{"id":11964,"date":"2025-08-05T09:53:29","date_gmt":"2025-08-05T13:53:29","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/sacral-neuromodulation\/"},"modified":"2025-08-05T09:53:29","modified_gmt":"2025-08-05T13:53:29","slug":"neuromodulacion-sacra","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/neuromodulacion-sacra\/","title":{"rendered":"Neuromodulaci\u00f3n Sacra"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[123],"glossary-product":[],"class_list":["post-11964","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urinary-incontinence-treatments"],"acf":{"gt-definition":"<p>\n        La neuromodulaci\u00f3n sacra (SNM) es un enfoque terap\u00e9utico m\u00ednimamente invasivo bien establecido que implica la implantaci\u00f3n de un dispositivo neuroestimulador para entregar impulsos el\u00e9ctricos controlados a los nervios sacros (t\u00edpicamente S3-S4).<sup>1<\/sup> <sup>2<\/sup> Esta estimulaci\u00f3n modula eficazmente las v\u00edas neuronales entre el tracto urinario inferior, el intestino y el cerebro, restaurando la funci\u00f3n normal en pacientes con diversas enfermedades urinarias. y trastornos fecales.<sup>3<\/sup> La terapia funciona principalmente evocando la actividad aferente de las ra\u00edces nerviosas sacras, que modula el procesamiento sensorial y el reflejo de la micci\u00f3n, en lugar de a trav\u00e9s de la estimulaci\u00f3n motora directa.<sup>4<\/sup> <sup>5<\/sup> Esta neuromodulaci\u00f3n puede facilitar la micci\u00f3n al inhibir los reflejos de protecci\u00f3n de la micci\u00f3n, lo que resulta en una disminuci\u00f3n tono del esf\u00ednter uretral y contracci\u00f3n funcional del detrusor en casos de retenci\u00f3n, o bloqueando la actividad irregular de las fibras C en casos de hiperactividad.<sup>6<\/sup> <sup>7<\/sup>\n    <\/p>","gt-synonyms":"Estimulaci\u00f3n del nervio sacro (SNS), Modulaci\u00f3n del nervio sacro, SNM, SNS, Neuromodulador sacro, Terapia InterStim, Terapia ax\u00f3nica","gt-citation":"[1] Feloney MP, Stauss K, Leslie SW. Sacral Neuromodulation. StatPearls [Internet]. Last Update: April 18, 2024. DOI: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK567751\/\n\n[2] Thomas L, Hashim H. Sacral neuromodulation for voiding dysfunction and urinary retention. Continence. 2024;11:101337. DOI: https:\/\/doi.org\/10.1016\/j.cont.2024.101337\n\n[3] Spilotros M, Gerbasi S, Lasorsa F, de Rienzo G, Balducci L, Ditonno P, Lucarelli G. Sacral Neuromodulation: Device Improvement and Current Applications in Urology. Medicina. 2024;60(3):509. DOI: https:\/\/doi.org\/10.3390\/medicina60030509\n\n[4] Tanagho EA, Schmidt RA. Electrical stimulation in the clinical management of the neurogenic bladder. J Urol. 1988;140(6):1331-1339. DOI: https:\/\/doi.org\/10.1016\/s0022-5347(17)42073-8\n\n[5] Kavia RB, Dasgupta R, Fowler CJ. Functional imaging and the central control of the bladder. J Comp Neurol. 2005;493(1):27-32. DOI: https:\/\/doi.org\/10.1002\/cne.20753\n\n[6] Amundsen CL, Webster GD. Sacral neuromodulation for control of refractory lower urinary tract symptoms. Curr Urol Rep. 2002;3(5):373-379. DOI: https:\/\/doi.org\/10.1007\/s11934-002-0020-0\n\n[7] Leng WW, Dmochowski RR. Sacral neuromodulation for refractory detrusor overactivity: a review. Urology. 