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Sacral electroacupuncture as a treatment for urge urinary incontinence: a prospective case series
Objective: To examine the impact of electroacupuncture (EA) at the ‘four sacral points’ on urge urinary incontinence (UUI). Methods: Twenty-five patients diagnosed with UUI or urgency-predominant mixed urinary incontinence (MUI) were treated by EA at the ‘four sacral points’. EA was performed in the...
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| Published in: | Acupuncture in medicine : journal of the British Medical Acupuncture Society 2021-10, Vol.39 (5), p.522-528 |
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| Main Authors: | , , , , , |
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| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c365t-fbaa4b60c615315599986b5235016663176f107cc94bc4d1681d6dc596a806a33 |
| container_end_page | 528 |
| container_issue | 5 |
| container_start_page | 522 |
| container_title | Acupuncture in medicine : journal of the British Medical Acupuncture Society |
| container_volume | 39 |
| creator | Chen, Shan Wang, Siyou Xuan, Lihua Xu, Fu Lu, Hanti Lu, Jing |
| description | Objective:
To examine the impact of electroacupuncture (EA) at the ‘four sacral points’ on urge urinary incontinence (UUI).
Methods:
Twenty-five patients diagnosed with UUI or urgency-predominant mixed urinary incontinence (MUI) were treated by EA at the ‘four sacral points’. EA was performed in the sacrococcygeal region using disposable sterile 0.40-mm-diameter acupuncture needles that were either 100 or 125 mm in length. Treatments were delivered once every other day. Before and after treatment, a questionnaire measuring symptom severity and quality of life associated with UUI was administered.
Results:
The median total score (interquartile range) from the severity of symptoms and the quality of life questionnaire (Q-score) of the participants was significantly reduced from 12 (7.5, 15) before treatment to 3 (0, 6) after 6 (6, 12) EA treatments. The Q-score of urgency-predominant MUI and UUI was 8 (5, 14.5) and 12.5 (11, 15), respectively, before treatment; after treatment these were reduced to 2 (0, 7.5) and 4.5 (2, 6), respectively. There was no statistically significant difference in the Q-score between urgency-predominant MUI and UUI before and after treatment. Upon treatment completion, seven patients (28%) were ‘cured’ (improvement rate 100%). Treatments were considered ‘markedly effective’ (improvement rate 75% to |
| doi_str_mv | 10.1177/0964528420968846 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2471459683</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0964528420968846</sage_id><sourcerecordid>2471459683</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-fbaa4b60c615315599986b5235016663176f107cc94bc4d1681d6dc596a806a33</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMo7rp69yQBL16qSZtPb7L4BQse1HNJ0-nSpU1r0gr-e1N2VVhwDpnAPPPOzIvQOSXXlEp5Q7RgPFUsjR-lmDhAcyq5TrSS2SGaT-Vkqs_QSQgbQoiSnB2jWRaD0ZTMkXk11psGQwN28J2xYz86O4wesAnY4MGDGVpwA646j0e_hvjUzvgvXDvbuaF24CzcRrT3XeijSv0J2JoAOICvIZyio8o0Ac52eYHeH-7flk_J6uXxeXm3Smwm-JBUhTGsEMQKyjPKudZaiYKnGSdUCJFRKSpKpLWaFZaVVChaitJyLYwiwmTZAl1tdeMeHyOEIW_rYKFpjINuDHnKJGURVxN6uYduutG7uF2ecpkyzqgmkSJbysbDgocq733dxstzSvLJ_nzf_thysRMeixbK34YfvyOQbIFg1vA39V_Bb6Vui9A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2572454190</pqid></control><display><type>article</type><title>Sacral electroacupuncture as a treatment for urge urinary incontinence: a prospective case series</title><source>SAGE</source><creator>Chen, Shan ; Wang, Siyou ; Xuan, Lihua ; Xu, Fu ; Lu, Hanti ; Lu, Jing</creator><creatorcontrib>Chen, Shan ; Wang, Siyou ; Xuan, Lihua ; Xu, Fu ; Lu, Hanti ; Lu, Jing</creatorcontrib><description>Objective:
To examine the impact of electroacupuncture (EA) at the ‘four sacral points’ on urge urinary incontinence (UUI).
Methods:
Twenty-five patients diagnosed with UUI or urgency-predominant mixed urinary incontinence (MUI) were treated by EA at the ‘four sacral points’. EA was performed in the sacrococcygeal region using disposable sterile 0.40-mm-diameter acupuncture needles that were either 100 or 125 mm in length. Treatments were delivered once every other day. Before and after treatment, a questionnaire measuring symptom severity and quality of life associated with UUI was administered.
