{"id":5489,"date":"2017-04-12T09:42:29","date_gmt":"2017-04-12T07:42:29","guid":{"rendered":"https:\/\/www.ortohispania.com\/?p=5489"},"modified":"2019-02-11T12:37:45","modified_gmt":"2019-02-11T11:37:45","slug":"urinary-incontinence","status":"publish","type":"post","link":"https:\/\/www.ortohispania.com\/es\/urinary-incontinence\/","title":{"rendered":"INCONTINENCIA URINARIA Una Enfermedad Silenciosa"},"content":{"rendered":"<h3><a href=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/incontinencia-asister-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-5495\" src=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/incontinencia-asister-1.jpg\" alt=\"urinary incontinence\" width=\"271\" height=\"453\" \/><\/a><\/h3>\n<h3>INCONTINENCIA URINARIA Una Enfermedad Silenciosa<\/h3>\n<p>Incontinencia urinaria (IU), una enfermedad silenciosa, definida por la Sociedad Internacional de Incontinencia como \u201cla manifestaci\u00f3n por parte del paciente de escape de orina\u201d constituye un problema m\u00e9dico y social muy importante para la persona que lo padece, con una prevalencia creciente debido al envejecimiento y a la mayor supervivencia de la poblaci\u00f3n en los pa\u00edses desarrollados.<\/p>\n<p>Es una enfermedad silenciosa, que generalmente se oculta por razones culturales y sociales, de ah\u00ed que aunque conocemos datos epidemiol\u00f3gicos muy fiables, es mucho mas frecuente de lo que los datos oficiales nos proporcionan.<\/p>\n<p><a href=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/images.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5500\" src=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/images.jpg\" alt=\"urinary incontinence\" width=\"272\" height=\"185\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>En Espa\u00f1a se realiz\u00f3 un estudio epidemiol\u00f3gico muy bien dise\u00f1ado (estudio EPICC) avalado por la Asociaci\u00f3n Espa\u00f1ola de Urolog\u00eda (Actas Urol Esp. 2009;33(2):159-166) en el que participamos en su elaboraci\u00f3n y cuyos resultados revelaron que <strong>la prevalencia de INCONTINENCIA URINARIA en Espa\u00f1a se acerca:<\/strong><\/p>\n<ul>\n<li>al 10% en mujeres entre 25 y 64 a\u00f1os,<\/li>\n<li>est\u00e1 alrededor del 5% en varones entre 50 y 65 a\u00f1os<\/li>\n<li>es superior al 50% en personas de m\u00e1s de 65 a\u00f1os de ambos sexos.<\/li>\n<\/ul>\n<p>Cifras similares a los estudios publicados en pa\u00edses de nuestro entorno y nivel de desarrollo.<\/p>\n<p>&nbsp;<\/p>\n<p>La IU no es un proceso con riesgo vital para el que lo padece, pero deteriora significativamente la calidad de vida de los pacientes, limita su autonom\u00eda y reduce su autoestima.<\/p>\n<p>La afectaci\u00f3n de la calidad de vida relacionada con la salud (CVRS) por la IU puede incluso ser mayor que la provocada por algunas enfermedades cr\u00f3nicas como la diabetes o la hipertensi\u00f3n arterial.<\/p>\n<p>&nbsp;<\/p>\n<blockquote>\n<h4><span style=\"color: #000080;\">Los pacientes ingresados en instituciones para la tercera edad, etc., en particular las mujeres, representan un grupo particular de elevada prevalencia de IU, alrededor de 60%, siendo la incontinencia urinaria unos de los mayores problemas para el cuidado de estas personas y la mayor causa de reingreso.<\/span><\/h4>\n<\/blockquote>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/Male-Incontinence.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-5501\" src=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/Male-Incontinence.jpg\" alt=\"urinary incontinence\" width=\"304\" height=\"267\" \/><\/a><\/p>\n<h4><span style=\"color: #000080;\">TIPOS DE INCONTINENCIA URINARIA<\/span><\/h4>\n<p>&nbsp;<\/p>\n<p>En base a criterios sintom\u00e1ticos y funcionales la Sociedad Internacional de Incontinencia, define los siguientes tipos de incontinencia:<\/p>\n<p>&nbsp;<\/p>\n<h4>Incontinencia urinaria de esfuerzo<\/h4>\n<p>La IU de esfuerzo (IUE) se define como la p\u00e9rdida involuntaria de orina asociada a un esfuerzo f\u00edsico que provoca un aumento de la presi\u00f3n abdominal (como por ejemplo toser, re\u00edr, correr, andar).<\/p>\n<p>Se produce cuando la presi\u00f3n intravesical supera la presi\u00f3n uretral como consecuencia de un fallo en los mecanismos de resistencia uretral.<\/p>\n<p>Es la forma m\u00e1s com\u00fan de incontinencia y sobreviene en mujeres adultas, con antecedentes de partos.<\/p>\n<p>Afecta a m\u00e1s del 50% de mujeres menores de 75 a\u00f1os.<\/p>\n<p>La causa por la que se produce este tipo de incontinencia es por una lesi\u00f3n en los mecanismos de soporte de la uretra, asociada muchas veces a otras lesiones del suelo p\u00e9lvico (prolapsos) por debilitamiento de los ligamentos y fascias que soportan los \u00f3rganos p\u00e9lvicos adecuadamente.<\/p>\n<p>Ante un esfuerzo, el fallo de estas estructuras, ocasiona un cierre ineficiente de la uretra, ocasionando el escape de orina.<\/p>\n<p><a href=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/Men-peeing-into-bush.