{"id":12064,"date":"2025-07-10T09:18:02","date_gmt":"2025-07-10T13:18:02","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/bladder-outlet-obstruction\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"obstruccion-del-tracto-de-salida-vesical","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/obstruccion-del-tracto-de-salida-vesical\/","title":{"rendered":"Obstrucci\u00f3n del Tracto de Salida Vesical"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[111],"glossary-product":[108,107],"class_list":["post-12064","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 obstrucci\u00f3n del tracto de salida vesical (OTSV) es un bloqueo en la base de la vejiga que reduce o detiene el flujo de orina hacia la uretra, el conducto que transporta la orina fuera del cuerpo.<sup>1<\/sup> Esta afecci\u00f3n se debe a diversas etiolog\u00edas, que pueden ser de naturaleza funcional o anat\u00f3mica. La OTSV produce compresi\u00f3n o resistencia sobre el canal de salida vesical en cualquier punto desde el cuello vesical hasta el meato uretral.<sup>2<\/sup> La obstrucci\u00f3n resultante produce con frecuencia s\u00edntomas del tracto urinario inferior (STUI), aunque el grado de molestia que causan estos s\u00edntomas es muy variable y no puede predecirse a partir de la etiolog\u00eda desencadenante espec\u00edfica.<sup>2<\/sup> La OTSV tambi\u00e9n puede presentarse en ausencia total de s\u00edntomas e identificarse por primera vez en el contexto de una retenci\u00f3n urinaria o de una descompensaci\u00f3n del tracto urinario superior.<sup>2<\/sup><\/p>","gt-synonyms":"BOO, Obstrucci\u00f3n del tracto urinario inferior (LUTO), Obstrucci\u00f3n del cuello de la vejiga, Obstrucci\u00f3n prost\u00e1tica, obstrucci\u00f3n uretral, Uropat\u00eda obstructiva, Retenci\u00f3n urinaria - BOO","gt-citation":"[1] Andersson KE, Wein AJ. Pharmacologic management of lower urinary tract storage and emptying failure. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 120.\r\n\r\n[2] Dmochowski RR. Bladder Outlet Obstruction: Etiology and Evaluation. Rev Urol. 2005;7(Suppl 6):S3-S13. PMID: 16986027\r\n\r\n[3] Kaufman MR, Scarpero H, Dmochowski RR. Diagnosis and management of outlet obstruction in the female. Curr Opin Urol. 2008 Jul;18(4):365-9. DOI: 10.1097\/MOU.0b013e3283036cd5","gt-clinical-context":"<p>La obstrucci\u00f3n del tracto de salida vesical es un aspecto importante que debe tenerse en cuenta en la evaluaci\u00f3n y el tratamiento de los pacientes que presentan s\u00edntomas del tracto urinario inferior (STUI).<sup>2<\/sup> Estos s\u00edntomas pueden ser predominantemente obstructivos, irritativos o, a menudo, una combinaci\u00f3n de ambos. Por lo general, los s\u00edntomas obstructivos incluyen el retardo miccional, la sensaci\u00f3n de vaciado vesical incompleto, la disminuci\u00f3n del chorro miccional y el goteo posmiccional. Las molestias irritativas incluyen la urgencia urinaria, el aumento de la frecuencia miccional, la disuria ocasional y la nicturia.<sup>2<\/sup><\/p>\r\n<p>En los hombres, la OTSV se debe con mayor frecuencia a la hiperplasia benigna de pr\u00f3stata (HBP), especialmente en las poblaciones de edad avanzada.<sup>1<\/sup> Otras causas son las estenosis uretrales, las contracturas del cuello vesical y el c\u00e1ncer de pr\u00f3stata. En las mujeres, la OTSV es menos frecuente, pero puede deberse a procedimientos antiincontinencia, al prolapso de \u00f3rganos p\u00e9lvicos o a la obstrucci\u00f3n primaria del cuello vesical.<sup>3<\/sup><\/p>\r\n<p>El diagn\u00f3stico suele incluir una combinaci\u00f3n de valoraci\u00f3n cl\u00ednica, uroflujometr\u00eda, medici\u00f3n del residuo posmiccional y, en algunos casos, estudios urodin\u00e1micos, que se consideran el m\u00e9todo de referencia para cuantificar el grado de obstrucci\u00f3n.<sup>2<\/sup> Tambi\u00e9n puede utilizarse la cistoscopia para visualizar la uretra y el cuello vesical.<\/p>\r\n<p>El tratamiento depende de la causa subyacente. En la obstrucci\u00f3n relacionada con la HBP, las opciones incluyen medicamentos (alfabloqueantes, inhibidores de la 5-alfa reductasa), procedimientos m\u00ednimamente invasivos o intervenciones quir\u00fargicas como la resecci\u00f3n transuretral de la pr\u00f3stata (RTUP).<sup>1<\/sup> En la obstrucci\u00f3n aguda, a menudo es necesario el sondaje para aliviar el bloqueo.<sup>2<\/sup> La OTSV no tratada a largo plazo puede provocar descompensaci\u00f3n vesical, infecciones urinarias recurrentes y da\u00f1o renal.<sup>2<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":106},"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>Obstrucci\u00f3n del Tracto de Salida Vesical<\/title>\n<meta name=\"description\" content=\"La obstrucci\u00f3n del tracto de salida vesical bloquea el flujo de orina desde la vejiga. 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