{"id":11988,"date":"2025-07-11T10:22:19","date_gmt":"2025-07-11T14:22:19","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/urinary-diversion\/"},"modified":"2025-07-11T10:22:19","modified_gmt":"2025-07-11T14:22:19","slug":"derivacion-urinaria","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/derivacion-urinaria\/","title":{"rendered":"Derivaci\u00f3n Urinaria"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,107],"class_list":["post-11988","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>La desviaci\u00f3n urinaria es un procedimiento quir\u00fargico que crea una nueva v\u00eda para que la orina salga del cuerpo cuando el flujo normal de orina est\u00e1 bloqueado o cuando es necesario evitar un \u00e1rea enferma en el tracto urinario.<sup>1<\/sup> Este procedimiento generalmente se realiza despu\u00e9s de la extirpaci\u00f3n de la vejiga (cistectom\u00eda) o cuando la funci\u00f3n de la vejiga se ve comprometida debido a una enfermedad o lesi\u00f3n.<sup>2<\/sup> Urinario Las desviaciones se pueden clasificar en tipos continente e incontinente, cada una de las cuales cumple la doble funci\u00f3n de almacenamiento y eliminaci\u00f3n de orina a trav\u00e9s de diferentes configuraciones anat\u00f3micas.<sup>3<\/sup> El procedimiento implica desviar los ur\u00e9teres, que normalmente transportan la orina desde los ri\u00f1ones a la vejiga, a un dispositivo de recolecci\u00f3n externo o a un reservorio interno reci\u00e9n creado construido a partir de segmentos del intestino.<sup>4<\/sup><\/p>","gt-synonyms":"Reconstrucci\u00f3n urinaria, desviaci\u00f3n de orina, derivaci\u00f3n del tracto urinario, desviaci\u00f3n de la vejiga, urostom\u00eda, conducto ileal, ureterostom\u00eda cut\u00e1nea, reservorio urinario continente, neovejiga, neovejiga ortot\u00f3pica, bolsa de indiana","gt-citation":"[1] National Institute of Diabetes and Digestive and Kidney Diseases. (2023). Urinary Diversion. https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/urinary-diversion\n\n[2] Chesnut GT, Rentea RM, Leslie SW. (2024). Urinary Diversions and Neobladders. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560483\/\n\n[3] Bladder Cancer Advocacy Network. (2023). Urinary Diversion: What Is It? What Are My Options? https:\/\/bcan.org\/urinary-diversion-what-is-it-what-are-my-options\/\n\n[4] Chang SS, Bochner BH, Chou R, et al. (2017). Treatment of Non-Metastatic Muscle-Invasive Bladder Cancer: AUA\/ASCO\/ASTRO\/SUO Guideline. J Urol. 198(3):552-559. DOI: 10.1016\/j.juro.2017.04.086\n\n[5] Hautmann RE, Abol-Enein H, Hafez K, et al. (2007). Urinary diversion. Urology. 69(1 Suppl):17-49. DOI: 10.1016\/j.urology.2006.05.058","gt-clinical-context":"<p>La derivaci\u00f3n urinaria est\u00e1 indicada principalmente para pacientes sometidos a cistectom\u00eda radical debido a c\u00e1ncer de vejiga con invasi\u00f3n muscular, que es la raz\u00f3n m\u00e1s com\u00fan para este procedimiento.<sup>1<\/sup> Otras indicaciones cl\u00ednicas incluyen disfunci\u00f3n neurog\u00e9nica de la vejiga resultante de lesiones de la m\u00e9dula espinal o anomal\u00edas cong\u00e9nitas como espina b\u00edfida, inflamaci\u00f3n o infecci\u00f3n cr\u00f3nica de la vejiga, incontinencia urinaria grave que no responde a los tratamientos est\u00e1ndar y vejiga inducida por radiaci\u00f3n. da\u00f1o.<sup>2<\/sup><\/p>\n\n<p>La selecci\u00f3n de pacientes para tipos espec\u00edficos de derivaci\u00f3n urinaria depende de m\u00faltiples factores, incluidos la edad, el h\u00e1bito corporal, la destreza manual, la funci\u00f3n cognitiva, la funci\u00f3n renal y la preferencia del paciente.<sup>3<\/sup> La evaluaci\u00f3n preoperatoria incluye la evaluaci\u00f3n de la funci\u00f3n renal, las im\u00e1genes del tracto urinario superior y la evaluaci\u00f3n de los segmentos intestinales que se utilizar\u00e1n para la reconstrucci\u00f3n.<sup>4<\/sup><\/p>\n\n<p>Los principales tipos de desviaci\u00f3n urinaria incluyen:<\/p>\n\n<h4>1. Desv\u00edos para incontinentes:<\/h4>\n<ul>\n    <li><strong>Conducto ileal<\/strong>: La forma m\u00e1s com\u00fan, donde se usa un segmento de \u00edleon para crear un conducto desde los ur\u00e9teres hasta un estoma en la pared abdominal, lo que requiere una bolsa recolectora externa.<sup>5<\/sup><\/li>\n    <li><strong>Ureterostom\u00eda cut\u00e1nea<\/strong>: Uni\u00f3n directa de uno o ambos ur\u00e9teres a un estoma en la pared abdominal.<sup>1<\/sup><\/li>\n<\/ul>\n\n<h4>2. Desv\u00edos de continente:<\/h4>\n<ul>\n    <li><strong>Reservorio cut\u00e1neo continental (bolsa de Indiana)<\/strong>: Creaci\u00f3n de una bolsa interna a partir de segmentos intestinales con un mecanismo de v\u00e1lvula, que permite el cateterismo a trav\u00e9s de un estoma para vaciar la orina.<sup>3<\/sup><\/li>\n    <li><strong>Neovejiga ortot\u00f3pica<\/strong>: Construcci\u00f3n de una nueva vejiga a partir de segmentos intestinales conectados a la uretra, lo que permite una micci\u00f3n casi normal a trav\u00e9s de la uretra.<sup>4<\/sup><\/li>\n<\/ul>\n\n<p>La atenci\u00f3n posoperatoria incluye el manejo del estoma para pacientes con desviaciones externas, entrenamiento en cateterismo para aquellos con desviaciones continentes, monitoreo de anomal\u00edas metab\u00f3licas y seguimiento regular para evaluar la funci\u00f3n renal y detectar posibles complicaciones.<sup>5<\/sup><\/p>\n\n<p>Los resultados esperados var\u00edan seg\u00fan el tipo de desv\u00edo, y las tasas de satisfacci\u00f3n son similares en las diferentes opciones cuando los pacientes son seleccionados y educados adecuadamente. La recuperaci\u00f3n suele tardar entre 6 y 8 semanas, y la adaptaci\u00f3n a nuevos patrones de micci\u00f3n contin\u00faa durante varios meses.<sup>3<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":56},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Derivaci\u00f3n Urinaria: Surgical Rerouting of Urine Flow<\/title>\n<meta name=\"description\" content=\"La desviaci\u00f3n urinaria crea nuevas v\u00edas para la orina despu\u00e9s de la extirpaci\u00f3n de la vejiga, incluidos conductos ileales...\" \/>\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\/derivacion-urinaria\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" 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