{"id":11975,"date":"2025-08-14T10:19:42","date_gmt":"2025-08-14T14:19:42","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/vesical-leak-point-pressure-vlpp\/"},"modified":"2026-10-06T18:19:32","modified_gmt":"2026-10-06T22:19:32","slug":"presion-de-punto-de-fuga-vesical-ppfv","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/presion-de-punto-de-fuga-vesical-ppfv\/","title":{"rendered":"Presi\u00f3n de Punto de Fuga Vesical (PPFV)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[109],"glossary-product":[],"class_list":["post-11975","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-diagnostic-phenomena"],"acf":{"gt-definition":"<p>La presi\u00f3n de punto de fuga vesical (VLPP, por sus siglas en ingl\u00e9s), denominada m\u00e1s habitualmente presi\u00f3n de punto de fuga con Valsalva, es una prueba urodin\u00e1mica din\u00e1mica que mide la presi\u00f3n intravesical m\u00e1s baja a la que se produce una p\u00e9rdida de orina durante un aumento de la presi\u00f3n abdominal en ausencia de contracci\u00f3n del detrusor.<sup>1<\/sup> Eval\u00faa espec\u00edficamente el umbral de presi\u00f3n a partir del cual el mecanismo del esf\u00ednter uretral no consigue mantener la continencia cuando se somete a un aumento de la presi\u00f3n intraabdominal mediante una maniobra de Valsalva.<sup>2<\/sup> La VLPP es un par\u00e1metro fundamental para valorar la integridad del esf\u00ednter uretral y cuantificar la gravedad de la incontinencia urinaria de esfuerzo.<sup>3<\/sup> La prueba se realiza durante los estudios urodin\u00e1micos pidiendo al paciente que efect\u00fae una maniobra de Valsalva controlada (espiraci\u00f3n forzada con la boca, la glotis y la nariz cerradas) mientras se mide simult\u00e1neamente la presi\u00f3n vesical, y la presi\u00f3n m\u00e1s baja que provoca una p\u00e9rdida visible de orina se registra como valor de VLPP.<sup>4<\/sup><\/p>","gt-synonyms":"Presi\u00f3n del punto de fuga de Valsalva, Presi\u00f3n del punto de fuga abdominal (ALPP), Central hidroel\u00e9ctrica de Valsalva, Prueba de presi\u00f3n del punto de fuga vesical, Presi\u00f3n del punto de fuga de la vejiga","gt-citation":"[1] Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5-26. DOI: https:\/\/doi.org\/10.1007\/s00192-009-0976-9\n\n[2] McGuire EJ, Woodside JR, Borden TA, et al. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol. 1981;126(2):205-209. DOI: https:\/\/doi.org\/10.1016\/s0022-5347(17)54449-3\n\n[3] Seo YH, Kim SO, Yu HS, Kwon DD. Leak point pressure at different bladder volumes in stress urinary incontinence in women: Comparison between Valsalva and cough-induced leak point pressure. Can Urol Assoc J. 2016;10(1-2):E23-E27. DOI: https:\/\/doi.org\/10.5489\/cuaj.3329\n\n[4] Yao M, Simoes A. Urodynamic Testing and Interpretation. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. PMID: 32965981. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562310\/","gt-clinical-context":"<p>La presi\u00f3n de punto de fuga vesical (VLPP) se utiliza principalmente en la evaluaci\u00f3n cl\u00ednica de los pacientes con incontinencia urinaria de esfuerzo (IUE) para valorar la integridad funcional del mecanismo del esf\u00ednter uretral.<sup>1<\/sup> Este par\u00e1metro diagn\u00f3stico resulta especialmente \u00fatil para determinar la presencia y la gravedad de la deficiencia esfinteriana intr\u00ednseca (DEI), una afecci\u00f3n caracterizada por una coaptaci\u00f3n uretral insuficiente que provoca incontinencia.<sup>2<\/sup><\/p>\n    \n    <p>La medici\u00f3n suele realizarse durante estudios urodin\u00e1micos completos, con el paciente en posici\u00f3n de litotom\u00eda sobre una mesa de urodin\u00e1mica.<sup>3<\/sup> Un equipo urodin\u00e1mico multicanal registra las presiones intravesical y abdominal mientras el paciente realiza una maniobra de Valsalva controlada con vol\u00famenes vesicales concretos, habitualmente de entre 150 y 300 ml.<sup>3<\/sup><\/p>\n    \n    <p>El sistema de clasificaci\u00f3n de McGuire ofrece pautas de interpretaci\u00f3n cl\u00ednica: los valores de VLPP inferiores a 60 cmH\u2082O sugieren firmemente una deficiencia esfinteriana intr\u00ednseca, los valores de entre 60 y 90 cmH\u2082O se consideran dudosos y los valores superiores a 90 cmH\u2082O suelen indicar competencia esfinteriana.<sup>2<\/sup> Una presi\u00f3n abdominal de punto de fuga superior a 150 cmH\u2082O sugiere que es poco probable que la incontinencia se deba a incompetencia uretral.<sup>1<\/sup><\/p>\n    \n    <p>Las mediciones de la VLPP influyen de forma significativa en la planificaci\u00f3n del tratamiento de la incontinencia urinaria de esfuerzo, sobre todo en la toma de decisiones quir\u00fargicas.<sup>4<\/sup> Los pacientes con valores bajos de VLPP (&lt;60 cmH\u2082O) pueden tener resultados quir\u00fargicos diferentes de los de los pacientes con valores m\u00e1s altos, aunque su valor predictivo sigue siendo controvertido.<sup>1<\/sup> Algunos estudios indican que una VLPP preoperatoria baja se correlaciona con mayores tasas de fracaso tras los procedimientos de cabestrillo mediouretral, mientras que otros no muestran una relaci\u00f3n significativa entre la VLPP preoperatoria y las tasas de curaci\u00f3n posoperatorias.<sup>1<\/sup><\/p>\n    \n    <p>Es importante se\u00f1alar que las mediciones de la VLPP pueden verse afectadas por diversos factores, como el volumen vesical (los valores suelen disminuir a medida que aumenta el volumen), el calibre del cat\u00e9ter, la posici\u00f3n del paciente y la presencia de prolapso de \u00f3rganos p\u00e9lvicos.<sup>3<\/sup> Para una evaluaci\u00f3n completa, la VLPP se compara a menudo con la presi\u00f3n de punto de fuga inducida por la tos (CLPP, por sus siglas en ingl\u00e9s), que suele arrojar valores m\u00e1s altos en un mismo paciente.<sup>3<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":176},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.8 (Yoast SEO v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Presi\u00f3n de Punto de Fuga Vesical (PPFV): Key Urodynamic Test<\/title>\n<meta name=\"description\" content=\"La presi\u00f3n de punto de fuga vesical (PPFV) eval\u00faa la presi\u00f3n en la vejiga necesaria para que haya escape de orina durante un esfuerzo o tos.\" \/>\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\/presion-de-punto-de-fuga-vesical-ppfv\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Presi\u00f3n de Punto de Fuga Vesical (PPFV) - 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