{"id":12096,"date":"2025-07-17T03:35:38","date_gmt":"2025-07-17T07:35:38","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/bladder-spasms\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"espasmos-vesicales","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/espasmos-vesicales\/","title":{"rendered":"Espasmos Vesicales"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[108,107],"class_list":["post-12096","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>Los espasmos vesicales se definen como contracciones s\u00fabitas e involuntarias del m\u00fasculo detrusor (m\u00fasculo vesical) que pueden causar una necesidad urgente de orinar, a menudo acompa\u00f1ada de dolor, presi\u00f3n o molestias en la parte baja del abdomen.<sup>1<\/sup> Estas contracciones se producen cuando el m\u00fasculo vesical se contrae de repente y sin previo aviso, lo que provoca una necesidad inmediata y a veces incontrolable de orinar.<sup>2<\/sup> Los espasmos pueden expulsar orina de la vejiga y provocar p\u00e9rdidas de orina o incontinencia.<sup>3<\/sup> Los espasmos vesicales suelen ser un s\u00edntoma de afecciones subyacentes m\u00e1s que una enfermedad en s\u00ed mismos, y pueden afectar de forma significativa a la calidad de vida al alterar las actividades diarias y los patrones de sue\u00f1o.<sup>4<\/sup> La intensidad de los espasmos vesicales puede ir desde una molestia leve hasta un dolor intenso de tipo c\u00f3lico; algunos pacientes describen la sensaci\u00f3n como parecida a los dolores menstruales o a los dolores del parto.<sup>5<\/sup><\/p>","gt-synonyms":"Contracciones del detrusor, Hiperactividad del detrusor, Contracciones de la vejiga, Incontinencia de urgencia (cuando se produce una fuga), S\u00edntomas de vejiga hiperactiva (VH), Espasmos vesicales, Vejiga inestable","gt-citation":"[1] Mullins C, Bavendam T, Kirkali Z, Kusek JW. Novel research approaches for interstitial cystitis\/bladder pain syndrome: thinking beyond the bladder. Transl Androl Urol. 2015 Oct;4(5):524-533. DOI: 10.3978\/j.issn.2223-4683.2015.08.01\n\n[2] Farahani M, Dehghani K, Shojaei P. Comparing the incidence of postoperative painful bladder spasm between malecot catheter and 3-way Foley catheter: a clinical trial. Ann Med Surg (Lond). 2024 Mar 18;86(8):4488-4494. DOI: 10.1097\/MS9.0000000000001913\n\n[3] Reynolds WS, Dmochowski R, Wein A, Bruehl S. Does central sensitization help explain idiopathic overactive bladder? Nat Rev Urol. 2016 Aug;13(8):481-91. DOI: 10.1038\/nrurol.2016.95\n\n[4] Hanno PM, Erickson D, Moldwin R, Faraday MM. Diagnosis and treatment of interstitial cystitis\/bladder pain syndrome: AUA guideline amendment. J Urol. 2015 May;193(5):1545-53. DOI: 10.1016\/j.juro.2015.01.086\n\n[5] Clemens JQ, Mullins C, Kusek JW, et al. The MAPP research network: a novel study of urologic chronic pelvic pain syndromes. BMC Urol. 2014 Aug 1;14:57. DOI: 10.1186\/1471-2490-14-57","gt-clinical-context":"<p>Los espasmos vesicales se producen en diversos escenarios cl\u00ednicos y pueden afectar a personas de todas las edades, aunque son m\u00e1s frecuentes a medida que avanza la edad.<sup>1<\/sup> Se asocian con frecuencia a diversas afecciones, como las infecciones del tracto urinario (ITU), que causan inflamaci\u00f3n e irritaci\u00f3n del revestimiento vesical y desencadenan espasmos.<sup>2<\/sup> El s\u00edndrome de vejiga hiperactiva (VH) se caracteriza por espasmos vesicales frecuentes, urgencia y, en ocasiones, incontinencia sin una causa identificable.<sup>3<\/sup><\/p>\n    \n    <p>Los espasmos vesicales tambi\u00e9n son frecuentes despu\u00e9s de cirug\u00edas urol\u00f3gicas, en particular la prostatectom\u00eda, la cistoscopia o la cirug\u00eda vesical, cuando se requiere sondaje.<sup>4<\/sup> La presencia de sondas urinarias permanentes es un desencadenante importante de los espasmos vesicales, ya que el cuerpo extra\u00f1o estimula a la vejiga a contraerse en un intento de expulsarlo.<sup>5<\/sup><\/p>\n    \n    <p>Las afecciones neurol\u00f3gicas que afectan a las v\u00edas de control vesical, como la esclerosis m\u00faltiple, la enfermedad de Parkinson, el ictus o las lesiones medulares, pueden provocar una disfunci\u00f3n vesical neur\u00f3gena con espasmos asociados.<sup>6<\/sup> La cistitis intersticial\/s\u00edndrome de dolor vesical (CI\/SDV) se presenta con dolor vesical cr\u00f3nico y espasmos, a menudo sin infecci\u00f3n ni patolog\u00eda identificables.<sup>7<\/sup><\/p>\n    \n    <p>Otros factores contribuyentes son los c\u00e1lculos vesicales, el c\u00e1ncer de vejiga, el agrandamiento de la pr\u00f3stata en los hombres, el estre\u00f1imiento, determinados medicamentos (en particular los diur\u00e9ticos), el consumo excesivo de cafe\u00edna o alcohol y la diabetes.<sup>8<\/sup> En los ni\u00f1os, los espasmos vesicales pueden asociarse a enuresis nocturna (mojar la cama) o a patrones de micci\u00f3n disfuncional.<sup>9<\/sup><\/p>\n    \n    <p>Los enfoques terap\u00e9uticos var\u00edan seg\u00fan la causa subyacente y pueden incluir medicamentos anticolin\u00e9rgicos, agonistas adren\u00e9rgicos beta-3, relajantes musculares, inyecciones de toxina botul\u00ednica, terapias de neuromodulaci\u00f3n y modificaciones conductuales.<sup>10<\/sup> En los espasmos relacionados con la sonda, cambiar el tipo o el tama\u00f1o de la sonda puede aliviarlos, como se ha demostrado en estudios cl\u00ednicos que comparan distintos tipos de sonda.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":293},"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>Espasmos Vesicales<\/title>\n<meta name=\"description\" content=\"Los espasmos de la vejiga son contracciones repentinas e involuntarias de los 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