{"id":1493,"date":"2025-05-26T10:30:41","date_gmt":"2025-05-26T10:30:41","guid":{"rendered":"https:\/\/urolistic.com\/?p=1493"},"modified":"2025-05-27T08:04:26","modified_gmt":"2025-05-27T08:04:26","slug":"la-funcion-del-suelo-pelvico-en-la-miccion","status":"publish","type":"post","link":"https:\/\/urolistic.com\/es\/blog\/2025\/05\/26\/la-funcion-del-suelo-pelvico-en-la-miccion\/","title":{"rendered":"La funci\u00f3n del suelo p\u00e9lvico en la micci\u00f3n"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1493\" class=\"elementor elementor-1493\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1a85c2dc e-flex e-con-boxed e-con e-parent\" data-id=\"1a85c2dc\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31e2549d elementor-widget elementor-widget-text-editor\" data-id=\"31e2549d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<p>La vejiga funciona en dos fases: micci\u00f3n y reposo. Tambi\u00e9n podr\u00edamos llamarlas fase \u201con\u201d (micci\u00f3n) y fase \u201coff\u201d (reposo). Durante la fase off, el m\u00fasculo detrusor de la pared vesical est\u00e1 relajado, de tal manera que la vejiga puede llenarse de orina sin dificultad. Al mismo tiempo, el esf\u00ednter interno (que se encuentra en el cuello vesical) y el externo (que forma parte del suelo p\u00e9lvico) est\u00e1n contra\u00eddos. Hay que saber que el funcionamiento del esf\u00ednter interno no depende de nuestro control voluntario, si no del sistema nervioso aut\u00f3nomo, y en especial del sistema nervioso simp\u00e1tico (el opuesto al parasimp\u00e1tico). De esta manera, no podemos pedirle sin m\u00e1s a nuestro esf\u00ednter interno que se contraiga m\u00e1s o menos. Este mecanismo depender\u00e1 de ciertos reflejos, y se ver\u00e1 afectado por algunas patolog\u00edas que afecten al sistema nervioso aut\u00f3nomo (enfermedades neurol\u00f3gicas centrales o medulares, estr\u00e9s) o que estimulen la producci\u00f3n de m\u00e1s c\u00e9lulas musculares a ese nivel, como en el caso de la hipertrofia de la pr\u00f3stata. Los hombres que tienen una pr\u00f3stata aumentada de tama\u00f1o (hipertrofia), patolog\u00eda muy frecuente a partir de los 50-60 a\u00f1os, tienen a menudo un esf\u00ednter interno que es tambi\u00e9n hipertr\u00f3fico. A la dificultad para vaciar la vejiga debido a la obstrucci\u00f3n que produce la pr\u00f3stata agrandada a nivel de la uretra se suma la hiperactividad de este m\u00fasculo. Por eso, el tratamiento para este problema son, a menudo, los f\u00e1rmacos alfabloqueantes, que bloquean los receptores alfa-adren\u00e9rgicos del cuello vesical, pertenecientes al sistema nervioso simp\u00e1tico, y relajan el m\u00fasculo.\u00a0<\/p>\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0Pero volviendo al suelo p\u00e9lvico, a diferencia del esf\u00ednter interno de control involuntario, este conjunto muscular, y en especial el esf\u00ednter externo de la vejiga, s\u00ed que puede ser controlado voluntariamente por nuestro cerebro, por medio del nervio pudendo. Cuando tenemos ganas de orinar y no encontramos un wc, podemos contraer voluntariamente este m\u00fasculo para evitar una p\u00e9rdida de orina, aunque nuestra vejiga est\u00e9 empujando para vaciarse. Lo mismo ocurre si realizamos un esfuerzo, tosemos, nos re\u00edmos, etc.\u00a0<\/p>\n\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0El esf\u00ednter externo no funciona en modo \u201con\u201d y \u201coff\u201d como la vejiga, si no que en realidad tiene tres posiciones. En condiciones normales, est\u00e1 en un estado de contracci\u00f3n t\u00f3nica suave. Esto le permite evitar las p\u00e9rdidas de orina cuando la vejiga se est\u00e1 llenando y la presi\u00f3n dentro del abdomen no es muy elevada. Pero, si la presi\u00f3n aumenta por alg\u00fan esfuerzo, el esf\u00ednter externo puede contraerse mucho m\u00e1s para evitar que haya una incontinencia en ese momento. Por otro lado, cuando decidimos vaciar nuestra vejiga, el esf\u00ednter tiene que relajarse completamente. Hay que saber adem\u00e1s que, aunque es un m\u00fasculo de control voluntario, su control se automatiza en la infancia. As\u00ed, cuando vamos a estornudar, no tenemos que pensar \u201ctengo que contraer mi esf\u00ednter\u201d, si no que ese acto se realiza de manera autom\u00e1tica. De la misma manera, si queremos orinar, nuestro esf\u00ednter deber\u00eda poder relajarse sin tener que pensar en ello activamente. El problema es que muchas personas no adquieren correctamente estos reflejos, y de ah\u00ed derivan muchos problemas urinarios. A esta patolog\u00eda se le conoce como \u201cmicci\u00f3n no coordinada\u201d o \u201cdysfuctional voiding\u201d en ingl\u00e9s. No se debe confundir con la disinergia (disinergia detrusor-esfinteriana), que es una patolog\u00eda de origen neurol\u00f3gico, donde el esf\u00ednter externo est\u00e1 constantemente contra\u00eddo, no por un automatismo mal adquirido, si no por un problema nervioso de base (enfermedad de Parkinson, lesi\u00f3n medular, hernia discal, diabetes con neuropat\u00eda perif\u00e9rica, etc.). Aunque el resultado es el mismo, pues la vejiga tiene que vaciarse teniendo la \u201cpuerta cerrada\u201d, el tratamiento es muy diferente. No voy a desarrollar el tema de la disinergia, pues se trata de patolog\u00edas muy complejas que no son el objetivo de este art\u00edculo. Me centrar\u00e9 en explicar la disfunci\u00f3n miccional de origen no neurol\u00f3gico que es muy frecuente y es una de las principales causas de infecciones urinarias en ni\u00f1os y adultos. Si quieres aprender m\u00e1s sobre ello, no te pierdas el pr\u00f3ximo art\u00edculo.<\/p>\n\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size wp-elements-203083d460e1f51a89d80dbaccad1aad\"><em>Bibliograf\u00eda:<\/em><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-526cac8 biblio elementor-widget elementor-widget-text-editor\" data-id=\"526cac8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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><!-- \/wp:paragraph --><!-- wp:paragraph {\"style\":{\"elements\":{\"link\":{\"color\":{\"text\":\"var:preset|color|black\"}}}},\"textColor\":\"black\",\"fontSize\":\"small\"} --><\/p>\n<p class=\"has-black-color has-text-color has-link-color has-small-font-size\">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":"<p>La vejiga funciona en dos fases: micci\u00f3n y reposo. Tambi\u00e9n podr\u00edamos llamarlas fase \u201con\u201d (micci\u00f3n) y fase \u201coff\u201d (reposo). Durante la fase off, el m\u00fasculo detrusor<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":1514,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-1493","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estilo-de-vida"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v26.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>La funci\u00f3n del suelo p\u00e9lvico en la micci\u00f3n | Urolistic<\/title>\n<meta name=\"description\" content=\"Redescubre el bienestar con Urolistic, el proyecto de la Dra. 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