{"id":15073,"date":"2026-03-20T00:00:53","date_gmt":"2026-03-19T23:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/enfermedades\/enuresi-nocturna-primaria-incontinencia-urinaria\/"},"modified":"2026-03-30T12:39:36","modified_gmt":"2026-03-30T10:39:36","slug":"enuresi-nocturna-incontinencia-urinaria","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/enuresi-nocturna-incontinencia-urinaria\/","title":{"rendered":"Enuresi nocturna prim\u00e0ria"},"content":{"rendered":"<p><strong>\u00daltima actualitzaci\u00f3: 20\/03\/2026, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/ca\/personal-clinic\/\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Miguel B. Royo Salvador<\/strong><\/a>, <strong>N\u00famero de col\u00b7legiat 10389.<\/strong> <strong>Neurocirurgi\u00e0 i Neur\u00f2leg.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Definici\u00f3<\/strong><\/h2>\n<p>La <strong>p\u00e8rdua involunt\u00e0ria d&#8217;orina<\/strong> \u00e9s aquella condici\u00f3 per la qual l&#8217;afectat t\u00e9 una necessitat imperiosa i sobtada d&#8217;orinar per\u00f2 \u00e9s incapa\u00e7 de retenir l&#8217;orina. Es tracta d&#8217;una alteraci\u00f3 en la fase d&#8217;ompliment vesical que es pot presentar sola (<strong>prim\u00e0ria<\/strong>), com en nombroses malalties (<strong>secund\u00e0ria)<\/strong>.<\/p>\n<p>Es defineix <strong>l\u2019Enuresi Nocturna Prim\u00e0ria\/Mono-simptom\u00e0tica<\/strong> <strong>(ENP\/M)<\/strong> com l&#8217;emissi\u00f3 involunt\u00e0ria, intermitent i repetida d&#8217;orina mentre es dorm, a causa de la incapacitat de controlar els esf\u00ednters en nens majors de 5 anys, que mai abans han estat continents.<\/p>\n<p>Es defineix, en canvi, la <strong>incontin\u00e8ncia urin\u00e0ria<\/strong> com la p\u00e8rdua involunt\u00e0ria d&#8217;orina en l&#8217;adult. Les fuites poden produir-se en esternudar, riure, realitzar algun esfor\u00e7 o exercici f\u00edsic.<\/p>\n<p>Es descriuen diversos tipus d&#8217;incontin\u00e8ncia urin\u00e0ria:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">d\u2019esfor\u00e7<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">d\u2019urg\u00e8ncia<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">mixta<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">per sobreeiximent<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">de causa psic\u00f2gena<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">de causa neurol\u00f2gica<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Diagn\u00f2stic<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Per a que es pugui concloure un diagn\u00f2stic d\u2019Enuresi Nocturna Prim\u00e0ria en l&#8217;edat infantil o Incontin\u00e8ncia urin\u00e0ria prim\u00e0ria en l&#8217;edat adulta, en primer lloc cal que la <strong>p\u00e8rdua d&#8217;orina sigui totalment involunt\u00e0ria<\/strong> i objectivament demostrable.<\/p>\n<p>Per comprovar que el trastorn sigui primari, els estudis han de dirigir-se a detectar i descartar causes secund\u00e0ries -com bufeta neurog\u00e8nica i anormalitats de la medul\u00b7la espinal, infeccions urin\u00e0ries, pres\u00e8ncia de v\u00e0lvules uretrals posteriors en nens i ur\u00e8ter ect\u00f2pic en nenes- realitzant:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Hist\u00f2ria cl\u00ednica completa: <\/strong>En els antecedents personals el metge valora les malalties concomitants, com les patologies neurol\u00f2giques o les patologies sist\u00e8miques amb repercussi\u00f3 sobre el sistema nervi\u00f3s central, les intervencions pr\u00e8vies que poden afectar el tracte urinari, a l&#8217;abdomen i pelvis i a la columna vertebral. Aix\u00ed mateix, ha de controlar la medicaci\u00f3 que pren el malalt.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Exploraci\u00f3 f\u00edsica <\/strong><strong>que inclogui un examen de la sensibilitat perianal.