{"id":12150,"date":"2025-07-17T03:32:28","date_gmt":"2025-07-17T07:32:28","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/voiding-dysfunction\/"},"modified":"2025-07-17T03:32:28","modified_gmt":"2025-07-17T07:32:28","slug":"disfuncion-miccional","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/disfuncion-miccional\/","title":{"rendered":"Disfunci\u00f3n Miccional"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[111],"glossary-product":[108,107],"class_list":["post-12150","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 disfunci\u00f3n miccional es un t\u00e9rmino amplio que describe anomal\u00edas en el proceso de vaciado de la vejiga, caracterizado por una mala coordinaci\u00f3n entre el m\u00fasculo de la vejiga y el esf\u00ednter uretral.<sup>1<\/sup> Abarca un espectro de condiciones que afectan las fases de almacenamiento y vaciado del ciclo miccional, lo que resulta en dificultades para orinar.<sup>2<\/sup> La disfunci\u00f3n miccional puede manifestarse como problemas iniciar la micci\u00f3n, mantener o detener el flujo de orina o vaciar completamente la vejiga.<sup>3<\/sup> Esta afecci\u00f3n ocurre en ausencia de anomal\u00edas neurol\u00f3gicas o anat\u00f3micas y puede afectar tanto a ni\u00f1os como a adultos de todos los g\u00e9neros, aunque la presentaci\u00f3n y las causas subyacentes pueden diferir.<sup>4<\/sup> La etiolog\u00eda es multifactorial y potencialmente involucra comportamientos aprendidos, patrones de micci\u00f3n inmaduros persistentes, factores psicol\u00f3gicos y, en algunos casos, predisposiciones gen\u00e9ticas.<sup>5<\/sup><\/p>","gt-synonyms":"Disfunci\u00f3n del tracto urinario inferior (LUTD), Vaciamiento disfuncional, Trastornos miccionales, Trastornos del vaciado de la vejiga, Disfunci\u00f3n miccional no neurog\u00e9nica, Trastorno de micci\u00f3n funcional, Descoordinaci\u00f3n detrusor-esf\u00ednter","gt-citation":"[1] Chaikin DC, Blaivas JG. Voiding dysfunction: definitions. Curr Opin Urol. 2001 Jul;11(4):395-8. DOI: 10.1097\/00042307-200107000-00010\n\n[2] Clothier JC, Wright AJ. Dysfunctional voiding: the importance of non-invasive urodynamics in diagnosis and treatment. Pediatr Nephrol. 2017 May 31;33(3):381-394. DOI: 10.1007\/s00467-017-3679-3\n\n[3] Stoffel JT, Peterson AC, Sandhu JS, Suskind AM, Wei JT, Lightner DJ. AUA White Paper on Nonneurogenic Chronic Urinary Retention: Consensus Definition, Treatment Algorithm, and Outcome End Points. J Urol. 2017 Jul;198(1):153-160. DOI: 10.1016\/j.juro.2017.01.075\n\n[4] Sripathi V, Mitra A. Understanding voiding dysfunction in children. J Indian Assoc Pediatr Surg. 2019 Oct-Dec;24(4):237-244. DOI: 10.4103\/jiaps.JIAPS_62_19\n\n[5] Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn. 2016 Apr;35(4):471-81. DOI: 10.1002\/nau.22751","gt-clinical-context":"<p>La disfunci\u00f3n miccional se presenta con una amplia gama de s\u00edntomas que pueden afectar significativamente la calidad de vida. En la fase de almacenamiento, los pacientes pueden experimentar frecuencia urinaria, urgencia, incontinencia urgente, nicturia y diversas formas de dolor de vejiga.<sup>1<\/sup> Durante la fase de vaciado, los s\u00edntomas incluyen vacilaci\u00f3n, esfuerzo para orinar, dificultad para iniciar la micci\u00f3n, disminuci\u00f3n del flujo urinario, sensaciones de vaciado incompleto de la vejiga y, en casos graves, retenci\u00f3n urinaria.<sup>2<\/sup><\/p>\n    \n    <p>La etiolog\u00eda de la disfunci\u00f3n miccional var\u00eda seg\u00fan la edad y el sexo. En los ni\u00f1os, a menudo se manifiesta como una micci\u00f3n disfuncional, donde la falla del complejo esf\u00ednter externo-piso p\u00e9lvico para relajarse durante la micci\u00f3n resulta en una obstrucci\u00f3n del flujo de salida de la vejiga.<sup>3<\/sup> Esto puede provocar infecciones recurrentes del tracto urinario, reflujo vesicoureteral y, en casos graves, deterioro del tracto superior.<sup>3<\/sup> En los hombres, la disfunci\u00f3n miccional se atribuye con frecuencia a obstrucci\u00f3n prost\u00e1tica, aunque solo aproximadamente dos tercios de los hombres sintom\u00e1ticos cumplen con los criterios de diagn\u00f3stico de obstrucci\u00f3n.<sup>1<\/sup> Muchos tambi\u00e9n experimentan hiperactividad del detrusor, alteraci\u00f3n de la contractilidad del detrusor u otros factores contribuyentes.<sup>1<\/sup> En las mujeres, la afecci\u00f3n suele ser multifactorial, con causas que incluyen cambios hormonales, efectos del parto, envejecimiento y antecedentes p\u00e9lvicos. cirug\u00edas.<sup>1<\/sup> Las mujeres experimentan una incidencia mucho menor de obstrucci\u00f3n uretral pero una tasa m\u00e1s alta de incontinencia esfinteriana en comparaci\u00f3n con los hombres.<sup>1<\/sup><\/p>\n    \n    <p>El diagn\u00f3stico generalmente implica un enfoque integral que incluye antecedentes m\u00e9dicos detallados, examen f\u00edsico, an\u00e1lisis de orina y pruebas urodin\u00e1micas especializadas.<sup>4<\/sup> La urodin\u00e1mica no invasiva, particularmente la uroflujometr\u00eda con o sin electromiograf\u00eda (EMG), desempe\u00f1a un papel crucial en el diagn\u00f3stico y seguimiento del tratamiento.<sup>3<\/sup> En casos complejos, la urodin\u00e1mica invasiva Es posible que se necesiten estudios para caracterizar completamente la disfunci\u00f3n.<sup>5<\/sup><\/p>\n    \n    <p>Las estrategias de tratamiento se adaptan al tipo espec\u00edfico de disfunci\u00f3n miccional y las causas subyacentes. Los enfoques conservadores incluyen modificaciones conductuales, programas de micci\u00f3n programados, terapia del suelo p\u00e9lvico y entrenamiento de biorretroalimentaci\u00f3n.<sup>3<\/sup> Las intervenciones farmacol\u00f3gicas pueden incluir anticolin\u00e9rgicos para los s\u00edntomas de vejiga hiperactiva, alfabloqueantes para reducir la resistencia al flujo de salida u otros medicamentos dirigidos a aspectos espec\u00edficos de la disfunci\u00f3n.<sup>4<\/sup> Para casos refractarios, opciones m\u00e1s invasivas como la sacra se puede considerar la neuromodulaci\u00f3n, inyecciones de toxina botul\u00ednica o intervenciones quir\u00fargicas.<sup>5<\/sup> Los resultados del tratamiento son generalmente favorables cuando el enfoque se basa en la fisiopatolog\u00eda subyacente en lugar de los s\u00edntomas \u00fanicamente.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":88},"yoast_head":"<!-- This site is optimized with 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