Journal of Acupuncture Research

  • 제39권1호
  • /
  • Pages.1-9
  • /
  • 2022
  • /
  • 2586-288X(pISSN)
  • /
  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
권호 표지
DOI QR코드

DOI QR Code

Sacral Acupuncture for Lower Urinary Tract Symptoms: A Systematic Review of Randomized Controlled Trials

  • Park, Jiwon (Department of Acupuncture and Moxibustion Medicine, Jeonju Korean Medicine Hospital of Wonkwang University) ;
  • Chun, Se-Eun (Department of Internal Medicine, Jeonju Korean Medicine Hospital of Wonkwang University) ;
  • Park, Min-Cheol (Department of Ophthalmology, Otolaryngology and Dermatology, Iksan Korean Medicine Hospital of Wonkwang University) ;
  • Jo, Eun-Heui (Department of Acupuncture and Moxibustion Medicine, Jeonju Korean Medicine Hospital of Wonkwang University)
  • 투고 : 2021.10.05
  • 심사 : 2021.10.29
  • 발행 : 2022.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Lower urinary tract symptoms (LUTS) associated with storage, voiding, and post-micturition reduce quality of life and cause mental health problems. In traditional medicine, Baliao points have been empirically used to treat urinary system diseases. In this review, randomized controlled trials (RCTs) using sacral acupuncture on Baliao points with sham treatment, other remedies, or other acupoints were retrieved from 8 electronic databases up to June 2021. Sixteen RCTs met the inclusion criteria. The quality of the included studies was assessed using a risk-of-bias (ROB) tool. Most of the evaluation indicators used in the included RCTs showed that sacral acupuncture had a significant therapeutic effect compared with the sham control intervention groups, and other remedies. However, all studies using acupoints (other than the Baliao points) as a control intervention had a "high" ROB and only reported secondary processed information, making it difficult to evaluate the efficacy of sacral acupuncture treatment for LUTS. No serious adverse effects were reported for sacral acupuncture, and only a low number of minor side effects were observed. These results suggest that sacral acupuncture could be considered as an alternative to existing treatments, with the added benefit of low cost. Large-scale, long-term RCTs are required in the future.

키워드

과제정보

This research was supported by Wonkwang University's internal research fund in 2021.

