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CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2018; 27(01): 014-024
DOI: 10.1055/s-0038-1637012
Review Article | Artículos de Revisión
Sociedad Colombiana de Urología. Publicado por Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Glande Peneano – Teoría Integral y su Relación con la Triada Disfuncional (Glande Frío, Blando o Doloroso)

Penis Glans – Integral Theory and its Relationship with Dysfunctional Triad (Cold, Soft and Painful Glans)
Juan Fernando Uribe Arcila
1   Servicio de Urología, Hospital Pablo Tobón Uribe, Medellín, Colombia
› Author Affiliations Fuente de Financiación Ninguna.
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Publication History

11 April 2017

10 July 2017

Publication Date:
13 March 2018 (online)

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Resumen

El glande peneano forma parte de un ingenioso diseño evolutivo que convirtió el pene en una compleja maquina hidráulica bicameral para la intromisión exitosa en la vagina. El objetivo del glande es tener un extremo blando, recubierto con una piel de terminales altamente sensitivas que forma parte de un tercer cuerpo cilíndrico, que debe colaborar en la tumescencia peneana sin interferir ni en la eyección del semen, ni en la evacuación de la orina, al estar las funciones reproductivas y urinarias compartidas por el mismo órgano. Los cuerpos cavernosos y el esponjoso, incluyendo el glande, comparten anatomía y fisiología en lo referente a trabéculas, túnica albugínea y llenado de sangre, pero no son idénticos en función, por lo que conceptos como rigidez axial, distribución de receptores o venoclusión varían de una a otra cámara. Adicionalmente a su discreta colaboración en la erección, el glande es el origen del llamado reflejo eyaculatorio, que es básico en el proceso sexual humano. La disfunción de esa porción terminal, incluye tres situaciones patológicas que son el glande frío, blando o doloroso, con etiología común, relacionada con factores como trauma, disfunción eréctil o cirugías tales como prostatectomía radical o cirugía uretral, con muy pocos tratamientos específicos disponibles en la actualidad y que sin embargo deberán ir mejorando por la inusitada frecuencia de esos padecimientos.

Abstract

The glans arises from a clever evolving design through which that the penis was transformed into a complex bicameral hydraulic machine for successful intervention in the vagina; aiming to maintain a highly sensitive at soft end, being part of a third cylindrical body and functioning as an aid in the tumescence with no interference with the evacuation of urine or semen, as the reproductive and urinary functions are shared by the same body. The previous asseveration implies that corpora cavernosa and spongiosum, including glans, share anatomy and physiology, trabeculation, tunica albuginea and blood filled, although not identical in function yet concepts as axial rigidity, sensory receptors distribution or venoclussion, they are different from each other and dysfunction in this terminal portion, includes three pathological situations: cold, soft or painful glans, with common etiology related to factors such as trauma, erectile dysfunction and surgeries such as radical prostatectomy or urethral surgery, with few specific treatments currently available, yet they should be improving by the unusual frequency of these conditions.

Palabras Clave

pene - erección - glande frío - glande doloroso - glande blando - disfunción eréctil

Keywords

penis - erection - cold glans - painful glans - soft glans - erectile dysfunction
 

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