Acupuncture for Stress Urinary Incontinence

Wang, Martin

doi:10.1001/jama.2017.13424

Cited by 6 publications

(4 citation statements)

References 1 publication

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“… 27 As UI is not a life-threatening disease, the prognosis is relatively good. 28 , 29 Epidemiological studies have shown that one in three women has varying degrees of UI, more than half of whom are SUI. At present, there are many factors that induce female UI, such as age, overweight, family history, menopause, delivery and delivery times.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women

Liu

Mao

et al. 2021

IJGM

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Objective The purpose of this study was to evaluate the associations between blood glucose and hemoglobin A1c (HbA1c) levels with the degree of stress urinary incontinence (SUI) and urgency urinary incontinence (UUI) in women. Methods We conducted a cross-sectional study of female participants in the National Health and Nutrition Examination Survey (NHANES) database between 2007 and 2012. Univariate and multivariate logistic regressions were used to assess the relationship between blood glucose and HbA1c levels and the degree of SUI and UUI. Results A total of 3821 participants were enrolled in the study, of whom 2421 (63.4%) had no SUI, 1133 (29.7%) had monthly SUI, 267 (7.0%) had weekly SUI; 2883 (75.5%) had no UUI, 735 (19.2%) had monthly UUI, 203 (5.3%) had weekly UUI. The levels of blood glucose and HbA1c were positively correlated with SUI and UUI, and increased with increasing degree of UUI. Multivariate logistic regression showed that there was a positive association between blood HbA1c level and degree of SUI. Conclusion Our study found that blood glucose and HbA1c levels can be used as indicators of SUI and UUI severity in women.

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Section: Discussionmentioning

confidence: 99%

Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women

Liu

Mao

et al. 2021

IJGM

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“…The control intervention groups (control group) included various sham acupuncture treatments including different needle depth, other remedies, and other acupoints. Details are summarized in the following table [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] (Table 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

Sacral Acupuncture for Lower Urinary Tract Symptoms: A Systematic Review of Randomized Controlled Trials

Park

Chun²,

Park

et al. 2022

J Acupunct Res

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Lower urinary tract symptoms (LUTS) associated with storage, voiding, and post-micturition reduce quality of life and cause mental health problems. In traditional medicine, Baliao points have been empirically used to treat urinary system diseases. In this review, randomized controlled trials (RCTs) using sacral acupuncture on Baliao points with sham treatment, other remedies, or other acupoints were retrieved from 8 electronic databases up to June 2021. Sixteen RCTs met the inclusion criteria. The quality of the included studies was assessed using a risk-of-bias (ROB) tool. Most of the evaluation indicators used in the included RCTs showed that sacral acupuncture had a significant therapeutic effect compared with the sham control intervention groups, and other remedies. However, all studies using acupoints (other than the Baliao points) as a control intervention had a “high” ROB and only reported secondary processed information, making it difficult to evaluate the efficacy of sacral acupuncture treatment for LUTS. No serious adverse effects were reported for sacral acupuncture, and only a low number of minor side effects were observed. These results suggest that sacral acupuncture could be considered as an alternative to existing treatments, with the added benefit of low cost. Large-scale, long-term RCTs are required in the future.

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“…According to our preliminary clinical research, acupuncture (as one of various treatments for SUI) (5)(6)(7)(8) has a number of advantages, including convenience, quick initiation, significant curative impact, limited AEs, and favorability among patients. However, evidentiary support for its immediate benefits in this setting is still lacking.…”

Section: Introductionmentioning

confidence: 99%

“…MHz) probes. TPUS, transperineal ultrasound.DiscussionRecent clinical studies(5)(6)(7)(8) have proven the efficacy of acupuncture in treating SUI, although most have invoked subjective scales, such as the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form, for this purpose. Despite the greater objectivity of a urine pad test, it does not align with SUI pathophysiology to yield objective clinical evidence.…”

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confidence: 99%

Immediate effects of Zhongji point acupuncture on pelvic floor structure in female patients with stress urinary incontinence: a randomized, single-blind, and sham-controlled clinical trial protocol

Guan¹,

Song²,

Wang³

et al. 2021

Ann Palliat Med

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Background: Stress urinary incontinence (SUI) is defined as involuntary leakage of urine from the external urethra due to increased abdominal pressure, for example, upon sneezing, coughing, or exercise.Acupuncture is an effective therapy for patients with SUI, although objective evidence of its benefits or mechanism of action is limited. Patients with SUI often harbor structural changes of pelvic floor, the parameters of which are measurable from various perspectives and in multiple dimensions, dynamically and comprehensively, through transperineal ultrasound (TPUS). The status of such changes may then be assessed following acupuncture procedures. In the present investigation, TPUS serves to gauge the immediate effects of acupuncture on pelvic floor structures in female patients with SUI.Methods: This protocol calls for a prospective, randomized, controlled, and single-blinded study of 72 female patients with SUI, each randomly assigned as test or control group members. The test group is subjected to one-time acupuncture at the Zhongji (RN3) acupoint for a period of 10 min, whereas the control group undergoes sham acupuncture in the same manner. In both groups, TPUS imaging of pelvic floor is performed before, during, and immediately after acupuncture procedures. Bladder neck mobility (BND), urethral rotation angle (URA), retrovesical angle (RVA), lowest point of bladder (BN-S), and presence/absence of urethral funneling or bladder bulging are then recorded as outcome measures.Discussion: Above efforts are intended to assess real-time pelvic floor structural changes in women undergoing acupuncture for SUI. The subsequent findings may help objectively document the efficacy of acupuncture in this setting and clarify its mechanism of action. Trial registration: Registration with the Chinese Clinical Trial Registry (ChiCTR200041559) (http:// www.chictr.org.cn/edit.aspx?pid=64591&htm=4), was effective December 29, 2020.

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Acupuncture for Stress Urinary Incontinence

Cited by 6 publications

References 1 publication

Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women

Relationship Between Blood Glucose and Hemoglobin A1c Levels and Urinary Incontinence in Women

Sacral Acupuncture for Lower Urinary Tract Symptoms: A Systematic Review of Randomized Controlled Trials

Immediate effects of Zhongji point acupuncture on pelvic floor structure in female patients with stress urinary incontinence: a randomized, single-blind, and sham-controlled clinical trial protocol

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