Efficacy of acupuncture combined with intermittent catheterisation in the treatment of urinary retention after radical cervical cancer surgery:a single-arm retrospective study
10.3969/j.issn.1672-8467.2025.05.010
- VernacularTitle:针刺联合间歇性导尿治疗宫颈癌根治术后尿潴留的疗效分析:一项单臂回顾性研究
- Author:
Ya-lin YUE
1
;
Jing ZHU
1
;
Yi-sheng WANG
1
;
Jing LI
1
;
Yun WANG
1
;
Qi CAO
1
;
Zhi-ling ZHU
1
Author Information
1. 复旦大学附属妇产科医院中西医结合妇科 上海 200011
- Publication Type:Journal Article
- Keywords:
acupuncture;
intermittent catheterisation;
radical cervical cancer surgery;
urinary retention
- From:
Fudan University Journal of Medical Sciences
2025;52(5):694-700
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the clinical efficacy and safety of acupuncture combined with intermittent catheterisation in treating postoperative urinary retention after radical surgery for cervical cancer,and provide reference for the clinical treatment of postoperative urinary retention.Methods A retrospective analysis was conducted based on the clinical data of patients who underwent radical hysterectomy for cervical cancer at Obstetrics and Gynecology Hospital,Fudan University,from Sept 2019 to Dec 2021 and subsequently developed urinary retention.The patients were treated with a combination of acupuncture and intermittent catheterization.We observed residual urine volume,duration of acupuncture treatment,and urinary tract infection status to evaluate the effectiveness and safety of the acupuncture combined with intermittent catheterization regimen.We examined the relationship between treatment duration and various factors such as age,pathological type,surgical-pathological staging,surgical method,pre-treatment catheter indwelling time,pre-treatment residual urine volume,presence or absence of postoperative radiotherapy and chemotherapy,pre-existing urinary tract infection,and whether ureteral stenting was performed,in order to analyze the factors affecting the treatment duration.Results A total of 156 patients were reviewed.After treatment,132 cases had a post-treatment residual urine volume<100 mL,7 cases had a volume of 100-200 mL,and 15 cases had a volume>200 mL.Two cases still had great difficulty in urination after treatment,resulting in an overall effectiveness rate of 89.1%.No significant adverse events occurred in the patients.The treatment duration ranged from 2 to 17 days,with an average treatment time of 6.2 days.The treatment duration was a correlated with the preoperative indwelling catheter duration,residual urine volume and postoperative radiotherapy.Conclusion Acupuncture combined with intermittent catheterisation in treating urinary retention after radical surgery for cervical cancer has good efficacy,short treatment time and no obvious adverse effects,and can be an option for treating postoperative urinary retention.