<\/strong><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Estudis: anal\u00edtics <\/strong>(de sang),<strong> radiol\u00f2gics <\/strong>(Radiografia simple d&#8217;abdomen, Urografia intravenosa i Ecografia vesicoprost\u00e0tica)<strong> i urodin\u00e0mics, <\/strong>incloent-hi an\u00e0lisi de l&#8217;orina amb densitat urin\u00e0ria (l&#8217;avaluaci\u00f3 urodin\u00e0mica i radiol\u00f2gica no s\u00f3n necess\u00e0ries en nens amb ENP)<strong>.<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong>El m\u00e8tode Filum System<sup>\u00ae<\/sup>, <\/strong>sobre la base de les troballes cient\u00edfiques sobre l&#8217;etiologia de diverses malalties i l&#8217;observaci\u00f3 de diversos casos amb enuresi nocturna o incontin\u00e8ncia urin\u00e0ria amb diagn\u00f2stic de Malaltia del Filum, suggereix que, una vegada comprovat que la p\u00e8rdua d&#8217;orina sigui prim\u00e0ria (tant en nens com en adults), es procedeixi a realitzar una <strong>Resson\u00e0ncia Magn\u00e8tica Nuclear encef\u00e0lica i de la columna vertebral. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Mitjan\u00e7ant una RMN es pot comprovar la probable pres\u00e8ncia de signes que indiquin una tracci\u00f3 an\u00f2mala de la medul\u00b7la espinal, com a possible alteraci\u00f3 correlativa i visible a nivell de neuroimatge.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>S\u00edmptomes<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">El s\u00edmptoma de l\u2019enuresi nocturna prim\u00e0ria o d&#8217;incontin\u00e8ncia urin\u00e0ria \u00e9s la <strong>p\u00e8rdua d&#8217;orina involunt\u00e0ria, <\/strong>durant el son o durant l&#8217;estat de vig\u00edlia del malalt, respectivament.<\/p>\n<p>La quantitat o densitat de la p\u00e8rdua pot variar en cada cas, aix\u00ed com la freq\u00fc\u00e8ncia amb la qual esdev\u00e9. Les p\u00e8rdues poden acompanyar-se especialment a esfor\u00e7os com tossir i esternudar, realitzar activitats f\u00edsiques o mantenir relacions sexuals.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Causes<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">La p\u00e8rdua urin\u00e0ria es produeix quan la pressi\u00f3 dins de la bufeta \u00e9s superior a la pressi\u00f3 a la uretra. Existeixen moltes teories sobre l&#8217;origen de la ENP o de la incontin\u00e8ncia urin\u00e0ria prim\u00e0ria en adults, encara que cap \u00e9s del tot concloent.<\/p>\n<p>Les causes principals a les quals s\u2019atribueixen s\u00f3n:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">El <strong>retard del desenvolupament<\/strong> en la maduraci\u00f3 funcional del sistema nervi\u00f3s central, que pot produir un defecte en el mecanisme del despertar.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Causes <strong>gen\u00e8tiques.<\/strong><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Desordres del son<\/strong>.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Desordres psicol\u00f2gics i de conducta<\/strong>.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Baixos nivells de l&#8217;hormona antidiur\u00e8tica (ADH)<\/strong> a la nit en nens amb ENP causen una sobreproducci\u00f3 d&#8217;orina.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Factors de risc<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Els principals factors de risc reconeguts per a la malaltia, en general s\u00f3n:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Com hem esmentat, el fet d&#8217;haver sofert <strong>enuresi nocturna en la infantesa<\/strong> constitueix un important factor de risc per a la futura incontin\u00e8ncia urin\u00e0ria en l&#8217;edat adulta.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">En l&#8217;edat adulta, \u00e9s m\u00e9s comuna entre les <strong>dones<\/strong>.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Pel que respecte espec\u00edficament a l\u2019ENP en els nens, diversos estudis apunten al fet que la sofreixen majorit\u00e0riament:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Els nens amb <strong>cefalea cr\u00f2nica<\/strong>.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Els nens amb trastorn de d\u00e8ficit d&#8217;atenci\u00f3\/hiperactivitat <strong>(TDAH<\/strong>) que <strong>no han estat tractats.