Tengo que hablaros de la taza del wáter. Sí sí, el wc, el inodoro. Resulta que, desde mi punto de vista, una causa muy importante para padecer infecciones de orina es la utilización de los wc de asiento (vamos, los wc “normales”). Esto está relacionado de nuevo con la estática del suelo pélvico, la relajación muscular y la alineación de la uretra. Hay que saber que nuestra manera natural de orinar, al menos en el caso de las mujeres, es a cuclillas. Esta posición favorece la relajación del suelo pélvico y la alineación del cuello vesical con la uretra. Si embargo, si nos sentamos a 90° y, sobre todo, si nuestras rodillas quedan por debajo de las caderas (lo que es la posición más habitual cuando nos sentamos en el wáter), esta relajación y alineación no se producirán, y es probable que la micción se realice de manera disfuncional. Es por ello que los inodoros de tipo turco (esos que no son más que una especie de agujero en el suelo), aunque parezcan una asquerosidad, permiten una manera mucho más fisiológica de orinar. Como sé que la mayoría de la gente no tiene este tipo de inodoro en casa ni en el trabajo, y no es plan de llamar al fontanero para que lo instale, en próximos artículos te daré unos cuantos consejos útiles para adoptar una posición correcta.
Bibliografía:
Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.
Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96.
Easley DC, Abramowitch SD, Moalli PA. Female pelvic floor biomechanics: bridging the gap. Curr Opin Urol. 2017 May;27(3):262-267.
Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.
Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96.
Easley DC, Abramowitch SD, Moalli PA. Female pelvic floor biomechanics: bridging the gap. Curr Opin Urol. 2017 May;27(3):262-267.
Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.
Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.
Minardi D, d’Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.
van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology. 2023 Apr 5:S0090-4295(23)00266-2.
Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.
Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.
Minardi D, d’Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.
Lee PJ, Kuo HC. High incidence of lower urinary tract dysfunction in women with recurrent urinary tract infections. Low Urin Tract Symptoms. 2020 Jan;12(1):33-40.
Haylen BT, Lee J, Husselbee S, Law M, Zhou J. Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):837-42.
Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494.
Kao YL, Ou YC, Tsai KJ, Kuo HC. Predictive Factors for a Successful Treatment Outcome in Patients with Different Voiding Dysfunction Subtypes Who Received Urethral Sphincter Botulinum Injection. Toxins (Basel). 2022 Dec 15;14(12):877.
Jhang JF, Kuo HC. Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention. Ci Ji Yi Xue Za Zhi. 2017 Jul-Sep;29(3):131-137.
van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology. 2023 Apr 5:S0090-4295(23)00266-2.
Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.
Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.
Minardi D, d’Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.
Lee PJ, Kuo HC. High incidence of lower urinary tract dysfunction in women with recurrent urinary tract infections. Low Urin Tract Symptoms. 2020 Jan;12(1):33-40.
Haylen BT, Lee J, Husselbee S, Law M, Zhou J. Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):837-42.
Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494.
Kao YL, Ou YC, Tsai KJ, Kuo HC. Predictive Factors for a Successful Treatment Outcome in Patients with Different Voiding Dysfunction Subtypes Who Received Urethral Sphincter Botulinum Injection. Toxins (Basel). 2022 Dec 15;14(12):877.
Jhang JF, Kuo HC. Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention. Ci Ji Yi Xue Za Zhi. 2017 Jul-Sep;29(3):131-137.
van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology. 2023 Apr 5:S0090-4295(23)00266-2.
Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.
Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.
Minardi D, d’Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.
Lee PJ, Kuo HC. High incidence of lower urinary tract dysfunction in women with recurrent urinary tract infections. Low Urin Tract Symptoms. 2020 Jan;12(1):33-40.
Haylen BT, Lee J, Husselbee S, Law M, Zhou J. Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):837-42.
Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494.
Kao YL, Ou YC, Tsai KJ, Kuo HC. Predictive Factors for a Successful Treatment Outcome in Patients with Different Voiding Dysfunction Subtypes Who Received Urethral Sphincter Botulinum Injection. Toxins (Basel). 2022 Dec 15;14(12):877. Jhang JF, Kuo HC. Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention. Ci Ji Yi Xue Za Zhi. 2017 Jul-Sep;29(3):131-137.
