{"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":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","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 (NMS) es un enfoque terap\u00e9utico m\u00ednimamente invasivo y bien establecido que consiste en implantar un neuroestimulador para administrar impulsos el\u00e9ctricos controlados a los nervios sacros (normalmente S3-S4).<sup>1<\/sup> <sup>2<\/sup> Esta estimulaci\u00f3n modula eficazmente las v\u00edas nerviosas entre el tracto urinario inferior, el intestino y el cerebro, y restablece la funci\u00f3n normal en pacientes con diversos trastornos urinarios y fecales.<sup>3<\/sup> El tratamiento act\u00faa principalmente evocando actividad aferente de las ra\u00edces nerviosas sacras, que modula el procesamiento sensitivo y el reflejo miccional, y no mediante estimulaci\u00f3n motora directa.<sup>4<\/sup> <sup>5<\/sup> Esta neuromodulaci\u00f3n puede facilitar la micci\u00f3n al inhibir los reflejos de contenci\u00f3n (guarding) de la micci\u00f3n, lo que reduce el tono del esf\u00ednter uretral y permite una contracci\u00f3n funcional del detrusor en los casos de retenci\u00f3n, o bien al bloquear la se\u00f1alizaci\u00f3n sensitiva (aferente) ascendente an\u00f3mala en los 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)42038-6. PMID: 3057221\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] Chancellor MB, Chartier-Kastler EJ. Principles of sacral nerve stimulation (SNS) for the treatment of bladder and urethral sphincter dysfunctions. Neuromodulation. 2000;3(1):16-26. DOI: https:\/\/doi.org\/10.1046\/j.1525-1403.2000.00015.x. PMID: 22151340\n\n[7] Leng WW, Chancellor MB. How sacral nerve stimulation neuromodulation works. Urol Clin North Am. 2005;32(1):11-18. DOI: https:\/\/doi.org\/10.1016\/j.ucl.2004.09.004. PMID: 15698871","gt-clinical-context":"<p>\n        La neuromodulaci\u00f3n sacra est\u00e1 indicada principalmente en pacientes con disfunciones refractarias del tracto urinario inferior y del intestino que no han respondido adecuadamente a los tratamientos conservadores o a las intervenciones farmacol\u00f3gicas.<sup>1<\/sup> <sup>3<\/sup> El tratamiento 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>Entre las principales aplicaciones cl\u00ednicas se incluyen:<\/p>\n    \n    <ul>\n        <li><strong>Trastornos urinarios<\/strong>: s\u00edndrome de vejiga hiperactiva (con o sin incontinencia), urgencia miccional, 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% en la vejiga hiperactiva entre los pacientes a los que se realiz\u00f3 el implante.<sup>1<\/sup><\/li>\n        \n        <li><strong>Trastornos intestinales<\/strong>: incontinencia fecal cr\u00f3nica, con aproximadamente un 80% de los pacientes que experimentan una mejor\u00eda duradera de al menos el 50% de sus episodios de escape.<sup>1<\/sup><\/li>\n        \n        <li><strong>Afecciones neur\u00f3genas<\/strong>: eficaz en afecciones de vejiga neur\u00f3gena como la esclerosis m\u00faltiple, el mielomeningocele y la lesi\u00f3n medular.<sup>1<\/sup><\/li>\n    <\/ul>\n    \n    <p>El procedimiento se realiza en dos fases:<\/p>\n    <ul>\n        <li>Una fase inicial de prueba en la que se coloca un electrodo temporal para evaluar la respuesta terap\u00e9utica<\/li>\n        <li>Implantaci\u00f3n definitiva del neuroestimulador si la prueba demuestra una mejor\u00eda significativa de los s\u00edntomas (normalmente &gt;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>Fracaso de los tratamientos conservadores y farmacol\u00f3gicos<\/li>\n        <li>Ausencia de obstrucci\u00f3n anat\u00f3mica o de un trastorno neurol\u00f3gico corregible<\/li>\n        <li>Estabilidad psicol\u00f3gica y capacidad para manejar el dispositivo<\/li>\n        <li>Respuesta satisfactoria durante la fase de prueba<sup>2<\/sup><\/li>\n    <\/ul>\n    \n    <p>\n        El implante se realiza con anestesia local o general, con el paciente en dec\u00fabito prono. El electrodo cuadripolar se coloca por v\u00eda percut\u00e1nea bajo control fluorosc\u00f3pico a trav\u00e9s del tercer agujero sacro, siguiendo la trayectoria de S3.<sup>3<\/sup> Los dispositivos modernos incluyen sistemas recargables y opciones compatibles con la RM, con una duraci\u00f3n de la bater\u00eda de entre 5 y 15 a\u00f1os seg\u00fan el sistema concreto.<sup>3<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":102},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Neuromodulaci\u00f3n Sacra<\/title>\n<meta name=\"description\" content=\"La neuromodulaci\u00f3n sacra utiliza impulsos el\u00e9ctricos en los nervios sacros para tratar la vejiga hiperactiva y la incontinencia urinaria refractaria.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/es\/glossary-term\/neuromodulacion-sacra\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neuromodulaci\u00f3n Sacra - 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