{"id":12118,"date":"2025-07-21T08:10:15","date_gmt":"2025-07-21T12:10:15","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/urinary-tract-reconstruction\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"reconstruccion-del-tracto-urinario","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/reconstruccion-del-tracto-urinario\/","title":{"rendered":"Reconstrucci\u00f3n del Tracto Urinario"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[119],"glossary-product":[108,107],"class_list":["post-12118","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-reconstruction","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>La reconstrucci\u00f3n de las v\u00edas urinarias hace referencia a un grupo de procedimientos quir\u00fargicos destinados a reparar o reconstruir partes de las v\u00edas urinarias que est\u00e1n da\u00f1adas o no funcionan correctamente.<sup>1<\/sup> Estos procedimientos consisten en modificar, sustituir o redirigir componentes del aparato urinario para restablecer el flujo y el almacenamiento adecuados de la orina.<sup>2<\/sup> Las t\u00e9cnicas reconstructivas pueden incluir el uso de segmentos del intestino del propio paciente para crear nuevas estructuras, como una neovejiga, un conducto urinario o un reservorio continente.<sup>3<\/sup> Estas cirug\u00edas se adaptan a las necesidades particulares de cada persona y tienen como objetivo preservar la funci\u00f3n renal, mejorar la calidad de vida y prevenir complicaciones graves.<sup>4<\/sup><\/p>","gt-synonyms":"Desviaci\u00f3n urinaria, derivaci\u00f3n del tracto urinario, reconstrucci\u00f3n del sistema urinario, reconstrucci\u00f3n del tracto urinario inferior, reconstrucci\u00f3n urinaria, reconstrucci\u00f3n de neovejiga, reconstrucci\u00f3n ortot\u00f3pica de neovejiga, reconstrucci\u00f3n uretral, aumento de vejiga, derivaci\u00f3n urinaria continente, derivaci\u00f3n urinaria incontinente","gt-citation":"[1] Johnson EU, Singh G. Long-term outcomes of urinary tract reconstruction in patients with neurogenic urinary tract dysfunction. Indian J Urol. 2013 Oct;29(4):328-37. DOI: 10.4103\/0970-1591.120116\n\n[2] Mayo Clinic Staff. Neobladder reconstruction. Mayo Clinic. 2024 Mar 13. https:\/\/www.mayoclinic.org\/tests-procedures\/neobladder-reconstruction\/about\/pac-20385066\n\n[3] Cleveland Clinic. Urinary Reconstruction & Diversion. Cleveland Clinic. https:\/\/my.clevelandclinic.org\/health\/procedures\/12546-urinary-reconstruction--diversion\n\n[4] Yale Medicine Department of Urology. Reconstructive Urethral Surgery. Yale Medicine. https:\/\/www.yalemedicine.org\/conditions\/reconstruction-of-urethra","gt-clinical-context":"<p>La reconstrucci\u00f3n de las v\u00edas urinarias est\u00e1 indicada cl\u00ednicamente en diversas situaciones en las que la v\u00eda urinaria normal est\u00e1 comprometida o requiere modificaciones.<sup>1<\/sup> Las principales afecciones que hacen necesarios estos procedimientos son:<\/p>\n    \n    <ul>\n        <li><strong>C\u00e1ncer de vejiga<\/strong> que requiere cistectom\u00eda (extirpaci\u00f3n de la vejiga)<sup>2<\/sup><\/li>\n        <li><strong>Disfunci\u00f3n vesical neur\u00f3gena<\/strong> debida a afecciones como la lesi\u00f3n medular, la esclerosis m\u00faltiple o la espina b\u00edfida<sup>1<\/sup><\/li>\n        <li><strong>Anomal\u00edas cong\u00e9nitas<\/strong> que afectan a las v\u00edas urinarias<sup>2<\/sup><\/li>\n        <li><strong>Traumatismos<\/strong> del aparato urinario, incluidas las lesiones uretrales asociadas a fracturas p\u00e9lvicas<sup>3<\/sup><\/li>\n        <li><strong>Da\u00f1o por radiaci\u00f3n<\/strong> en la vejiga a causa del tratamiento oncol\u00f3gico<sup>2<\/sup><\/li>\n        <li><strong>Afecciones inflamatorias cr\u00f3nicas<\/strong> que afectan a la funci\u00f3n vesical<sup>2<\/sup><\/li>\n        <li><strong>Incontinencia urinaria grave<\/strong> que no responde a otros tratamientos<sup>2<\/sup><\/li>\n        <li><strong>Estenosis uretrales<\/strong> causadas por traumatismos, infecciones o cirug\u00edas previas<sup>4<\/sup><\/li>\n    <\/ul>\n\n    <p>Los criterios de selecci\u00f3n de los pacientes incluyen una evaluaci\u00f3n exhaustiva de la funci\u00f3n renal, estudios urodin\u00e1micos y la valoraci\u00f3n de la destreza manual y de la capacidad cognitiva (en particular en las derivaciones continentes que requieren autosondaje).<sup>1<\/sup><\/p>\n\n    <p>El abordaje quir\u00fargico var\u00eda en funci\u00f3n del defecto anat\u00f3mico concreto y de los factores del paciente. Los principales tipos de reconstrucci\u00f3n son:<\/p>\n\n    <ul>\n        <li><strong>Derivaci\u00f3n urinaria incontinente (conducto ileal)<\/strong>: los ur\u00e9teres se conectan a un segmento de intestino que se aboca a la superficie de la piel en forma de estoma, y la orina drena de forma continua a una bolsa colectora externa.<sup>3<\/sup><\/li>\n        <li><strong>Derivaci\u00f3n urinaria continente (bolsa de Indiana)<\/strong>: se crea un reservorio interno a partir de segmentos intestinales, con un mecanismo valvular que permite almacenar la orina y drenarla peri\u00f3dicamente mediante sondaje a trav\u00e9s de un peque\u00f1o estoma.<sup>3<\/sup><\/li>\n        <li><strong>Reconstrucci\u00f3n con neovejiga ortot\u00f3pica<\/strong>: se crea una nueva vejiga a partir de tejido intestinal y se conecta a la uretra, lo que permite una micci\u00f3n m\u00e1s natural.<sup>2<\/sup><\/li>\n        <li><strong>Reconstrucci\u00f3n uretral (uretroplastia)<\/strong>: reparaci\u00f3n de la uretra mediante diversas t\u00e9cnicas, como injertos o colgajos de tejido, con tasas de \u00e9xito de hasta el 90-95% en candidatos adecuados, seg\u00fan la t\u00e9cnica y las caracter\u00edsticas de la estenosis.<sup>4<\/sup><\/li>\n    <\/ul>\n\n    <p>Los resultados esperados incluyen la preservaci\u00f3n de la funci\u00f3n renal, la mejora de la calidad de vida y la prevenci\u00f3n de complicaciones graves.<sup>1<\/sup> La recuperaci\u00f3n suele requerir una hospitalizaci\u00f3n de varios d\u00edas, seguida de un per\u00edodo de adaptaci\u00f3n mientras el sistema reconstruido empieza a funcionar.<sup>2<\/sup> Entre las posibles complicaciones se encuentran las infecciones urinarias, la formaci\u00f3n de c\u00e1lculos, las alteraciones metab\u00f3licas y la incontinencia.<sup>1<\/sup> El seguimiento a largo plazo es esencial para vigilar estos posibles problemas y garantizar el correcto funcionamiento continuado de la reconstrucci\u00f3n.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":104},"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>Reconstrucci\u00f3n del Tracto Urinario<\/title>\n<meta name=\"description\" content=\"La reconstrucci\u00f3n del tracto urinario incluye cirug\u00edas urol\u00f3gicas orientadas a reparar anomal\u00edas, estrecheces o traumatismos en el sistema urinario.\" \/>\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\/reconstruccion-del-tracto-urinario\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reconstrucci\u00f3n del Tracto Urinario - Prosthetic 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