{"id":2833,"date":"2018-05-21T08:56:00","date_gmt":"2018-05-21T08:56:00","guid":{"rendered":"https:\/\/riberasalud.com\/povisa\/2018\/05\/21\/que-es-y-como-prevenir-la-incontinencia-urinaria\/"},"modified":"2018-05-21T08:56:00","modified_gmt":"2018-05-21T08:56:00","slug":"que-es-y-como-prevenir-la-incontinencia-urinaria","status":"publish","type":"post","link":"https:\/\/riberasalud.com\/povisa\/que-es-y-como-prevenir-la-incontinencia-urinaria\/","title":{"rendered":"Qu\u00e9 es y c\u00f3mo prevenir la Incontinencia Urinaria","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings>  <o:PixelsPerInch>96<\/o:PixelsPerInch>  <o:TargetScreenSize>800x600<\/o:TargetScreenSize> <\/o:OfficeDocumentSettings><\/xml><![endif]--> <!--[if gte mso 9]><xml> <w:WordDocument>  <w:View>Normal<\/w:View>  <w:Zoom>0<\/w:Zoom>  <w:TrackMoves\/>  <w:TrackFormatting\/>  <w:HyphenationZone>21<\/w:HyphenationZone>  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src=\"https:\/\/3.bp.blogspot.com\/-2LLbEzU4THY\/WwKJjJWgqlI\/AAAAAAAABPQ\/obFS6knPZnc8KdT_wp0z6Y4C2-AbKsVfgCLcBGAs\/s640\/incontinencia-urinaria.jpg\" width=\"640\" \/><\/a><\/div>\n<div style=\"clear: both; text-align: center;\"><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Povisa cuenta con una unidad propia dedicada a Urolog\u00eda Funcional y Urodinamia para tratar las problem\u00e1ticas asociadas a la <b>incontinencia urinaria <\/b>que afectan hasta el 40% de las mujeres. Su responsable, la Dra. Miriam Barrio, explica qu\u00e9 es la incontinencia urinaria y c\u00f3mo tratarla y prevenirla.<\/span><br \/><a name='more'><\/a><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><b><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">\u00bfQu\u00e9 es la Incontinencia Urinaria (IU)?<\/span><\/b><span lang=\"ES\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Hasta la actualidad la Incontinencia Urinaria hab\u00eda sido valorada como un s\u00edntoma o condici\u00f3n, pero a trav\u00e9s de estudios epidemiol\u00f3gicos, se observa un problema m\u00e9dico, social y econ\u00f3mico. La Sociedad Internacional de Continencia (International Continence Society) define la IU como \u201cla p\u00e9rdida involuntaria de orina debida a una disfunci\u00f3n vesical o esfinteriana que se puede demostrar objetivamente y que suele ser un problema social e higi\u00e9nico\u201d. <o:p><\/o:p><\/span><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\"><br \/><\/span><\/div>\n<div style=\"mso-layout-grid-align: none; text-align: justify; text-autospace: none;\"><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\">La incontinencia urinaria de esfuerzo es un s\u00edntoma que se manifiesta cuando la p\u00e9rdida de orina ocurre durante un esfuerzo. Si la p\u00e9rdida se acompa\u00f1a o es inmediatamente precedida de urgencia miccional, hablar\u00edamos de incontinencia urinaria de urgencia. Cuando se presentan estas dos situaciones hablamos de incontinencia urinaria mixta.<\/span><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;; mso-bidi-font-family: Calibri;\"><o:p><\/o:p><\/span><\/div>\n<div style=\"mso-layout-grid-align: none; text-align: justify; text-autospace: none;\"><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\"><br \/><\/span><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">La IU es un problema com\u00fan en la poblaci\u00f3n aparentemente sana y es<span style=\"background: white;\"> la tercera enfermedad cr\u00f3nica que causa mayor p\u00e9rdida de calidad de vida a la poblaci\u00f3n espa\u00f1ola, tras las enfermedades mentales y los problemas cardiovasculares graves.<\/span><\/span><span lang=\"ES\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><b><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">\u00bfA qui\u00e9n afecta la incontinencia urinaria?