Results:
The median total score (interquartile range) from the severity of symptoms and the quality of life questionnaire (Q-score) of the participants was significantly reduced from 12 (7.5, 15) before treatment to 3 (0, 6) after 6 (6, 12) EA treatments. The Q-score of urgency-predominant MUI and UUI was 8 (5, 14.5) and 12.5 (11, 15), respectively, before treatment; after treatment these were reduced to 2 (0, 7.5) and 4.5 (2, 6), respectively. There was no statistically significant difference in the Q-score between urgency-predominant MUI and UUI before and after treatment. Upon treatment completion, seven patients (28%) were ‘cured’ (improvement rate 100%). Treatments were considered ‘markedly effective’ (improvement rate 75% to <100%) in four patients (16%), ‘effective’ (improvement rate 50% to <75%) in eight patients (32%), ‘minimally effective’ (improvement rate 25% to <50%) in three patients (12%), and ‘ineffective’ (improvement rate <25%) in three patients (12%). The overall success rate (comprising ‘cured’, ‘markedly effective’ and ‘effective’ categories) was 76%, and no adverse effects associated with acupuncture treatment were reported.
Conclusion:
EA at the ‘four sacral points’ was associated with statistically significant improvements in UUI.</description><identifier>ISSN: 0964-5284</identifier><identifier>EISSN: 1759-9873</identifier><identifier>DOI: 10.1177/0964528420968846</identifier><identifier>PMID: 33334120</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acupuncture ; Acupuncture Points ; Aged ; Aged, 80 and over ; Electroacupuncture ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Quality of Life ; Questionnaires ; Sacrococcygeal Region - physiology ; Treatment Outcome ; Urinary incontinence ; Urinary Incontinence, Urge - physiopathology ; Urinary Incontinence, Urge - therapy ; Urination</subject><ispartof>Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2021-10, Vol.39 (5), p.522-528</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-fbaa4b60c615315599986b5235016663176f107cc94bc4d1681d6dc596a806a33</citedby><cites>FETCH-LOGICAL-c365t-fbaa4b60c615315599986b5235016663176f107cc94bc4d1681d6dc596a806a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924,79135</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33334120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Shan</creatorcontrib><creatorcontrib>Wang, Siyou</creatorcontrib><creatorcontrib>Xuan, Lihua</creatorcontrib><creatorcontrib>Xu, Fu</creatorcontrib><creatorcontrib>Lu, Hanti</creatorcontrib><creatorcontrib>Lu, Jing</creatorcontrib><title>Sacral electroacupuncture as a treatment for urge urinary incontinence: a prospective case series</title><title>Acupuncture in medicine : journal of the British Medical Acupuncture Society</title><addtitle>Acupunct Med</addtitle><description>Objective:
To examine the impact of electroacupuncture (EA) at the ‘four sacral points’ on urge urinary incontinence (UUI).
Methods:
Twenty-five patients diagnosed with UUI or urgency-predominant mixed urinary incontinence (MUI) were treated by EA at the ‘four sacral points’. EA was performed in the sacrococcygeal region using disposable sterile 0.40-mm-diameter acupuncture needles that were either 100 or 125 mm in length. Treatments were delivered once every other day. Before and after treatment, a questionnaire measuring symptom severity and quality of life associated with UUI was administered.
Results:
The median total score (interquartile range) from the severity of symptoms and the quality of life questionnaire (Q-score) of the participants was significantly reduced from 12 (7.5, 15) before treatment to 3 (0, 6) after 6 (6, 12) EA treatments. The Q-score of urgency-predominant MUI and UUI was 8 (5, 14.5) and 12.5 (11, 15), respectively, before treatment; after treatment these were reduced to 2 (0, 7.5) and 4.5 (2, 6), respectively. There was no statistically significant difference in the Q-score between urgency-predominant MUI and UUI before and after treatment. Upon treatment completion, seven patients (28%) were ‘cured’ (improvement rate 100%). Treatments were considered ‘markedly effective’ (improvement rate 75% to <100%) in four patients (16%), ‘effective’ (improvement rate 50% to <75%) in eight patients (32%), ‘minimally effective’ (improvement rate 25% to <50%) in three patients (12%), and ‘ineffective’ (improvement rate <25%) in three patients (12%). The overall success rate (comprising ‘cured’, ‘markedly effective’ and ‘effective’ categories) was 76%, and no adverse effects associated with acupuncture treatment were reported.
