{"id":11979,"date":"2025-07-09T09:52:25","date_gmt":"2025-07-09T13:52:25","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/nocturia\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"nicturia","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/nicturia\/","title":{"rendered":"Nicturia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[111],"glossary-product":[108,107],"class_list":["post-11979","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-disorders","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>La nicturia se define como la necesidad de despertarse regularmente por la noche para orinar, de modo que el episodio miccional debe estar precedido y seguido de un periodo de sue\u00f1o para contabilizarse como micci\u00f3n nocturna.<sup>1<\/sup> A menudo se describe como el m\u00e1s molesto de todos los s\u00edntomas urinarios y es tambi\u00e9n uno de los m\u00e1s frecuentes.<sup>1<\/sup> Adem\u00e1s de las molestias que causa, la nicturia puede asociarse a privaci\u00f3n de sue\u00f1o a largo plazo.<sup>1<\/sup><\/p>\n    \n    <p>La nicturia es un trastorno multifactorial, pero generalmente se debe a uno de cuatro problemas principales: poliuria nocturna, poliuria global, problemas funcionales de almacenamiento vesical y trastornos del sue\u00f1o.<sup>2<\/sup> Una combinaci\u00f3n de estos factores tambi\u00e9n puede provocar nicturia. Seg\u00fan la International Continence Society, la poliuria nocturna es una producci\u00f3n de orina nocturna superior al 20% del volumen total de orina de 24 horas en adultos j\u00f3venes o superior al 33% en personas mayores.<sup>2<\/sup>-<sup>3<\/sup><\/p>\n    \n    <p>Aunque la nicturia es un trastorno multifactorial que puede coexistir con otros s\u00edntomas del tracto urinario inferior, el factor causal m\u00e1s frecuente es la sobreproducci\u00f3n nocturna de orina, implicada en hasta el 88% de los casos de nicturia.<sup>4<\/sup> Muchas personas con nicturia no buscan ayuda porque la aceptan como una consecuencia natural del envejecimiento. Sin embargo, la nicturia es frecuente en hombres y mujeres de todas las edades, tiene un impacto profundo en la calidad de vida, especialmente en las personas m\u00e1s j\u00f3venes, y puede asociarse a un aumento de la morbilidad y la mortalidad.<sup>4<\/sup><\/p>","gt-synonyms":"Micci\u00f3n nocturna, micci\u00f3n nocturna, frecuencia urinaria nocturna, frecuencia urinaria nocturna, micci\u00f3n nocturna, micci\u00f3n nocturna","gt-citation":"[1] Leslie SW, Sajjad H, Singh S. Nocturia. StatPearls [Internet]. 2024. PMID: 30085529. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518987\/\n\n[2] Weiss JP. Nocturia: Focus on Etiology and Consequences. Rev Urol. 2012;14(3-4):48-55. PMID: 23526404. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3602727\/\n\n[3] Bosch JL, Weiss JP. The prevalence and causes of nocturia. J Urol. 2013;189(1 Suppl):S86-92. DOI: 10.1016\/j.juro.2012.11.033\n\n[4] Oelke M, De Wachter S, Drake MJ, et al. A practical approach to the management of nocturia. Int J Clin Pract. 2017;71(11):e13027. DOI: 10.1111\/ijcp.13027\n\n[5] Cornu JN, Abrams P, Chapple CR, et al. A contemporary assessment of nocturia: definition, epidemiology, pathophysiology, and management\u2014a systematic review and meta-analysis. Eur Urol. 2012;62(5):877-890. DOI: 10.1016\/j.eururo.2012.07.004","gt-clinical-context":"<p>La nicturia es un trastorno que afecta aproximadamente a 1 de cada 3 adultos mayores de 30 a\u00f1os, y su prevalencia aumenta con la edad.<sup>2<\/sup> Alrededor del 69% de los hombres y el 76% de las mujeres de 40 a\u00f1os o m\u00e1s refieren al menos una micci\u00f3n nocturna.<sup>2<\/sup> Entre el 4% y el 18% de las mujeres en la d\u00e9cada de los 20 y de los 30 a\u00f1os refieren dos o m\u00e1s micciones por noche, cifra que aumenta al 28%-62% en las mujeres en la d\u00e9cada de los 70 y de los 80 a\u00f1os. En los hombres se describen intervalos similares: entre el 2% y el 17% de los hombres de 20 a 30 a\u00f1os refieren dos o m\u00e1s micciones por noche, cifra que asciende al 29%-59% en los hombres de 70 a 80 a\u00f1os.<sup>2<\/sup><\/p>\n    \n    <p>La nicturia se define como despertarse una o m\u00e1s veces por la noche para orinar, y suele considerarse cl\u00ednicamente significativa cuando el paciente se despierta dos o m\u00e1s veces cada noche.<sup>1<\/sup> La piedra angular del diagn\u00f3stico y la evaluaci\u00f3n de la nicturia es el diario miccional de 24 horas, que ayuda a identificar la causa subyacente.<sup>1<\/sup><\/p>\n    \n    <p>El tratamiento cl\u00ednico de la nicturia depende de su etiolog\u00eda. En la poliuria nocturna, el tratamiento puede incluir ajustar el horario de los diur\u00e9ticos, restringir la ingesta de l\u00edquidos por la tarde-noche, elevar las piernas para movilizar l\u00edquidos y usar medicamentos como la desmopresina.<sup>3<\/sup> En la poliuria global es esencial tratar la causa subyacente (como la diabetes mellitus o la diabetes ins\u00edpida).<sup>1<\/sup> En los problemas de almacenamiento vesical pueden prescribirse anticolin\u00e9rgicos o agonistas beta.<sup>5<\/sup><\/p>\n    \n    <p>Las estrategias de tratamiento, que consisten en modificaciones del estilo de vida, terapia conductual y medicamentos, deben ofrecerse a todos los pacientes con nicturia significativa, al menos a modo de prueba, independientemente de que inicialmente refieran molestias m\u00ednimas.<sup>1<\/sup> Tambi\u00e9n es importante tratar trastornos subyacentes como la diabetes, la hipertensi\u00f3n arterial, la insuficiencia card\u00edaca congestiva, la apnea obstructiva del sue\u00f1o o el aumento de tama\u00f1o de la pr\u00f3stata (HBP).<sup>5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":114},"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>Nicturia: Causes, Diagnosis &amp; 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