<\/strong><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">S&#8217;han descrit nom\u00e9s casos i s\u00e8ries de casos, d&#8217;associaci\u00f3 d&#8217;<strong>apnea del son<\/strong> i enuresi nocturna. L&#8217;associaci\u00f3 est\u00e0 demostrada plenament amb l\u2019enuresi secund\u00e0ria, per\u00f2 no encara amb l\u2019ENP.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Existeixen proves que la <strong>hiperactivitat vesical<\/strong> s&#8217;associa a l\u2019ENP.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Complicacions<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">L\u2019enuresi o incontin\u00e8ncia urin\u00e0ria, tant en els nens com en los adults, suposa un <strong>problema:<\/strong>:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Higi\u00e8nic: <\/strong>Especialment en els nens, pot suposar fins i tot erupcions cut\u00e0nies en les natges i a l&#8217;\u00e0rea genital.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Ps\u00edquic: <\/strong>pot causar sentiments d&#8217;humiliaci\u00f3 personal, reaccions emocionals d&#8217;inseguretat, inhibici\u00f3 afectiva, inhibici\u00f3 de la sexualitat, ansietat, depressi\u00f3, la qual cosa pot portar a baixa autoestima.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Social: <\/strong>implicant la p\u00e8rdua d&#8217;oportunitats o a\u00efllament, ja que influeix en l&#8217;activitat del malalt i en la participaci\u00f3 en el seu grup social.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Per tot aix\u00f2, la condici\u00f3 del malalt pot complicar-se per <strong>per l&#8217;empitjorament del nivell de qualitat de vida del pacient<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Tractament<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Existeixen algunes mesures que poden ajudar a retardar l&#8217;aparici\u00f3 de la incontin\u00e8ncia d&#8217;orina, aix\u00ed com prevenir-la:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>M\u00e8todes no farmacol\u00f2gics: <\/strong>Ter\u00e0pia motivacional, Dispositius d&#8217;alarma, Exercicis d&#8217;entrenament vesical, Modificacions de l&#8217;estil de vida, Hipnoter\u00e0pia, m\u00e8todes conductuals, etc.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>M\u00e8todes farmacol\u00f2gics, <\/strong>en majors de 7 anys: Antidepressius tric\u00edclics, Anticolin\u00e8rgics, Desmopresina, Ter\u00e0pies combinades<strong>.<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\">Aix\u00ed mateix, especialment en adults, poden indicar-se tractaments mitjan\u00e7ant:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Cirurgia.<\/strong><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Autosondatge intermitent.<\/strong><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\"><strong>Estimulaci\u00f3 el\u00e8ctrica intravaginal.<\/strong><\/li>\n<\/ul>\n<p><strong>&#8211; Segons el Filum System<sup>\u00ae<\/sup>:<\/strong><\/p>\n<p style=\"text-align: justify;\">L\u2019enuresi nocturna prim\u00e0ria i\/o la incontin\u00e8ncia urin\u00e0ria es presenten freq\u00fcentment en pacients afectes de la <a href=\"https:\/\/institutchiaribcn.com\/ca\/malalties\/malaltia-del-filum\/\"><strong>Malaltia del Filum (MF)<\/strong><\/a>. Per aquesta ra\u00f3 aquest fenomen s&#8217;est\u00e0 investigant, i recomanem comprovar si es detecten signes de la MF en els malalts per poder aplicar-los el tractament neuroquir\u00fargic indicat.<\/p>\n<p>Des de 1993, amb la publicaci\u00f3 de la tesi doctoral del Dr. Royo Salvador que relaciona la tracci\u00f3 caudal de tot el sistema nervi\u00f3s pel filum terminale, com a causa de diverses malalties que s&#8217;inclouen en la MF, s&#8217;ha dissenyat un <strong>nou<\/strong> <strong>tractament-<\/strong> en aquest cas \u00e9s etiol\u00f2gic o referit a la causa- perqu\u00e8 en <strong>seccionar quir\u00fargicament el filum terminale<\/strong> s&#8217;elimina la for\u00e7a de tracci\u00f3 medul\u00b7lar caudal responsable del mecanisme patol\u00f2gic.