Acupuncture for treating overactive bladder in adults

Hargreaves, Emma; Baker, Katherine; Barry, Gill; Harding, Christopher; Zhang, Yingying; Kandala, Ngianga Bakwin; Clarkson, C.

doi:10.1002/14651858.cd013519

Cited by 4 publications

(2 citation statements)

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“… 36 OAB is a chronic disease mostly suffered by middle-aged and elderly females, and a longer treatment cycle should be developed according to TCM ideas. Hargreaves et al 37 considered that acupuncture for OAB was usually 1 session per week to achieve a course of 4–12 sessions, and acupuncture also has a continual therapeutic effect and may be more clinically relevant for long-term efficacy measurement. However, the current evidence in the literature remains inadequate concerning the specific duration of acupuncture treatment for OAB.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Wang¹,

Lei²

2023

IJGM

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Purpose Overactive bladder (OAB) syndrome is one of the most common diseases in urology and affects quality of life. Although the current treatment for OAB is based on oral medications, there are limitations and many patients have difficulty accepting drug-induced adverse effects. This review aimed to analyze the efficacy of acupuncture and its related mechanisms and provide a preliminary therapeutic regimen. Methods Two authors independently searched PubMed, Embase, and Cochrane Library up to April 2022. They searched related English literature and extracted the data under a standard form based on the search strategy. Clinical trials which included OAB women with the treatment of acupuncture were included. Common acupuncture alone without other pharmacotherapy, external treatments was in the treatment group. The control interventions may include any active treatments, sham placebo, or no establishment of a control group. Outcomes included 3-day or 24-hour voiding diary, overactive bladder symptom score, etc. The Cochrane risk of bias tool was also used to assess the methodological quality of the randomized controlled trials (RCTs). Results We analyzed five RCTs and one comparative study on acupuncture for OAB to review and discuss the acupoint location, treatment course, and retention time based on clinical evidence and treatment ideas in traditional Chinese medicine. Additionally, we used the available evidence to reveal and discuss the acupuncture mechanisms for OAB. Acupuncture may regulate bladder function by inhibiting C-fibers, modulating nerve growth factors and reducing spontaneous contractions of the detrusor muscle. Conclusion Combined with the available evidence, the combination of local acupoints and distal acupoints should be necessary to consider, especially the lumbosacral acupoints, the small abdomen acupoints and the lower limb acupoints. Among them, acupuncture at SP4, CV4 and KI3 are strongly recommended. The treatment course of acupuncture should be no less than 4 weeks and maintain the frequency of acupuncture no less than once a week. The duration of each session should be no less than 20 minutes. In addition, investigations remain necessary to verify acupuncture’s efficacy and precise mechanism for OAB treatment in further exploration.

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Section: Discussionmentioning

confidence: 99%

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Wang¹,

Lei²

2023

IJGM

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“…Studies have shown that BT and combination therapies (BT with pharmacological treatment or PFME with biofeedback) decrease the frequency, urgency, and nocturia in women with urinary symptoms. However, combination therapies are found to be more effective 26–28 …”

Section: Introductionmentioning

confidence: 99%

Bladder training and Kegel exercises on urinary symptoms in female patients with multiple sclerosis

ÖZEN

Polat

2023

Int J of Uro Nursing

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This study was designed to determine the effects of bladder training and Kegel exercises on urinary symptoms and the quality of life in female patients with multiple sclerosis. A pretest‐posttest quasi‐experimental study was conducted. The study was composed of 37 participants from two different hospitals in Turkey. The data collection tools included a Patient Information Form, Expanded Disability Status Scale, Multiple Sclerosis Quality of Life Scale‐54, King's Health Questionnaire, and a bladder diary. Participants were followed through phone consultation seven times during a 3 month period. The participants showed a significant improvement in both the physical and mental health of their quality of life scores compared to the baseline regarding the King's Health Questionnaire Scale, there was an increase in patients' general health perception compared to the baseline. There was reduction in the frequency, nocturia, urgency, and urinary incontinence compared to the baseline at much level of symptoms odds. In this sample, bladder training and Kegel exercises improved quality of life in female patients with MS. These techniques increased the patients'general health perception of their urinary symptoms.

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Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews

Todhunter‐Brown

Hazelton

Campbell

et al. 2022

Cochrane Database of Systematic Reviews

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Acupuncture for treating overactive bladder in adults

Abstract: This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the e ects of acupuncture for treating OAB in adults; and summarise the principal findings of relevant economic evaluations.

Cited by 4 publications

References 40 publications

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Acupuncture for Women with Overactive Bladder: Perspective of Traditional Chinese Medicine and Related Mechanism

Bladder training and Kegel exercises on urinary symptoms in female patients with multiple sclerosis

Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews

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