Clinical observation on the acupuncture treatment in patients with urinary retention after radical hysterectomy

Yi, Wei; Pan, Ai Zhen; Li, Jian Jun; Luo, Dan; Huang, Qi Hui

doi:10.1007/s11655-011-0800-5

Cited by 24 publications

(36 citation statements)

References 5 publications

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“…The age of patients among studies ranged from 19 to 75, 23 studies we included, but only 3 studies [ 39 – 41 ] described the indicator of body mass index (BMI). 12 studies [ 39 , 42 – 52 ] had a course of treatment less than or equal to one week, 8 studies [ 40 , 41 , 53 – 58 ] owned a treatment course over one week, and 3 studies [ 59 – 61 ] did not show the treating time. 10 studies [ 39 – 41 , 45 , 46 , 48 , 49 , 55 – 57 ] were performed on hysterectomy, 8 [ 42 – 44 , 47 , 51 , 59 – 61 ] were performed on anorectal surgery, 2 [ 52 , 58 ] were performed on orthopedic surgery, 1 [ 53 ] was performed on prostate surgery, 1 [ 50 ] was performed on spinal anaesthesia, and 1 study [ 54 ] did not indicate the type of surgery.…”

Section: Resultsmentioning

confidence: 99%

“…10 studies [ 39 – 41 , 45 , 46 , 48 , 49 , 55 – 57 ] were performed on hysterectomy, 8 [ 42 – 44 , 47 , 51 , 59 – 61 ] were performed on anorectal surgery, 2 [ 52 , 58 ] were performed on orthopedic surgery, 1 [ 53 ] was performed on prostate surgery, 1 [ 50 ] was performed on spinal anaesthesia, and 1 study [ 54 ] did not indicate the type of surgery. All of the included studies used EA with or without other treatments as intervening measure, 8 of these studies [ 39 , 41 , 43 , 45 , 54 , 55 , 57 , 58 ] compared EA with usual care and physiotherapy, and 10 studies [ 40 , 42 , 46 – 49 , 51 , 53 , 56 , 59 ] compared EA with medication. 5 studies [ 44 , 50 , 52 , 60 , 61 ] set EA as intervening measure while there was no intervention in the control group.…”

Section: Resultsmentioning

confidence: 99%

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Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta‐Analysis

Zhong

Zeng

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Background This systematic review aimed at summarizing and evaluating the evidence from randomized controlled trials (RCTs) which used electroacupuncture (EA) to treat postoperative urinary retention (PUR). Methods We searched thirteen databases electronically through April 2018 without language restrictions. We included RCTs of women with PUR; other types of urinary retention or not-RCTs were excluded. Two independent reviewers extracted studies' characteristics, and disagreements were resolved by consensus. Data were pooled and expressed as standard mean difference (SMD) for continuous outcomes and odds ratio (OR) for dichotomous outcomes, with 95% confidence interval (CI). Results We found very low to moderate level of evidence that effects of less than or equal to a week were statistically significant: therapeutic effect improved (OR=4.21; 95%CI [3.04, 5.83]; P<0.00001), residual urine volume decreased (SMD=-13.24; 95%CI [-15.70, -10.78]; P<0.00001), bladder capacity increased (SMD=0.56; 95%CI [0.30, 0.83]; P<0.0001), and urinary flow rate improved (SMD=0.91; 95%CI [0.64, 1.18]; P<0.00001). Effect over a week was statistically significant as well. Therapeutic effect improved (OR=8.29; 95%CI [2.91, 24.25]; P<0.0001), residual urine volume decreased (SMD=-1.78; 95%CI [-2.66, -0.89]; P<0.0001), bladder capacity (SMD=0.92; 95%CI [0.61, 1.23]; P<0.00001) and urinary flow rate (SMD=1.69; 95%CI [0.59, 2.79]; P=0.003) increased, and first urination after surgery was earlier (SMD=-0.92; 95%CI [-1.37, -0.46]; P<0.0001), compared with physical exercise, medication, or no treatment. Conclusion The efficacy and safety of EA on key outcomes in women with PUR are statistically significant, but the level of most evidence was very low or low. More large-scale, long-term RCTs with rigorous methodological quality are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta‐Analysis

Zhong

Zeng

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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“…Acupuncture has positive effects on nerve regeneration process and provides an alternative treatment on nerve-injured patients [20, 21]. For the patients after RH, acupuncture may help the impaired nerve restoration and reconstruction which are essential for preventing bladder dysfunction [11, 22]. Another possible mechanism of acupuncture effect for bladder dysfunction lies in the regulation and balance of neurotransmitter, such as catecholamines.…”

Section: Discussionmentioning

confidence: 99%

“…But few literatures are randomized controlled trial and published in English. In our previous study, acupuncture showed some effects in treating urinary retention after RH [11]. Refractory cases of urinary retention still occurred when we started acupuncture treatment two weeks after RH procedure.…”