<\/p>\n<p>La nostra t\u00e8cnica de Secci\u00f3 del Filum Terminale \u00e9s m\u00ednimament invasiva i s\u2019acostuma a indicar en tots els casos de Malaltia del Filum i com m\u00e9s aviat millor, ja que t\u00e9 riscos m\u00ednims i atura l&#8217;evoluci\u00f3 de la malaltia.<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Secci\u00f3 del Filum Terminale m\u00ednimament invasiva del Filum System<sup>\u00ae<\/sup><\/strong><\/h2>\n<p>&nbsp;<\/p>\n<div class=\"row\">\n<div class=\"col-md-12\">\n<div class=\"boxAdvantages barAdvantages\">\n<h3><strong>Avantatges<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">1. Elimina la tracci\u00f3 de la medul\u00b7la espinal provocada pel lligament quan \u00e9s massa curt o tibant.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">2. Amb la t\u00e8cnica quir\u00fargica m\u00ednimament invasiva pr\u00f2pia de l&#8217;ICSEB, el temps quir\u00fargic \u00e9s de 45 minuts. Poques hores d&#8217;ingr\u00e9s. Anest\u00e8sia local. Postoperatori curt i sense limitacions. Sense ingr\u00e9s en la Unitat de Vigil\u00e0ncia intensiva. Sense transfusions de sang.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">3. La seva aplicaci\u00f3 suposa 0% de mortalitat, sense seq\u00fceles.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">4. Millora els s\u00edmptomes i det\u00e9 l&#8217;evoluci\u00f3 en les patologies associades a la Malaltia del Filum.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2><strong>Refer\u00e8ncies bibliogr\u00e0fiques<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<ol>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Carlos Rodrigo Gonzalo de Liria, Tratamiento de la Enuresis Nocturna, Vol. 23, n\u00fam. 2. 2012. ISSN 0213-7801\u2028ISSN 1579-9441. Butllet\u00ed d\u2019informaci\u00f3 terap\u00e8utica del Departament de Salut de la Generalitat de Catalunya.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Cendron M. Primary nocturnal enuresis: current. Am Fam Physician 1999 Mar 1;59(5):1205-14, 1219-20.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dharnidharka V. Primary nocturnal enuresis: Where do we stand today? Indian Pediatr 2000 Feb 7;37(2):135-140.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/ca\/filum-system-guia-breve\/\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup><sup>\u00ae<\/sup><\/sup> Gu\u00eda Breve&#8221;.<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1997), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Nuevo-tratamiento-sirignomielia-escoliosis-malformacion-Arnold_Chiari.pdf \" target=\"_blank\" rel=\"noopener\">Nuevo tratamiento quir\u00fargico para la <strong>siringomielia<\/strong>, la <strong>escoliosis<\/strong>, la <strong>malformaci\u00f3n de Arnold-Chiari<\/strong>, el kinking del tronco cerebral, el retroceso odontoideo, la impresi\u00f3n basilar y la platibasia idiop\u00e1ticas (PDF).<\/a> REV NEUROL; 25 (140): 523-530<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">National Clinical Guideline Centre. Nocturnal enuresis: the management of bedwetting in children and young people. London (UK): National Institute for Health and Clinical Excellence (NICE); 2010 Oct. 43 p. (Clinical guideline; no.111).<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Skoog SJ, Stokes A, Turner KL. Oral desmopressin: a randomized double-blind placebo controlled study of effectiveness in children with primary nocturnal enuresis. J Urol 1997 Sep;158(3 Pt 2):1035-40.<\/li>\n<\/ol>\n<hr \/>\n","protected":false},"featured_media":1538,"template":"","class_list":["post-15073","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Incontin\u00e8ncia urin\u00e0ria nocturna | Institut Chiari Barcelona<\/title>\n<meta name=\"description\" content=\"La p\u00e8rdua involunt\u00e0ria d&#039;orina \u00e9s aquella condici\u00f3 per la qual l&#039;afectat t\u00e9 una necessitat imperiosa i sobtada d&#039;orinar.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/institutchiaribcn.com\/ca\/enuresi-nocturna-incontinencia-urinaria\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta 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