{"id":662,"date":"2026-05-10T18:00:00","date_gmt":"2026-05-10T21:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=662"},"modified":"2026-05-10T18:00:00","modified_gmt":"2026-05-10T21:00:00","slug":"descarte-urologia-sonda-vesical-cateter-biopsia-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/descarte-urologia-sonda-vesical-cateter-biopsia-rss\/","title":{"rendered":"Urologia: descarte de sondas vesicais, cateteres, bi\u00f3psia prost\u00e1tica e cistoscopia"},"content":{"rendered":"<p>A urologia ambulatorial combina <strong>avalia\u00e7\u00e3o cl\u00ednica<\/strong> com <strong>procedimentos invasivos rotineiros<\/strong>: sondagem vesical, troca de sonda Foley, bi\u00f3psia prost\u00e1tica transretal\/transperineal, cistoscopia, dilata\u00e7\u00e3o uretral, eletrofulgura\u00e7\u00e3o. O perfil RSS \u00e9 <strong>m\u00e9dio com forte componente perfurocortante e fluido biol\u00f3gico<\/strong>.<\/p>\n<h2>Os 5 procedimentos urol\u00f3gicos e seus res\u00edduos<\/h2>\n<table border=\"1\" cellpadding=\"6\" cellspacing=\"0\" style=\"border-collapse:collapse;\">\n<tr>\n<th>Procedimento<\/th>\n<th>Res\u00edduo<\/th>\n<th>Grupo<\/th>\n<\/tr>\n<tr>\n<td>Sondagem vesical (al\u00edvio ou demora)<\/td>\n<td>Sonda Foley\/Nelaton + saco coletor + EPI<\/td>\n<td>A1<\/td>\n<\/tr>\n<tr>\n<td>Cistoscopia (cistosc\u00f3pio reesterilizado)<\/td>\n<td>Capa descart\u00e1vel fibra (em alguns), gel anest\u00e9sico, EPI<\/td>\n<td>A1 + B (anest\u00e9sico+desinfec\u00e7\u00e3o)<\/td>\n<\/tr>\n<tr>\n<td>Bi\u00f3psia prost\u00e1tica transretal<\/td>\n<td>Pistola + agulha + frasco fragmentos formol + EPI<\/td>\n<td>E + A1 + B<\/td>\n<\/tr>\n<tr>\n<td>Vasectomia ambulatorial<\/td>\n<td>L\u00e2mina + sutura + EPI cir\u00fargico<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<tr>\n<td>Litotripsia extracorp\u00f3rea<\/td>\n<td>EPI + gel + descart\u00e1veis sem fluido (em geral D)<\/td>\n<td>D + A1 (se procedimento agressivo)<\/td>\n<\/tr>\n<\/table>\n<h2>Bi\u00f3psia prost\u00e1tica: 12 fragmentos por procedimento<\/h2>\n<p>Padr\u00e3o atual de bi\u00f3psia prost\u00e1tica transretal coleta 12-14 fragmentos:<\/p>\n<ul>\n<li><strong>Pistola descart\u00e1vel<\/strong> \u2192 E.<\/li>\n<li><strong>Agulha tru-cut<\/strong> \u2192 E.<\/li>\n<li><strong>Frasco com fragmentos em formol<\/strong> (12-14 fragmentos pequenos) \u2192 A1 + B.<\/li>\n<li><strong>Pomada de profilaxia + EPI<\/strong> \u2192 A1 + B.<\/li>\n<\/ul>\n<p>Volume por bi\u00f3psia: 200-400 g.<\/p>\n<h2>Volume e custo m\u00e9dio<\/h2>\n<p>Consult\u00f3rio urol\u00f3gico ambulatorial padr\u00e3o (15-25 atendimentos\/dia, 5-10 procedimentos\/dia):<\/p>\n<ul>\n<li><strong>Volume RSS A1<\/strong>: 8-20 kg\/m\u00eas.<\/li>\n<li><strong>Grupo E<\/strong>: 1-3 kg\/m\u00eas.<\/li>\n<li><strong>Grupo B<\/strong>: 0,5-2 kg\/m\u00eas.<\/li>\n<li><strong>Coleta especial<\/strong>: R$200-500\/m\u00eas.<\/li>\n<li><strong>PGRSS<\/strong>: R$2.500-5.000.<\/li>\n<\/ul>\n<p>Centro urol\u00f3gico maior com cistoscopia + bi\u00f3psia rotineiras: 25-60 kg\/m\u00eas, R$500-1.000\/m\u00eas.<\/p>\n<h2>Erros comuns<\/h2>\n<ul>\n<li><strong>Tratar saco coletor de urina como lixo comum<\/strong>. \u00c9 A1 (urina + sangue ocasional).<\/li>\n<li><strong>Misturar res\u00edduo de cistoscopia com lixo da audiometria<\/strong>. Diferentes fluxos.<\/li>\n<li><strong>N\u00e3o classificar formol da bi\u00f3psia como B<\/strong>. \u00c9 qu\u00edmico.<\/li>\n<\/ul>\n<h2>Conclus\u00e3o<\/h2>\n<p>Urologia ambulatorial \u00e9 gerador RSS m\u00e9dio com perfurocortante + fluido biol\u00f3gico. PGRSS proporcional, aten\u00e7\u00e3o a bi\u00f3psia prost\u00e1tica e cistoscopia.<\/p>\n<p>A <a href=\"https:\/\/sevenresiduosaude.com.br\/\">Seven Res\u00edduos Sa\u00fade<\/a> atende cl\u00ednicas urol\u00f3gicas em S\u00e3o Paulo. <a href=\"https:\/\/sevenresiduosaude.com.br\/blog\/\">Solicite avalia\u00e7\u00e3o<\/a> ao perfil espec\u00edfico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consult\u00f3rio urol\u00f3gico: sonda vesical, bi\u00f3psia prost\u00e1tica, cistoscopia, dilata\u00e7\u00e3o. Veja segrega\u00e7\u00e3o RSS, custo de coleta e regulamenta\u00e7\u00e3o.<\/p>\n","protected":false},"author":3,"featured_media":661,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1239,1241,1240,1106,1238],"class_list":["post-662","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-biopsia-prostatica-pgrss","tag-cateter-urologia-residuo","tag-cistoscopia-ambulatorial","tag-sonda-vesical-descarte","tag-urologia-rss"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/662","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=662"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/662\/revisions"}],"predecessor-version":[{"id":2415,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/662\/revisions\/2415"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/661"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}