<\/span><\/b><span lang=\"ES\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<div style=\"mso-layout-grid-align: none; text-align: justify; text-autospace: none;\"><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\">La incontinencia urinaria (IU) es un <b style=\"mso-bidi-font-weight: normal;\">problema frecuente que afecta a todos los grupos de poblaci\u00f3n, edades y sexos aunque es mucho m\u00e1s frecuente en la mujer, alcanzando cifras de alrededor del 40% de la poblaci\u00f3n femenina en Espa\u00f1a<\/b>. Hay publicaciones que afirman que en nuestro pais la IU afecta a 1 de cada 4 mujeres, 2.000.000 de personas, con frecuencias variables seg\u00fan los distintos estudios encontr\u00e1ndose el 15-20% en edad laboral. <\/span><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;; mso-bidi-font-family: Calibri;\">Se trata de un aut\u00e9ntico problema sanitario, social y econ\u00f3mico que, sin duda, se acrecentar\u00e1 en las pr\u00f3ximas d\u00e9cadas por el progresivo envejecimiento de la poblaci\u00f3n.<\/span><span lang=\"ES\" style=\"font-family: &quot;calibri&quot;; mso-bidi-font-family: Calibri;\"> <\/span><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Este trastorno tambi\u00e9n puede estar presente en el sexo masculino y suele tener relaci\u00f3n con cirug\u00eda prost\u00e1tica previa.<\/span><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;; mso-bidi-font-family: Calibri;\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<div><b style=\"font-size: 12pt; text-align: justify;\"><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\">\u00bfCu\u00e1les son los factores de riesgo?<\/span><\/b><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Los principales factores de riesgo para el desarrollo de incontinencia urinaria son:<\/span><span lang=\"ES\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<ul style=\"margin-top: 0cm;\" type=\"disc\">\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\"><b>Edad<\/b>: <\/span><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\">la IU de esfuerzo predomina en el      grupo de mujeres j\u00f3venes y de mediana edad, disminuyendo de forma      progresiva a partir de los 60 a\u00f1os, al contrario de lo que ocurre con la      incontinencia de urgencia y mixta que van aumentando progresivamente con      la edad.<\/span><\/li>\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\">El <b>embarazo<\/b>:<span lang=\"ES\" style=\"font-family: &quot;cambria&quot;; font-size: 12pt;\"> La IU es m\u00e1s frecuente durante el      embarazo, con una prevalencia entre el 31% y 60%. La aparici\u00f3n de IU en el      embarazo es autolimitada en muchos casos, resolvi\u00e9ndose en las semanas      siguientes al parto.<\/span><\/li>\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\"><b>Obesidad<\/b>: <span lang=\"ES\" style=\"font-family: &quot;cambria&quot;; font-size: 12pt; text-indent: -18pt;\">Se ha establecido una evidente relaci\u00f3n causal entre la obesidad y el desarrollo de IU. Se ha visto, tanto que el incremento de peso puede aumentar la susceptibilidad de desarrollar IU, como que la p\u00e9rdida de peso disminuye los episodios de IU.<\/span><\/li>\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\"><b>Cirug\u00eda del suelo p\u00e9lvico.<\/b><\/li>\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\"><b>Falta de estr\u00f3genos en posmenop\u00e1usicas<\/b>: provocan p\u00e9rdida de tono y flacidez de los m\u00fasculos perineales.<\/li>\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\"><b>Estre\u00f1imiento<\/b>.<\/li>\n<li style=\"mso-layout-grid-align: none; mso-list: l1 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-autospace: none;\"><b>Tos cr\u00f3nica del tabaquismo<\/b>.<\/li>\n<\/ul>\n<div>\n<div style=\"clear: both; text-align: center;\"><a href=\"https:\/\/1.bp.blogspot.com\/-0gSvRqor3Z4\/WwQDuAVyYFI\/AAAAAAAABPg\/AImqP6mokicgdTH4sRI-UIqEaivbSaEhgCLcBGAs\/s1600\/factores-riesgo-iu.png\" style=\"margin-left: 1em; margin-right: 1em;\"><img decoding=\"async\" border=\"0\" data-original-height=\"800\" data-original-width=\"1200\" src=\"https:\/\/1.bp.blogspot.com\/-0gSvRqor3Z4\/WwQDuAVyYFI\/AAAAAAAABPg\/AImqP6mokicgdTH4sRI-UIqEaivbSaEhgCLcBGAs\/s1600\/factores-riesgo-iu.png\" \/><\/a><\/div>\n<p><b style=\"font-size: 12pt; text-align: justify;\"><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\">\u00bfPor qu\u00e9 debemos prevenir el desarrollo de incontinencia urinaria?