Clinical observation on electroacupuncture at "four points of sacral region" on moderate to severe stress urinary incontinence after radical prostatectomy.
10.13703/j.0255-2930.20220720-k0006
- Author:
Ting-Ting CHU
1
,
2
;
Ming GAO
3
;
Si-You WANG
4
;
Jian-Wei LV
5
Author Information
1. College of Acupuncture-Moxibustion and Tuina, Shanghai University of TCM, Shanghai 201203, China
2. Department of TCM, Xinzhuang Community Health Service Center of Minhang District, Shanghai 201199.
3. College of Acupuncture-Moxibustion and Tuina, Shanghai University of TCM, Shanghai 201203, China.
4. Shanghai Research Institute of Acupuncture and Meridian.
5. Shanghai Pudong New Area Gong-Li Hospital.
- Publication Type:Journal Article
- Keywords:
Erbium laser;
clinical efficacy;
electroacupuncture;
four points of sacral region;
moderate to severe stress urinary incontinence;
radical prostatectomy
- MeSH:
Male;
Humans;
Quality of Life;
Urinary Incontinence, Stress/therapy*;
Sacrococcygeal Region;
Electroacupuncture;
Erbium;
Prostatectomy/adverse effects*
- From:
Chinese Acupuncture & Moxibustion
2023;43(7):756-761
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical therapeutic effect between electroacupuncture at "four points of sacral region" and transurethral Erbium laser in treatment of moderate to severe stress urinary incontinence after radical prostatectomy.
METHODS:A total of 68 patients of moderate to severe stress urinary incontinence after radical prostatectomy were divided into an electroacupuncture group (34 cases) and an Erbium laser group (34 cases, 3 cases dropped off) according to the settings. In the electroacupuncture group, electroacupuncture was applied at "four points of sacral region", i.e. points of 0.5 cun beside bilateral sacrococcygeal joints and bilateral Huiyang (BL 35), with continuous wave, 2 Hz in frequency, 60 min each time, once every other day, 3 times a week, 12 times as one course of treatment. In the Erbium laser group, transurethral Erbium laser technology was given, once every 4 weeks as one course of treatment. Both groups were treated for 5 courses. The scores of the International Consultation on Incontinence questionnaire-short form (ICI-Q-SF) and the incontinence quality of life questionnaire (I-QOL) were observed before treatment, after each course of treatment and in follow-up after 1 and 2 months of treatment completion, respectively, and the clinical efficacy was evaluated after treatment in the two groups.
RESULTS:Compared with those before treatment, the ICI-Q-SF scores were decreased while the I-QOL scores were increased after 5 courses of treatment and in follow-up after 1, 2 months of treatment completion in the two groups (P<0.01). The ICI-Q-SF score in follow-up after 2 months of treatment completion were higher than that after 5 courses of treatment in the Erbium laser group (P<0.05). After 3, 4, 5 courses of treatment and in follow-up after 1 and 2 months of treatment completion, the ICI-Q-SF scores in the electroacupuncture group were lower than those in the Erbium laser group (P<0.05, P<0.01); after 2, 3, 4, 5 courses of treatment and in follow-up after 1 and 2 months of treatment completion, the I-QOL scores in the electroacupuncture group were higher than those in the Erbium laser group (P<0.01). The change ranges of ICI-Q-SF score and I-QOL score between before treatment and after each course of treatment in the electroacupuncture group were lager than those in the Erbium laser group (P<0.01, P<0.05). The total effective rate was 61.8% (21/34) in the electroacupuncture group, which was superior to 19.4 (6/31) in the Erbium laser group (P<0.01).
CONCLUSION:Both electroacupuncture at "four points of sacral region" and transurethral Erbium laser can improve the clinical symptoms and the quality of life in patients of moderate to severe stress urinary incontinence after radical prostatectomy. The short-term efficacy and long-term efficacy of electroacupuncture are superior to the Erbium laser technology.
