{"id":1135,"date":"2025-03-10T13:20:05","date_gmt":"2025-03-10T13:20:05","guid":{"rendered":"https:\/\/urolistic.com\/?p=1135"},"modified":"2025-05-27T09:56:31","modified_gmt":"2025-05-27T09:56:31","slug":"introduccion-al-suelo-pelvico","status":"publish","type":"post","link":"https:\/\/urolistic.com\/es\/blog\/2025\/03\/10\/introduccion-al-suelo-pelvico\/","title":{"rendered":"Introducci\u00f3n al suelo p\u00e9lvico"},"content":{"rendered":"\t\t
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El suelo p\u00e9lvico es un conjunto de m\u00fasculos, fascias y ligamentos que se sit\u00faan en la parte inferior del tronco, anclados a los huesos p\u00e9lvicos, a modo de \u201chamaca\u201d. Aunque durante mucho tiempo se pens\u00f3 que su \u00fanica funci\u00f3n era la de sostener las v\u00edsceras p\u00e9lvicas (vejiga, \u00fatero y recto en la mujer; vejiga, pr\u00f3stata y recto en los hombres), hoy se sabe que cumplen otras muchas tareas. Participan en la estabilizaci\u00f3n de la postura, el equilibrio y la marcha, as\u00ed como en la respiraci\u00f3n, mediante una acci\u00f3n coordinada con los m\u00fasculos abdominales, en especial los profundos, y los gl\u00fateos. Tambi\u00e9n colaboran en las funciones fisiol\u00f3gicas de los \u00f3rganos p\u00e9lvicos, y en especial, en la coordinaci\u00f3n de la micci\u00f3n y la defecaci\u00f3n. Asimismo, en la mujer, el suelo p\u00e9lvico juega un papel muy importante durante las relaciones sexuales y el parto. En el caso del hombre, colabora en la erecci\u00f3n y la eyaculaci\u00f3n.\u00a0<\/p>\n

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\u00a0\u00a0\u00a0\u00a0\u00a0La estructura y funci\u00f3n del suelo p\u00e9lvico es muy compleja. A d\u00eda de hoy a\u00fan existe una gran discrepancia entre autores, existiendo varias nomenclaturas y teor\u00edas en cuanto a la micci\u00f3n y los mecanismos de continencia. Por ello, no me atrever\u00e9 a dar m\u00e1s detalles generales al respecto, ya que habr\u00eda que dedicarle varios cientos de p\u00e1ginas. Me centrar\u00e9 en la funci\u00f3n que realiza en la micci\u00f3n, que es, desde el punto de vista de las infecciones de orina, lo que nos importa. Pero antes de adentrarme en ese tema, quiero hacer una puntualizaci\u00f3n sobre la diferencia que existe entre los t\u00e9rminos \u201csuelo p\u00e9lvico\u201d y \u201cperin\u00e9\u201d, pues, aunque se emplean a menudo de manera indistinta, tienen un significado diferente. El perin\u00e9 es la regi\u00f3n anat\u00f3mica que cierra la parte inferior de la pelvis, mientras que el suelo p\u00e9lvico es un conjunto de m\u00fasculos, ligamentos y fascias, como ya he comentado, situado en la pelvis (y parte de \u00e9l, en el perin\u00e9). Es como imaginar que el suelo p\u00e9lvico es la puerta de la casa y el perin\u00e9 es la fachada de esa casa. La puerta est\u00e1 integrada en la fachada, pero no es lo mismo puerta que fachada. As\u00ed pues, no es lo mismo suelo p\u00e9lvico que perin\u00e9. Sin embargo, a efectos pr\u00e1cticos, se suelen utilizar estos dos t\u00e9rminos de manera indistinta, y en esta web lo haremos as\u00ed.<\/p>\n

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Bibliograf\u00eda:<\/em><\/p>\n

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Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.<\/p>\n

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Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96.<\/p>\n

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Easley DC, Abramowitch SD, Moalli PA. Female pelvic floor biomechanics: bridging the gap. Curr Opin Urol. 2017 May;27(3):262-267.<\/p>\n

<\/p>\n

Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.<\/p>\n

<\/p>\n

Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96.<\/p>\n

<\/p>\n

Easley DC, Abramowitch SD, Moalli PA. Female pelvic floor biomechanics: bridging the gap. Curr Opin Urol. 2017 May;27(3):262-267.<\/p>\n

<\/p>\n

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.<\/p>\n

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Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo 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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo 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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo 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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo 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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.\u00a0<\/p>\n

<\/p>\n

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.<\/p>\n

<\/p>\n

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.\u00a0 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.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

El suelo p\u00e9lvico es un conjunto de m\u00fasculos, fascias y ligamentos que se sit\u00faan en la parte inferior del tronco, anclados a los huesos p\u00e9lvicos, a [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":1174,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-1135","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estilo-de-vida"],"yoast_head":"\nIntroducci\u00f3n al suelo p\u00e9lvico | Urolistic<\/title>\n<meta name=\"description\" content=\"Redescubre el bienestar con Urolistic, el proyecto de la Dra. 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