<\/span><\/b><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm; text-align: justify;\"><b style=\"font-size: 12pt;\"><span lang=\"ES\" style=\"font-family: &quot;cambria&quot;;\"><br \/><\/span><\/b><\/div>\n<div style=\"background: white; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Los objetivos del tratamiento conservador son mejorar o conseguir la continencia urinaria, reforzar la musculatura estriada para y periuretral y conseguir un aumento del equilibrio en la est\u00e1tica p\u00e9lvica.<\/span><span lang=\"ES\"><o:p><\/o:p><\/span><\/div>\n<div><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm;\"><b><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">\u00bfC\u00f3mo podemos prevenir la incontinencia urinaria?<\/span><\/b><span lang=\"ES\"><o:p><\/o:p><\/span><\/div>\n<div style=\"margin-bottom: .0001pt; margin: 0cm;\"><b><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\"><br \/><\/span><\/b><\/div>\n<div style=\"background: white; text-align: justify;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Las <b>t\u00e9cnicas de rehabilitaci\u00f3n del suelo p\u00e9lvico<\/b>como tratamiento de la incontinencia urinaria de esfuerzo (IUE) se vienen imponiendo en estos \u00faltimos a\u00f1os despu\u00e9s de que Arnol Kegel&nbsp;demostrara hacia 1950 la estrecha relaci\u00f3n que exist\u00eda entre los escapes de orina y la hipoton\u00eda o debilidad de la musculatura perineal, desapareciendo o mejorando notablemente los s\u00edntomas cuando se practicaban ejercicios de refuerzo de estas estructuras.&nbsp;<\/span><br \/><span style=\"font-family: &quot;cambria&quot;;\"><br \/><\/span><\/p>\n<div style=\"clear: both; text-align: center;\"><a href=\"https:\/\/4.bp.blogspot.com\/-jaUCWW-yRUI\/WwQHFrc5IJI\/AAAAAAAABP0\/8hI63kLTG6YAYmIwwiPIxbjzHaL_sfekwCLcBGAs\/s1600\/tratamiento-incontinencia-urinaria.png\" style=\"margin-left: 1em; margin-right: 1em;\"><img decoding=\"async\" border=\"0\" data-original-height=\"995\" data-original-width=\"1189\" src=\"https:\/\/4.bp.blogspot.com\/-jaUCWW-yRUI\/WwQHFrc5IJI\/AAAAAAAABP0\/8hI63kLTG6YAYmIwwiPIxbjzHaL_sfekwCLcBGAs\/s1600\/tratamiento-incontinencia-urinaria.png\" \/><\/a><\/div>\n<p><span style=\"font-family: &quot;cambria&quot;;\"><br \/><\/span><span style=\"font-family: &quot;cambria&quot;;\">Las <\/span><b style=\"font-family: cambria;\">t\u00e9cnicas de rehabilitaci\u00f3n perineal y otras pautas para el tratamiento de la disfunci\u00f3n perineal<\/b><span style=\"font-family: &quot;cambria&quot;;\"> constituyen un apartado muy amplio y espec\u00edfico a desarrollar en las unidades del suelo p\u00e9lvico, en las que un fisioterapeuta especializado en el tema y conocedor profundo de toda la patolog\u00eda derivada de los defectos funcionales del suelo p\u00e9lvico debe trabajar en estrecha relaci\u00f3n con la unidad urol\u00f3gica que lleve el tema; adem\u00e1s ser\u00eda aconsejable que estas unidades de Rehabilitaci\u00f3n del suelo p\u00e9lvico estuvieran integradas dentro del propio servicio de Urolog\u00eda con el fin de ajustar al m\u00e1ximo las pautas de tratamiento rehabilitador seg\u00fan el tipo disfunci\u00f3n existente, instaurando tratamiento farmacol\u00f3gico si se precisara o indicando adecuadamente la cirug\u00eda y sin demora en los casos necesarios. <\/span><b style=\"font-family: cambria;\">En nuestro Servicio de Urolog\u00eda integrado con el Servicio de Rehabilitaci\u00f3n del suelo p\u00e9lvico y formando, junto con el Servicio de Cirug\u00eda General y de Ginecolog\u00eda, la Unidad de suelo p\u00e9lvico de Povisa, tenemos experiencia en ello y apostamos por este m\u00e9todo.<\/b><\/div>\n<div style=\"background: white; text-align: justify;\"><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">El tratamiento conservador<\/span><\/b><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\"> <b style=\"mso-bidi-font-weight: normal;\">de primera l\u00ednea de la incontinencia urinaria<\/b> se basa en las siguientes <b style=\"mso-bidi-font-weight: normal;\">estrategias<\/b>:<\/span><br \/><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\"><br \/><\/span><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">1- Terapia conductual:<o:p><\/o:p><\/span><\/b><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Entrenamiento vesical: control de la urgencia miccional y micciones programadas.