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-5502\" src=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/Men-peeing-into-bush.jpg\" alt=\"urinary incontinence\" width=\"320\" height=\"212\" srcset=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/Men-peeing-into-bush.jpg 320w, https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/Men-peeing-into-bush-300x199.jpg 300w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a><\/p>\n<h4>Incontinencia urinaria de urgencia<\/h4>\n<p>La IU de urgencia (IUU) es la p\u00e9rdida involuntaria de orina acompa\u00f1ada o inmediatamente precedida de \u201curgencia\u201d.<\/p>\n<p>Por \u201curgencia\u201d o \u201cimperiosidad\u201d se entiende cuando el paciente refiere la aparici\u00f3n s\u00fabita de un deseo miccional intenso, dif\u00edcil de contener y que llega a producir escapes de orina.<\/p>\n<p>Esta sensaci\u00f3n de urgencia es consecuencia de una contracci\u00f3n involuntaria del detrusor vesical.<\/p>\n<p>Es la forma m\u00e1s com\u00fan de IU en mayores de 75 a\u00f1os, sobre todo en los hombres (40-80%) y es debido a un deterioro neurol\u00f3gico en los mecanismos de control de la contracci\u00f3n del m\u00fasculo vesical.<\/p>\n<p>&nbsp;<\/p>\n<h4>Incontinencia urinaria mixta<\/h4>\n<p>La incontinencia urinaria mixta (IUM) es la aparici\u00f3n de p\u00e9rdida involuntaria de orina asociada tanto a urgencia como al esfuerzo.<\/p>\n<p>&nbsp;<\/p>\n<h4>Incontinencia urinaria continua<\/h4>\n<p>IU continua (IUC) es la p\u00e9rdida involuntaria y continua de orina, debido a una f\u00edstula, desembocadura ect\u00f3pica ureteral o a una lesi\u00f3n del esf\u00ednter uretral grave.<\/p>\n<p>&nbsp;<\/p>\n<h4>Enuresis nocturna<\/h4>\n<p>Enuresis nocturna es la p\u00e9rdida involuntaria de orina durante el sue\u00f1o, muy frecuente entre los ni\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<h4>Incontinencia urinaria inconsciente<\/h4>\n<p>La incontinencia urinaria inconsciente (IUI) se define como la p\u00e9rdida involuntaria de orina sin deseo miccional e independientemente de cualquier aumento de la presi\u00f3n abdominal.<\/p>\n<p>Este tipo de IU se presenta s\u00f3lo con grandes vol\u00famenes de orina dentro de la vejiga y aunque poco frecuente es de inter\u00e9s reconocerla entre la poblaci\u00f3n geri\u00e1trica.<\/p>\n<p>Desde el punto de vista etiol\u00f3gico es una forma extrema de disfunci\u00f3n de vaciado vesical, bien por una obstrucci\u00f3n en el tracto urinario inferior (crecimiento prost\u00e1tico, esclerosis del cuello vesical) o por un detrusor acontr\u00e1ctil (neurol\u00f3gico o por otros factores).<\/p>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #000080;\">Incontinencia Mujeres&#8230;TIPOS:<\/span><\/h4>\n<p><a href=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/urinary-incontinence-women-ortohispania.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-5496\" src=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/urinary-incontinence-women-ortohispania.jpg\" alt=\"urinary incontinence\" width=\"584\" height=\"247\" srcset=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/urinary-incontinence-women-ortohispania.jpg 755w, https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/urinary-incontinence-women-ortohispania-300x127.jpg 300w\" sizes=\"auto, (max-width: 584px) 100vw, 584px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #000080;\">Incontinencia Hombres&#8230;TIPOS:<\/span><\/h4>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/urinary-incontinence-men-ortohispania.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-5497\" src=\"https:\/\/www.ortohispania.com\/wp-content\/uploads\/2017\/04\/urinary-incontinence-men-ortohispania.jpg\" alt=\"urinary incontinence\" width=\"580\" height=\"293\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #003366;\">Links:\u00a0<\/span><\/h4>\n<p>https:\/\/www.nia.nih.gov\/health\/publication\/urinary-incontinence<\/p>\n<p>http:\/\/www.iaua.es\/incontinencia_orina.html<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INCONTINENCIA URINARIA Una Enfermedad Silenciosa Incontinencia urinaria (IU), una enfermedad silenciosa, definida por la Sociedad Internacional de Incontinencia como \u201cla manifestaci\u00f3n por parte del paciente de escape de orina\u201d constituye un problema m\u00e9dico y social muy importante para la persona &hellip; <a class=\"kt-excerpt-readmore\" href=\"https:\/\/www.ortohispania.com\/es\/urinary-incontinence\/\" aria-label=\"INCONTINENCIA URINARIA Una Enfermedad Silenciosa\">Leer m&aacute;s<\/a><\/p>\n","protected":false},"author":3,"featured_media":5499,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[78],"tags":[1191,909,1316],"class_list":["post-5489","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-incontinence","tag-incontinencia","tag-urinary-incontinence"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.5 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>[:en]URINARY INCONTINENCE A Silent Disease - Ortohispania[:]<\/title>\n<meta name=\"description\" content=\"{:en}Urinary Incontinence: A silent disease, which is usually hidden for cultural and social reasons. 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