pequenas incis\u00f5es feitas para posicionar os bal\u00f5es em ambos os lados da uretra logo distal ao colo vesical, enquanto as portas s\u00e3o colocadas por via subcut\u00e2nea no escroto.<sup>3<\/sup><\/p>\n<p>O manejo p\u00f3s-operat\u00f3rio envolve ajustes no volume dos bal\u00f5es com in\u00edcio de 2 a 4 semanas ap\u00f3s o implante, com altera\u00e7\u00f5es incrementais de 0,5 a 1,0 cc por lado at\u00e9 que a contin\u00eancia ideal seja alcan\u00e7ada.<sup>4<\/sup> Os desfechos cl\u00ednicos s\u00e3o promissores, com estudos relatando efic\u00e1cia em 85-91% dos pacientes, melhora significativa dos sintomas em 80% e contin\u00eancia completa em 70% ap\u00f3s os devidos ajustes.<sup>5<\/sup> As contraindica\u00e7\u00f5es incluem infec\u00e7\u00f5es ativas do trato urin\u00e1rio, instabilidade do detrusor, incontin\u00eancia predominantemente de urg\u00eancia, volume urin\u00e1rio residual superior a 100 cc, radioterapia recente ou planejada, suspeita de c\u00e2ncer de bexiga, c\u00e1lculos vesicais n\u00e3o tratados e dist\u00farbios de coagula\u00e7\u00e3o.<sup>2<\/sup> As complica\u00e7\u00f5es geralmente s\u00e3o menores, sendo a mais comum o desconforto tempor\u00e1rio no local do implante, enquanto complica\u00e7\u00f5es mais graves, como perfura\u00e7\u00e3o, migra\u00e7\u00e3o, eros\u00e3o ou infec\u00e7\u00e3o, ocorrem com menor frequ\u00eancia e podem exigir a remo\u00e7\u00e3o do dispositivo.<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) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Terapia DBACT para Incontin\u00eancia Urin\u00e1ria Masculina<\/title>\n<meta name=\"description\" content=\"A terapia DBACT oferece tratamento minimamente invasivo para a incontin\u00eancia urin\u00e1ria de esfor\u00e7o masculina por meio de bal\u00f5es ajust\u00e1veis.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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