Section: Introductionmentioning

confidence: 98%

Acupuncture for Preventing Complications after Radical Hysterectomy: A Randomized Controlled Clinical Trial

Chen

Liu

et al. 2014

Evidence-Based Complementary and Alternative Medicine

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We aimed to investigate the preventive effects of acupuncture for complications after radical hysterectomy. A single-center randomized controlled single-blinded trial was performed in a western-style hospital in China. One hundred and twenty patients after radical hysterectomy were randomly allocated to two groups and started acupuncture from sixth postoperative day for five consecutive days. Sanyinjiao (SP6), Shuidao (ST28), and Epangxian III (MS4) were selected with electrical stimulation and Zusanli (ST36) without electrical stimulation for thirty minutes in treatment group. Binao (LI14) was selected as sham acupuncture point without any stimulation in control group. The main outcome measures were bladder function and prevalence of postoperative complications. Compared with control group, treatment group reported significantly improved bladder function in terms of maximal cystometric capacity, first voiding desire, maximal flow rate, residual urine, and bladder compliance, and decreased bladder sensory loss, incontinence, and urinary retention on fifteenth and thirtieth postoperative days. Treatment group showed significant advantage in reduction of urinary tract infection on thirtieth postoperative day. But no significant difference between groups was observed for lymphocyst formation. By improving postoperative bladder function, early intervention of acupuncture may provide a valuable alternative method to prevent bladder dysfunctional disorders and urinary tract infection after radical hysterectomy.

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“…But a recent randomized trail showed that this bladder training did not reduce the rate of UR or re-admission for bladder catheterization [8]. Some Chinese doctors use acupuncture to treat UR after radical hysterectomy with potential efficacy [9], but more studies are needed to prove its effects due to limited sample size and poor study design, moreover, acupuncture is difficult to apply, in general, due to the specialized technique. For those with chronic UR, clean intermittent catheterization or even suprapubic cystostomy is needed which are associated with frequent urinary tract infection [10].…”

Section: Introductionmentioning

confidence: 99%

Effect of transcutaneous electrical stimulation treatment on lower urinary tract symptoms after class III radical hysterectomy in cervical cancer patients: study protocol for a multicentre, randomized controlled trial

Sun

Wang

et al. 2017

BMC Cancer

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BackgroundClass III radical hysterectomy (RH III)_plus pelvic lymphadenectomy is the standard surgery for early stage cervical cancer (CC) patients, the 5 year survival rate is about 90%, but pelvic floor disorders especially bladder dysfunction are common due to damaged vessels and nerve fibers following surgery. Transcutaneous electrical stimulation (TENS) treatment has been used to treat bladder disorders for many years, but its effect on cervical cancer patients, the best treatment time point and stimulated protocol, had never been assessed. The aim of this study is to investigate the efficacy of TENS treatment on lower urinary tract symptoms (LUTS) after RH III in CC patients.Methods/DesignThe study will be conducted as a clinical, multicentre, randomised controlled trial with balanced randomisation (1:1). The planned sample size is 208 participants (at 1:1 ratio, 104 subjects in each group). At 5–7 days after RH III, patients are screened according to operative and pathological findings. Enrolled participants are randomised into an intervention group (TENS plus conventional clinical care) or control group (conventional clinical care), with stratification by menopausal status (menopause vs. non-menopause) and surgical modality (laparoscopic RH or abdominal RH). Participants in both groups will be followed up at 14 days, 21 days, 28 days, 3 months, 6 months, 12 months, 18 months and 24 months after surgery. The primary endpoint is improvement rate of urination function which is defined as recovery (residual urine ≤50 ml) or improvement (residual urine 50–100 ml). Secondary endpoints include urodynamic parameter, urinary incontinence, anorectal function, pelvic function, quality of life (QOL), disease-free survival and adverse events. Primary endpoint analyses will be carried out by Cochran-Mantel-Haenszel tests taking into center effect.DiscussionTo our knowledge this is the first trial to investigate the effect of TENS treatment on bladder function recovery after RH III among CC patients. This study will provide new information on TENS efficacy for bladder function recovery. Once confirmed, it may help to provide a new, non-invisive treatment for those postoperative CC patients with poor pelvic function, which would help improve their quality of life.Trial registrationThe study is registered to Clinical Trials.gov (NCT02492542) on June 25, 2015.

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Clinical observation on the acupuncture treatment in patients with urinary retention after radical hysterectomy

Cited by 24 publications

References 5 publications

Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta‐Analysis

Electroacupuncture for Postoperative Urinary Retention: A Systematic Review and Meta‐Analysis

Acupuncture for Preventing Complications after Radical Hysterectomy: A Randomized Controlled Clinical Trial

Effect of transcutaneous electrical stimulation treatment on lower urinary tract symptoms after class III radical hysterectomy in cervical cancer patients: study protocol for a multicentre, randomized controlled trial

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