{"id":12098,"date":"2025-07-09T09:48:22","date_gmt":"2025-07-09T13:48:22","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/overactive-bladder\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"vejiga-hiperactiva","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/vejiga-hiperactiva\/","title":{"rendered":"Vejiga Hiperactiva"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[108,107],"class_list":["post-12098","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>\n        La vejiga hiperactiva (VH) es una afecci\u00f3n urol\u00f3gica cr\u00f3nica caracterizada por una necesidad repentina e imperiosa de orinar que es dif\u00edcil de controlar.<sup>1<\/sup> La International Continence Society la define como una afecci\u00f3n con los s\u00edntomas caracter\u00edsticos de \u00aburgencia urinaria, habitualmente acompa\u00f1ada de aumento de la frecuencia miccional y nicturia, con o sin incontinencia de urgencia, en ausencia de infecci\u00f3n del tracto urinario u otra patolog\u00eda evidente\u00bb.<sup>2<\/sup> La VH se produce cuando los m\u00fasculos de la vejiga se contraen de forma involuntaria incluso cuando el volumen de orina en la vejiga es bajo, lo que provoca una necesidad urgente de orinar.<sup>3<\/sup> Esta afecci\u00f3n altera el funcionamiento normal de los mecanismos de llenado y vaciado de la vejiga, al perturbar las complejas interacciones entre el sistema nervioso central y el perif\u00e9rico que controlan la micci\u00f3n.<sup>4<\/sup> El m\u00fasculo detrusor, que est\u00e1 densamente inervado, puede volverse hiperactivo o hipersensible, lo que provoca contracciones inadecuadas y la sensaci\u00f3n de urgencia.<sup>5<\/sup>\n    <\/p>","gt-synonyms":"OAB, S\u00edndrome de vejiga hiperactiva, Incontinencia de urgencia, S\u00edndrome de urgencia-frecuencia, Hiperactividad del detrusor, Detrusor hiperactivo, Vejiga irritable","gt-citation":"[1] Stewart WF, Van Rooyen JB, Cundiff GW, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20(6):327-336. DOI: 10.1007\/s00345-002-0301-4\n\n[2] Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. DOI: 10.1002\/nau.20798\n\n[3] Leron E, Weintraub AY, Mastrolia SA, Schwarzman P. Overactive Bladder Syndrome: Evaluation and Management. Curr Urol. 2018;11(3):117-125. DOI: 10.1159\/000447205\n\n[4] Chapple CR, Artibani W, Cardozo LD, et al. The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects. BJU Int. 2005;95(3):335-340. DOI: 10.1111\/j.1464-410X.2005.05294.x\n\n[5] Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-178. DOI: 10.1002\/nau.10052","gt-clinical-context":"<p>\n        La vejiga hiperactiva afecta aproximadamente al 16,5% de los adultos en los Estados Unidos (con alrededor de un 12% notificado en una amplia encuesta multinacional europea y canadiense), y su prevalencia aumenta con la edad.<sup>1<\/sup> Repercute de forma significativa en la calidad de vida, ya que afecta a las actividades diarias, la productividad laboral, las interacciones sociales, los patrones de sue\u00f1o y el bienestar psicol\u00f3gico.<sup>3<\/sup>\n    <\/p>\n    <p>\n        La evaluaci\u00f3n cl\u00ednica de la VH comienza con una anamnesis exhaustiva, centrada en los s\u00edntomas urinarios, su duraci\u00f3n, su gravedad y su repercusi\u00f3n en la calidad de vida.<sup>3<\/sup> Los profesionales cl\u00ednicos deben preguntar por la frecuencia urinaria (definida habitualmente como orinar ocho o m\u00e1s veces en 24 horas), la urgencia (deseo repentino e imperioso de orinar que es dif\u00edcil de aplazar), la nicturia (despertarse por la noche para orinar) y la incontinencia de urgencia (p\u00e9rdida involuntaria de orina acompa\u00f1ada de urgencia).<sup>5<\/sup> A menudo se recomienda un diario miccional para documentar los patrones de micci\u00f3n, la ingesta de l\u00edquidos y los episodios de incontinencia.<sup>3<\/sup>\n    <\/p>\n    <p>\n        El estudio diagn\u00f3stico incluye un an\u00e1lisis de orina para descartar una infecci\u00f3n, an\u00e1lisis de sangre para evaluar la funci\u00f3n renal y los trastornos metab\u00f3licos y, en algunos casos, estudios urodin\u00e1micos para evaluar la funci\u00f3n vesical.<sup>3<\/sup> Puede realizarse una cistoscopia para descartar patolog\u00eda vesical, como tumores o c\u00e1lculos.<sup>3<\/sup>\n    <\/p>\n    <p>\n        El tratamiento sigue un enfoque escalonado que comienza con modificaciones conductuales, como el control de la ingesta de l\u00edquidos, el entrenamiento vesical y los ejercicios del suelo p\u00e9lvico.<sup>4<\/sup> La farmacoterapia suele consistir en antimuscar\u00ednicos (como oxibutinina, tolterodina o solifenacina) o agonistas de los receptores adren\u00e9rgicos \u03b23 (mirabegr\u00f3n), que act\u00faan sobre los mecanismos subyacentes de la hiperactividad del detrusor.<sup>4<\/sup> En los casos refractarios, las terapias avanzadas incluyen inyecciones de toxina botul\u00ednica en el m\u00fasculo detrusor, neuromodulaci\u00f3n sacra o estimulaci\u00f3n del nervio tibial posterior.<sup>5<\/sup> Las intervenciones quir\u00fargicas se reservan para los casos graves y resistentes al tratamiento.<sup>4<\/sup>\n    <\/p>\n    <p>\n        La selecci\u00f3n de pacientes para el tratamiento depende de la gravedad de los s\u00edntomas, las comorbilidades, las contraindicaciones farmacol\u00f3gicas y las preferencias del paciente.<sup>3<\/sup> Los resultados esperados var\u00edan; la mayor\u00eda de los pacientes experimentan una mejor\u00eda significativa de los s\u00edntomas m\u00e1s que su resoluci\u00f3n completa.<sup>4<\/sup> El tratamiento a largo plazo a menudo requiere una combinaci\u00f3n de enfoques y ajustes continuos de la terapia.<sup>5<\/sup>\n    <\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":100},"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>Vejiga Hiperactiva (OAB): Causas, S\u00edntomas y Tratamiento<\/title>\n<meta name=\"description\" content=\"La vejiga hiperactiva (OAB) es una afecci\u00f3n urol\u00f3gica cr\u00f3nica que provoca ganas repentinas de orinar.\" \/>\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\/vejiga-hiperactiva\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" 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