Conclusion:
EA at the ‘four sacral points’ was associated with statistically significant improvements in UUI.</description><subject>Acupuncture</subject><subject>Acupuncture Points</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Electroacupuncture</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Sacrococcygeal Region - physiology</subject><subject>Treatment Outcome</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence, Urge - physiopathology</subject><subject>Urinary Incontinence, Urge - therapy</subject><subject>Urination</subject><issn>0964-5284</issn><issn>1759-9873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LxDAQhoMo7rp69yQBL16qSZtPb7L4BQse1HNJ0-nSpU1r0gr-e1N2VVhwDpnAPPPOzIvQOSXXlEp5Q7RgPFUsjR-lmDhAcyq5TrSS2SGaT-Vkqs_QSQgbQoiSnB2jWRaD0ZTMkXk11psGQwN28J2xYz86O4wesAnY4MGDGVpwA646j0e_hvjUzvgvXDvbuaF24CzcRrT3XeijSv0J2JoAOICvIZyio8o0Ac52eYHeH-7flk_J6uXxeXm3Smwm-JBUhTGsEMQKyjPKudZaiYKnGSdUCJFRKSpKpLWaFZaVVChaitJyLYwiwmTZAl1tdeMeHyOEIW_rYKFpjINuDHnKJGURVxN6uYduutG7uF2ecpkyzqgmkSJbysbDgocq733dxstzSvLJ_nzf_thysRMeixbK34YfvyOQbIFg1vA39V_Bb6Vui9A</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Chen, Shan</creator><creator>Wang, Siyou</creator><creator>Xuan, Lihua</creator><creator>Xu, Fu</creator><creator>Lu, Hanti</creator><creator>Lu, Jing</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202110</creationdate><title>Sacral electroacupuncture as a treatment for urge urinary incontinence: a prospective case series</title><author>Chen, Shan ; Wang, Siyou ; Xuan, Lihua ; Xu, Fu ; Lu, Hanti ; Lu, Jing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-fbaa4b60c615315599986b5235016663176f107cc94bc4d1681d6dc596a806a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acupuncture</topic><topic>Acupuncture Points</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Electroacupuncture</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Sacrococcygeal Region - physiology</topic><topic>Treatment Outcome</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence, Urge - physiopathology</topic><topic>Urinary Incontinence, Urge - therapy</topic><topic>Urination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Shan</creatorcontrib><creatorcontrib>Wang, Siyou</creatorcontrib><creatorcontrib>Xuan, Lihua</creatorcontrib><creatorcontrib>Xu, Fu</creatorcontrib><creatorcontrib>Lu, Hanti</creatorcontrib><creatorcontrib>Lu, Jing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Shan</au><au>Wang, Siyou</au><au>Xuan, Lihua</au><au>Xu, Fu</au><au>Lu, Hanti</au><au>Lu, Jing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sacral electroacupuncture as a treatment for urge urinary incontinence: a prospective case series</atitle><jtitle>Acupuncture in medicine : journal of the British Medical Acupuncture Society</jtitle><addtitle>Acupunct Med</addtitle><date>2021-10</date><risdate>2021</risdate><volume>39</volume><issue>5</issue><spage>522</spage><epage>528</epage><pages>522-528</pages><issn>0964-5284</issn><eissn>1759-9873</eissn><abstract>Objective:
To examine the impact of electroacupuncture (EA) at the ‘four sacral points’ on urge urinary incontinence (UUI).
Methods:
Twenty-five patients diagnosed with UUI or urgency-predominant mixed urinary incontinence (MUI) were treated by EA at the ‘four sacral points’. EA was performed in the sacrococcygeal region using disposable sterile 0.40-mm-diameter acupuncture needles that were either 100 or 125 mm in length. Treatments were delivered once every other day. Before and after treatment, a questionnaire measuring symptom severity and quality of life associated with UUI was administered.
Results:
The median total score (interquartile range) from the severity of symptoms and the quality of life questionnaire (Q-score) of the participants was significantly reduced from 12 (7.5, 15) before treatment to 3 (0, 6) after 6 (6, 12) EA treatments. The Q-score of urgency-predominant MUI and UUI was 8 (5, 14.5) and 12.5 (11, 15), respectively, before treatment; after treatment these were reduced to 2 (0, 7.5) and 4.5 (2, 6), respectively. There was no statistically significant difference in the Q-score between urgency-predominant MUI and UUI before and after treatment. Upon treatment completion, seven patients (28%) were ‘cured’ (improvement rate 100%). Treatments were considered ‘markedly effective’ (improvement rate 75% to <100%) in four patients (16%), ‘effective’ (improvement rate 50% to <75%) in eight patients (32%), ‘minimally effective’ (improvement rate 25% to <50%) in three patients (12%), and ‘ineffective’ (improvement rate <25%) in three patients (12%). The overall success rate (comprising ‘cured’, ‘markedly effective’ and ‘effective’ categories) was 76%, and no adverse effects associated with acupuncture treatment were reported.
Conclusion:
EA at the ‘four sacral points’ was associated with statistically significant improvements in UUI.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>33334120</pmid><doi>10.1177/0964528420968846</doi><tpages>7</tpages></addata></record> |
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| ispartof | Acupuncture in medicine : journal of the British Medical Acupuncture Society, 2021-10, Vol.39 (5), p.522-528 |
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| source | SAGE |
| subjects | Acupuncture Acupuncture Points Aged Aged, 80 and over Electroacupuncture Female Humans Male Middle Aged Prospective Studies Quality of Life Questionnaires Sacrococcygeal Region - physiology Treatment Outcome Urinary incontinence Urinary Incontinence, Urge - physiopathology Urinary Incontinence, Urge - therapy Urination |
| title | Sacral electroacupuncture as a treatment for urge urinary incontinence: a prospective case series |
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