{"id":12003,"date":"2025-07-23T10:50:40","date_gmt":"2025-07-23T14:50:40","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/detrusor-external-sphincter-dyssynergia\/"},"modified":"2025-07-23T10:50:40","modified_gmt":"2025-07-23T14:50:40","slug":"disinergia-detrusor-esfinter-externo","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/disinergia-detrusor-esfinter-externo\/","title":{"rendered":"Disinergia Detrusor-Esf\u00ednter Externo"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[],"class_list":["post-12003","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions"],"acf":{"gt-definition":"<p>Disinergia detrusor-esf\u00ednter externo (DESD) es una condici\u00f3n urodin\u00e1mica inducida neurol\u00f3gicamente caracterizada por la contracci\u00f3n simult\u00e1nea y descoordinada del m\u00fasculo detrusor y el esf\u00ednter uretral externo durante el intento de micci\u00f3n.<sup>1<\/sup> Esta disinergia patol\u00f3gica crea una obstrucci\u00f3n de la salida de la vejiga cuando el detrusor se contrae contra un \u00f3rgano cerrado. esf\u00ednter uretral, impidiendo el vaciado eficiente de la vejiga.<sup>2<\/sup> La afecci\u00f3n ocurre debido a la interrupci\u00f3n del tracto espinobulboespinal entre el centro miccional pontino y el n\u00facleo de Onuf, lo que resulta en presiones elevadas de cierre uretral durante las contracciones del detrusor.<sup>3<\/sup> DESD se asocia exclusivamente con patolog\u00edas neurol\u00f3gicas que afectan el sistema nervioso central, particularmente aquellas que involucran el regi\u00f3n suprasacra de la m\u00e9dula espinal.<sup>4<\/sup><\/p>","gt-synonyms":"Disinergia del esf\u00ednter del detrusor (DSD), Disinergia del esf\u00ednter vesical, Descoordinaci\u00f3n neurog\u00e9nica detrusor-esf\u00ednter, Disinergia del esf\u00ednter estriado-detrusor, Disinergia vesicouretral","gt-citation":"[1] Feloney MP, Leslie SW. Bladder Sphincter Dyssynergia. [Actualizado 2023 Nov 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Disponible en: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562166\/\n\n[2] Stoffel JT. Detrusor sphincter dyssynergia: a review of physiology, diagnosis, and treatment strategies. Transl Androl Urol. 2016 Feb;5(1):127-135. DOI: 10.3978\/j.issn.2223-4683.2016.01.08\n\n[3] Blaivas JG, Sinha HP, Zayed AA, Labib KB. Detrusor-external sphincter dyssynergia. J Urol. 1981;125(4):542-544. DOI: 10.1016\/S0022-5347(17)55099-5\n\n[4] Chancellor MB, Kaplan SA, Blaivas JG. Detrusor-External Sphincter Dyssynergia. In: Clinical Neuro-Urology. 2007. DOI: 10.1002\/9780470513941.ch11\n\n[5] Gross O, Schneider MP, Bachmann LM, Kessler TM. Detrusor sphincter dyssynergia: can a more specific definition distinguish between patients with and without neurological disease? Spinal Cord. 2021;59(8):860-867. DOI: 10.1038\/s41393-021-00635-3","gt-clinical-context":"<p>La disinergia detrusor-esf\u00ednter externo ocurre exclusivamente en pacientes con trastornos neurol\u00f3gicos que afectan el sistema nervioso central.<sup>1<\/sup> La afecci\u00f3n se asocia m\u00e1s com\u00fanmente con lesiones de la m\u00e9dula espinal (particularmente lesiones suprasacras), esclerosis m\u00faltiple y espina b\u00edfida.<sup>2<\/sup> Durante las pruebas urodin\u00e1micas, aproximadamente el 75% de los pacientes con disinergia suprasacra las lesiones de la m\u00e9dula espinal demuestran DESD, mientras que alrededor del 35% de los pacientes con esclerosis m\u00faltiple y hasta el 50% de los beb\u00e9s con espina b\u00edfida pueden presentar este trastorno.<sup>1<\/sup><\/p>\n    <p>DESD se clasifica en tres tipos distintos seg\u00fan el comportamiento del esf\u00ednter durante la contracci\u00f3n del detrusor: el tipo 1 presenta un endurecimiento inicial del esf\u00ednter seguido de relajaci\u00f3n en el pico de contracci\u00f3n del detrusor; El tipo 2 implica contracciones espor\u00e1dicas del esf\u00ednter durante la contracci\u00f3n del detrusor; y el tipo 3 se presenta con un patr\u00f3n crescendo-decrescendo de contracci\u00f3n del esf\u00ednter que obstruye la uretra durante toda la contracci\u00f3n del detrusor.<sup>1<\/sup> La DESD tipo 1 se asocia com\u00fanmente con lesiones neurol\u00f3gicas incompletas, mientras que las lesiones neurol\u00f3gicas completas a menudo conducen a los tipos 2 y 3.<sup>1<\/sup><\/p>\n    <p>Los pacientes generalmente presentan s\u00edntomas del tracto urinario inferior que incluyen retenci\u00f3n urinaria cr\u00f3nica, micci\u00f3n intermitente, micci\u00f3n irregular de peque\u00f1o volumen o incontinencia refleja.<sup>1<\/sup> Si no se trata, la DESD puede provocar complicaciones graves que incluyen hidronefrosis, cicatrizaci\u00f3n renal y da\u00f1o renal progresivo debido a presiones elevadas sostenidas del detrusor que exceden los 40 cm de agua.<sup>3<\/sup> Tambi\u00e9n existe una asociaci\u00f3n entre DESD y disreflexia auton\u00f3mica, aunque faltan criterios de diagn\u00f3stico estandarizados para ambas afecciones.<sup>1<\/sup><\/p>\n    <p>El diagn\u00f3stico requiere estudios urodin\u00e1micos con registros EMG, cistouretrograma miccional y potencialmente monitorizaci\u00f3n de la presi\u00f3n uretral.<sup>2<\/sup> Los enfoques de tratamiento incluyen autocateterismo intermitente limpio con antimuscar\u00ednicos, alfabloqueantes, inyecciones de toxina botul\u00ednica y, en casos graves, intervenciones quir\u00fargicas como esfinterotom\u00eda o sacral. neuromodulaci\u00f3n.<sup>4<\/sup> Las evaluaciones cl\u00ednicas peri\u00f3dicas y los estudios urodin\u00e1micos repetidos son esenciales para monitorear la efectividad del tratamiento y prevenir da\u00f1os en el tracto urinario superior.<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 v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Detrusor-External Sphincter Dyssynergia: Vejiga Neurog\u00e9nica<\/title>\n<meta name=\"description\" content=\"La disinergia entre el detrusor y el esf\u00ednter externo es una afecci\u00f3n neurol\u00f3gica que provoca contracciones descoordinadas de la vejiga y el esf\u00ednter...\" \/>\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\/disinergia-detrusor-esfinter-externo\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Disinergia 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