Acupuncture reflexotherapy in the treatment of sensory urgency that persists after transurethral resection of the prostate: A preliminary report

Ricci, Luigi; Minardi, Daniele; Romoli, Marco; Galosi, Andrea Benedetto; Muzzonigro, Giovanni

doi:10.1002/nau.10105

Cited by 19 publications

(68 citation statements)

References 12 publications

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“…For example, two RCTs ( 8 , 9 ) have shown that the relief of migraine headache lasted 1 year after acupuncture treatment—thousands of times longer than the physiological half life of endorphin ( 47 ) and other common neurotransmitters. Similar long-term benefits of acupuncture have been shown by RCTs on the treatment of shoulder pain ( 48 ), chronic low back pain ( 49 , 50 ), primary dysmenorrhea ( 51 ), spinal cord injuries ( 42 ), urinary urgency ( 41 ) and osteoarthritis ( 5 , 52 , 53 ). This long lasting effect is almost non-existent in conventional therapy using transient mild peripheral nerve stimulation.…”

Section: Modern Biological Models Of Acupuncturesupporting

confidence: 64%

“…According to the WHO, 43 auricular points have proven therapeutic value ( 2 ) which consist of more than 10% of the acupuncture points of the entire human body. Numerous RCTs have demonstrated the efficacy of auricular acupuncture ( 38–43 ) while some results are mixed ( 12 ). The non-specific activation of acupuncture points: Therapeutic effect of acupuncture has been achieved by a variety of stimuli ( 1 , 10 ) including needling, injection of non-specific chemicals, electricity, temperature variation, laser and pressure.…”

Section: Modern Biological Models Of Acupuncturementioning

confidence: 99%

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Prospective Tests on Biological Models of Acupuncture

Shang

2007

Evidence-Based Complementary and Alternative Medicine

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The biological effects of acupuncture include the regulation of a variety of neurohumoral factors and growth control factors. In science, models or hypotheses with confirmed predictions are considered more convincing than models solely based on retrospective explanations. Literature review showed that two biological models of acupuncture have been prospectively tested with independently confirmed predictions: The neurophysiology model on the long-term effects of acupuncture emphasizes the trophic and anti-inflammatory effects of acupuncture. Its prediction on the peripheral effect of endorphin in acupuncture has been confirmed. The growth control model encompasses the neurophysiology model and suggests that a macroscopic growth control system originates from a network of organizers in embryogenesis. The activity of the growth control system is important in the formation, maintenance and regulation of all the physiological systems. Several phenomena of acupuncture such as the distribution of auricular acupuncture points, the long-term effects of acupuncture and the effect of multimodal non-specific stimulation at acupuncture points are consistent with the growth control model. The following predictions of the growth control model have been independently confirmed by research results in both acupuncture and conventional biomedical sciences: (i) Acupuncture has extensive growth control effects. (ii) Singular point and separatrix exist in morphogenesis. (iii) Organizers have high electric conductance, high current density and high density of gap junctions. (iv) A high density of gap junctions is distributed as separatrices or boundaries at body surface after early embryogenesis. (v) Many acupuncture points are located at transition points or boundaries between different body domains or muscles, coinciding with the connective tissue planes. (vi) Some morphogens and organizers continue to function after embryogenesis. Current acupuncture research suggests a convergence of the neurophysiology model, the connective tissue model and the growth control model. The growth control model of acupuncture set the first example of a biological model in integrative medicine with significant prediction power.

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Section: Modern Biological Models Of Acupuncturesupporting

confidence: 64%

Section: Modern Biological Models Of Acupuncturementioning

confidence: 99%

Prospective Tests on Biological Models of Acupuncture

Shang

2007

Evidence-Based Complementary and Alternative Medicine

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“…Acupuncture or electrical stimulation may increase the production of endorphins and analgesic effects to generate a neuromodulation to decrease the high tone of the pelvic floor which is induced by bladder dysfunction [43]. The reflexotherapy of EA can improve sensory urgency in BPH patients with transurethral resection [44]. To sum up, EA increase the voiding volume, Qave, and Qmax of BPH patients with LUTS, possibly through many pathways.…”

Section: Discussionmentioning

confidence: 99%

“…Acupuncture apply to CV1 (Huiyin), Guanyuan, Sanyinjiao and SP9 (Yinlingquan) 2 weekly sessions for 10 weeks may improve chronic prostatitis/chronic pelvis pain symptoms of adult men [41]. Electrostimulation of Huiyin, CV2 (Qugu), CV4, CV5 (Shimen), BL21 (Weishu), BL23 (Shenshu), BL32 (Ciliao), and auricular points of prostate and external genitalia also can improve LUTS in patients with transurethral resection of the prostate [44]. …”