2005;65(4):645-651. DOI: https:\/\/doi.org\/10.1016\/j.urology.2004.11.026","gt-clinical-context":"<p>\n        La neuromodulaci\u00f3n sacra est\u00e1 indicada principalmente para pacientes con disfunciones intestinales y del tracto urinario inferior refractarias que no han respondido adecuadamente a tratamientos conservadores o intervenciones farmacol\u00f3gicas.<sup>1<\/sup> <sup>3<\/sup> La terapia recibi\u00f3 la aprobaci\u00f3n de la FDA para la incontinencia de urgencia en 1997 y para la urgencia\/frecuencia y la retenci\u00f3n urinaria no obstructiva en 1999.<sup>3<\/sup>\n    <\/p>\n    \n    <p>Las aplicaciones cl\u00ednicas clave incluyen:<\/p>\n    \n    <ul>\n        <li><strong>Trastornos urinarios<\/strong>: S\u00edndrome de vejiga hiperactiva (con o sin incontinencia), urgencia urinaria, frecuencia y retenci\u00f3n urinaria no obstructiva.<sup>1<\/sup> <sup>2<\/sup> <sup>3<\/sup> Los estudios han demostrado una tasa de \u00e9xito del 83% para vejiga hiperactiva entre pacientes sometidos a implantaci\u00f3n.<sup>1<\/sup><\/li>\n        \n        <li><strong>Trastornos intestinales<\/strong>: Incontinencia fecal cr\u00f3nica, con aproximadamente el 80% de los pacientes experimentando una mejora duradera de al menos el 50% en sus problemas de fugas.<sup>1<\/sup><\/li>\n        \n        <li><strong>Condiciones neurog\u00e9nicas<\/strong>: Eficaz en afecciones neurog\u00e9nicas de la vejiga como esclerosis m\u00faltiple, meningomielocele y lesi\u00f3n de la m\u00e9dula espinal.<sup>1<\/sup><\/li>\n    <\/ul>\n    \n    <p>El procedimiento implica un enfoque en dos etapas:<\/p>\n    <ul>\n        <li>Una fase de prueba inicial donde se coloca un cable temporal para evaluar la respuesta terap\u00e9utica<\/li>\n        <li>Implantaci\u00f3n permanente del neuroestimulador si la prueba demuestra una mejora significativa de los s\u00edntomas (normalmente>50%)<sup>2<\/sup> <sup>3<\/sup><\/li>\n    <\/ul>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes incluyen:<\/p>\n    <ul>\n        <li>Tratamientos conservadores y farmacol\u00f3gicos fallidos<\/li>\n        <li>Ausencia de obstrucci\u00f3n anat\u00f3mica o trastorno neurol\u00f3gico corregible<\/li>\n        <li>Estabilidad psicol\u00f3gica y capacidad para operar el dispositivo<\/li>\n        <li>Respuesta exitosa durante la fase de prueba<sup>2<\/sup><\/li>\n    <\/ul>\n    \n    <p>\n        El procedimiento de implantaci\u00f3n se realiza bajo anestesia local o general con el paciente en dec\u00fabito prono. El cable cuadripolar se coloca percut\u00e1neamente bajo gu\u00eda de fluoroscopia a trav\u00e9s del tercer agujero sacro siguiendo la trayectoria de S3.<sup>3<\/sup> Los dispositivos modernos incluyen sistemas recargables y opciones seguras para resonancia magn\u00e9tica, con una duraci\u00f3n de bater\u00eda que oscila entre 5 y 15 a\u00f1os dependiendo del sistema espec\u00edfico.<sup>3<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":70},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Neuromodulaci\u00f3n Sacra<\/title>\n<meta name=\"description\" content=\"La neuromodulaci\u00f3n sacra env\u00eda impulsos el\u00e9ctricos a los nervios sacros, tratando eficazmente los trastornos refractarios de la vejiga y los intestinos...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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