<o:p><\/o:p><\/span><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Actuaci\u00f3n sobre los factores de riesgo: obesidad, estre\u00f1imiento, evitar tabaco, bebidas con cafe\u00edna, con gas, con alcohol, evitar pr\u00e1ctica deportiva de alto impacto (salto).<o:p><\/o:p><\/span><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Ejercicios diarios de suelo p\u00e9lvico en domicilio:<\/span><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><\/div>\n<ul>\n<li>Ejercicios de Kegel diarios \/ uso de bolas chinas<\/li>\n<li>Ejercicios de contracci\u00f3n de los m\u00fasculos del suelo p\u00e9lvico antes del aumento de presi\u00f3n abdominal (tos, estornudo, levantar peso).<\/li>\n<\/ul>\n<p><\/p>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;\"><b style=\"mso-bidi-font-weight: normal;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">2- Entrenamiento m\u00fasculos de suelo p\u00e9lvico: <\/span><\/b><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Act\u00faa sobre el control voluntario de los m\u00fasculos del suelo p\u00e9lvico:<b style=\"mso-bidi-font-weight: normal;\"><o:p><\/o:p><\/b><\/span><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><!--[if !supportLists]--><span lang=\"ES\" style=\"color: black; font-family: &quot;symbol&quot;; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;\"><span style=\"mso-list: Ignore;\">\u00b7<span style=\"font: 7.0pt &quot;Times New Roman&quot;;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><\/span><!--[endif]--><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">\u00d3rdenes verbales<o:p><\/o:p><\/span><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><!--[if !supportLists]--><span lang=\"ES\" style=\"color: black; font-family: &quot;symbol&quot;; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;\"><span style=\"mso-list: Ignore;\">\u00b7<span style=\"font: 7.0pt &quot;Times New Roman&quot;;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><\/span><!--[endif]--><i style=\"mso-bidi-font-style: normal;\"><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Biofeedback<o:p><\/o:p><\/span><\/i><\/div>\n<div style=\"background: white; margin-bottom: 2.4pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;\"><!--[if !supportLists]--><span lang=\"ES\" style=\"color: black; font-family: &quot;symbol&quot;; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;\"><span style=\"mso-list: Ignore;\">\u00b7<span style=\"font: 7.0pt &quot;Times New Roman&quot;;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <\/span><\/span><\/span><!--[endif]--><span lang=\"ES\" style=\"color: black; font-family: &quot;cambria&quot;;\">Electroestimulaci\u00f3n: est\u00edmulo pasivo (por activaci\u00f3n del arco reflejo).<\/span><\/div>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Povisa cuenta con una unidad propia dedicada a Urolog\u00eda Funcional y Urodinamia para tratar las problem\u00e1ticas asociadas a la incontinencia urinaria que afectan hasta el 40% de las mujeres. Su responsable, la Dra. Miriam Barrio, explica qu\u00e9 es la incontinencia urinaria y c\u00f3mo tratarla y prevenirla. \u00bfQu\u00e9 es la Incontinencia Urinaria (IU)? Hasta la actualidad &#8230; <a title=\"Qu\u00e9 es y c\u00f3mo prevenir la Incontinencia Urinaria\" class=\"read-more\" href=\"https:\/\/riberasalud.com\/povisa\/que-es-y-como-prevenir-la-incontinencia-urinaria\/\" aria-label=\"Leer m\u00e1s sobre Qu\u00e9 es y c\u00f3mo prevenir la Incontinencia Urinaria\">Leer m\u00e1s<\/a><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[175],"tags":[],"class_list":["post-2833","post","type-post","status-publish","format-standard","hentry","category-urologia"],"yoast_head":"<!-- This site is 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