Section: Discussionmentioning

confidence: 99%

Effects of Electroacupuncture on Benign Prostate Hyperplasia Patients with Lower Urinary Tract Symptoms: A Single‐Blinded, Randomized Controlled Trial

Shen

Chen

et al. 2011

Evidence-Based Complementary and Alternative Medicine

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We tested the effect of electroacupuncture (EA) on lower urinary tract symptoms (LUTS) in benign prostatic hyperplasia (BPH) patients. A total of 42 BPH patients with LUTS were randomly assigned to either the EA group (EG), received 2 Hz EA for 20 min twice/week for a total of twelve treatments, or a sham EA group (CG), received sham EA. The increase of voiding volume, average flow rate, and maximal flow rate in the EG were 32.2 ± 104.4 mL, 1.2 ± 1.6 mL/sec, and 2.3 ± 3.7 mL/sec, respectively, from baseline value (before EA) using the measurement of an uroflowmetry. These increases were greater than −37.9 ± 120.4, −0.22 ± 2.7, and −0.3 ± 4.3, respectively, in the CG (P = .038, .026, and .030, resp.). The changes of prostate special antigen and international prostatic symptom score were not significantly different between two groups (P = .573, .175, resp.), suggesting the clinical improvement of 2 Hz EA was quite limited to the LUTS of patients with BPH.

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“…The effects of acupuncture on LUTS were well documented in Chinese medicine textbooks and are well-supported by modern research studies [6]. Ricci et al [7] found that electroacupuncture (EA) had better effects in decreasing number of voiding times of urinary urgency that persisted after transurethral resection of the prostate. Kubista et al [8] found that EA could significantly increase the closing pressure in women with stress incontinence as compared with placebo, and Philp et al [9] found that acupuncture increased the bladder capacity in patients with bladder instability.…”

Section: Introductionmentioning

confidence: 97%

Electroacupuncture for Moderate and Severe Benign Prostatic Hyperplasia: A Randomized Controlled Trial

Wang

Liu

et al. 2013

PLoS ONE

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PurposeTo evaluate the effects of electroacupuncture (EA) on the International Prostate Symptom Score (IPSS), postvoid residual urine (PVR), and maximum urinary flow rate (Qmax), and explore the difference between EA at acupoints and non-acupoints in patients with moderate to severe benign prostate hyperplasia (BPH).Subjects and MethodsMen with BPH and IPSS ≥8 were enrolled. Participants were randomly allocated to receive EA at acupoint (treatment group, n = 50) and EA at non-acupoint (control group, n = 50). The primary outcome measure includes the change of IPSS at the 6th week and the secondary outcome measures include changes of PVR and Qmax at the 6th week and change of IPSS at the 18th week.Results100/192 patients were included. At the 6th week, treatment group patients had a 4.51 (p<0.001) and 4.12 (p<0.001) points greater decline in IPSS than the control group in the intention to treat (ITT) and per-protocol (PP) populations. At the 18th week, a 3.2 points (p = 0.001) greater decline was found in IPSS for the treatment. No significant differences were found between the two groups in Qmax at the 6th week (p = 0.819). No significant difference was observed in PVR (P = 0.35).ConclusionAcupoint EA at BL 33 had better effects on IPSS, but no difference on PVR and Qmax as compared with non-acupoint EA. The results indicate that EA is effective in improving patient's quality of life and acupoint may have better therapeutic effects than non-acupoints in acupuncture treatments of BPH.Trial RegistrationClinicalTrials.gov NCT01218243.

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Acupuncture reflexotherapy in the treatment of sensory urgency that persists after transurethral resection of the prostate: A preliminary report

Abstract: This study has pointed out that acupuncture reflexotherapy has a real benefit in patients with sensory urgency that persists after transurethral resection of the prostate.

Cited by 19 publications

References 12 publications

Prospective Tests on Biological Models of Acupuncture

Prospective Tests on Biological Models of Acupuncture

Effects of Electroacupuncture on Benign Prostate Hyperplasia Patients with Lower Urinary Tract Symptoms: A Single‐Blinded, Randomized Controlled Trial

Electroacupuncture for Moderate and Severe Benign Prostatic Hyperplasia: A Randomized Controlled Trial

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