참고문헌

  1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al. The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the International Continence Society. Urology 2003;61:37-49. https://doi.org/10.1016/S0090-4295(02)02243-4
  2. Jeong WS, Choi HY, Nam JW, Kim SA, Choi BY, Moon HS et al. Men With Severe Lower Urinary Tract Symptoms Are at Increased Risk of Depression. Int Neurourol J 2015;19:286-292. https://doi.org/10.5213/inj.2015.19.4.286
  3. Lee KS, Choo MS, Seo JT, Oh SJ, Kim HG, Ng K et al. Impact of overactive bladder on quality of life and resource use: Results from Korean Burden of Incontinence Study (KOBIS). Health Qual Life Outcomes 2015;13:89. https://doi.org/10.1186/s12955-015-0274-9
  4. Kim TH, Han DH, Ryu DS, Lee KS. The Impact of Lower Urinary Tract Symptoms on Quality of Life, Work Productivity, Depressive Symptoms, and Sexuality in Korean Men Aged 40 Years and Older: A Population-Based Survey. Int Neurourol J 2015;19:120-129. https://doi.org/10.5213/inj.2015.19.2.120
  5. Martin S, Vincent A, Taylor AW, Atlantis E, Jenkins A, Januszewski A et al. Lower Urinary Tract Symptoms, Depression, Anxiety and Systemic Inflammatory Factors in Men: A Population-Based Cohort Study. PLoS One 2015;10:e0137903. https://doi.org/10.1371/journal.pone.0137903
  6. Yoo TK, Lee KS, Sumarsono B, Kim ST, Kim HJ, Lee HC et al. The prevalence of lower urinary tract symptoms in population aged 40 years or over, in South Korea. Invest Clin Urol 2018;59:166-176. https://doi.org/10.4111/icu.2018.59.3.166
  7. Burgio KL, Locher JL, Goode PS, Hardin JM, McDowell BJ, Dombrowski M et al. Behavioral vs drug treatment for urge urinary incontinence in older women: A randomized controlled trial. Jama 1998;280:1995-2000. https://doi.org/10.1001/jama.280.23.1995
  8. Bo K, Kvarstein B, Nygaard I. Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstet Gynecol 2005;105:999-1005. https://doi.org/10.1097/01.AOG.0000157207.95680.6d
  9. Kelleher CJ, Cardozo LD, Khullar V, Salvatore S. A medium-term analysis of the subjective efficacy of treatment for women with detrusor instability and low bladder compliance. Br J Obstet Gynaecol 1997;104:988-993. https://doi.org/10.1111/j.1471-0528.1997.tb12054.x
  10. Chapple C, Sievert KD, MacDiarmid S, Khullar V, Radziszewski P, Nardo C et al. OnabotulinumtoxinA 100 U significantly improves all idiopathic overactive bladder symptoms and quality of life in patients with overactive bladder and urinary incontinence: A randomised, double-blind, placebo-controlled trial. Eur Urol 2013;64:249-256. https://doi.org/10.1016/j.eururo.2013.04.001
  11. Cruz F, Herschorn S, Aliotta P, Brin M, Thompson C, Lam W et al. Efficacy and safety of onabotulinumtoxinA in patients with urinary incontinence due to neurogenic detrusor overactivity: A randomised, double-blind, placebo-controlled trial. Eur Urol 2011;60:742-750. https://doi.org/10.1016/j.eururo.2011.07.002
  12. Anger JT, Weinberg A, Suttorp MJ, Litwin MS, Shekelle PG. Outcomes of intravesical botulinum toxin for idiopathic overactive bladder symptoms: A systematic review of the literature. J Urol 2010;183:2258-2264. https://doi.org/10.1016/j.juro.2010.02.009
  13. Brazzelli M, Murray A, Fraser C. Efficacy and safety of sacral nerve stimulation for urinary urge incontinence: A systematic review. J Urol 2006;175:835-841. https://doi.org/10.1016/S0022-5347(05)00326-5
  14. Lee HY, Min KY, Im JH, Cho IY, Kim SJ, Park YJ et al. A Clinical Study of 3 Cases of Patients who have Neurogenic Bladder wih Nocturia Treated by Electroacupuncture. J Int Korean Med 2008;29:161-167.
  15. Zhong D, Tang W, Geng D, He C. Efficacy and safety of acupuncture therapy for urinary incontinence in women: A systematic review and meta-analysis. Medicine (Baltimore) 2019;98:e17320. https://doi.org/10.1097/md.0000000000017320
  16. Mak TC, Chen HY, Cho WC. Acupuncture for overactive bladder in adults: A systematic review and meta-analysis. Acupunct Med 2019;37:321-331. https://doi.org/10.1136/acupmed-2017-011528
  17. Yang GF, Sun D, Wang XH, Chong L, Luo F, Fang CB. Effectiveness of rehabilitation training combined acupuncture for the treatment of neurogenic bladder secondary to spinal cord injury. Medicine (Baltimore) 2019;98:e17322. https://doi.org/10.1097/md.0000000000017322
  18. Zhang W, Ma L, Bauer BA, Liu Z, Lu Y. Acupuncture for benign prostatic hyperplasia: A systematic review and meta-analysis. PLoS One 2017;12:e0174586. https://doi.org/10.1371/journal.pone.0174586
  19. MacPherson H, Altman DG, Hammerschlag R, Youping L, Taixiang W, White A et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med 2010;7:e1000261. https://doi.org/10.1371/journal.pmed.1000261
  20. Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L et al. Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial. JAMA 2017;317:2493-2501. https://doi.org/10.1001/jama.2017.7220
  21. Xu H, Liu B, Wu J, Du R, Liu X, Yu J et al. A Pilot Randomized Placebo Controlled Trial of Electroacupuncture for Women with Pure Stress Urinary Incontinence. PLoS One 2016;11:e0150821. https://doi.org/10.1371/journal.pone.0150821
  22. He E, Chen Y, Tian H, Zhao J. Effective observation of electroacupuncture with different courses for female stress urinary incontinence. Zhongguo Zhen Jiu 2016;36:351-354.
  23. Tang KM, Shen R, Jiang F, Wang Q, Xie XB, Chen YL. Therapeutic Evaluation of Acupuncture for Female Stress Urinary Incontinence. Shang Hai Zhen Jiu Za Zhi 2016;35:1439-1441.
  24. Wang Y, Liu B, Yu J, Wu J, Wang J, Liu Z. Electroacupuncture for moderate and severe benign prostatic hyperplasia: A randomized controlled trial. PLoS One 2013;8:e59449. https://doi.org/10.1371/journal.pone.0059449
  25. Zhang J, Cheng W, Cai M. Effects of electroacupuncture on overactive bladder refractory to anticholinergics: A single-blind randomised controlled trial. Acupunct Med 2015;33:368-374. https://doi.org/10.1136/acupmed-2015-010770
  26. Gu XD, Wang J, Yu P, Li JH, Yao YH, Fu JM et al. Effects of electroacupuncture combined with clean intermittent catheterization on urinary retention after spinal cord injury: A single blind randomized controlled clinical trial. Int J Clin Exp Med 2015;8:19757-19763.
  27. Yuan H, Wei N, Li Y, Yu L, Zhang Y, Ong WL et al. Effect of Depth of Electroacupuncture on the IPSS of Patients with Benign Prostatic Hyperplasia. Evid Based Complement Alternat Med 2019;2019:1439141.
  28. Liu B, Liu Y, Qin Z, Zhou K, Xu H, He L et al. Electroacupuncture Versus Pelvic Floor Muscle Training Plus Solifenacin for Women With Mixed Urinary Incontinence: A Randomized Noninferiority Trial. Mayo Clin Proc 2019;94:54-65. https://doi.org/10.1016/j.mayocp.2018.07.021
  29. Wang S, Lv J, Feng X, Lv T. Eff icacy of Electrical Pudendal Nerve Stimulation versus Transvaginal Electrical Stimulation in Treating Female Idiopathic Urgency Urinary Incontinence. J Urol 2017;197:1496-1501. https://doi.org/10.1016/j.juro.2017.01.065
  30. Wang S, Lv J, Feng X, Wang G, Lv T. Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence. Urology 2016;91:64-69. https://doi.org/10.1016/j.urology.2016.02.027
  31. Yang T, Zhang XQ, Feng YW. Efficacy of electroacupuncture in treating 93 patients with benign prostatic hyperplasia. Zhongguo Zhong Xi Yi Jie He Za Zhi 2008;28:998-1000.
  32. Li T, Feng X, Lv J, Cai T, Wang S. Short-term Clinical Efficacy of Electric Pudendal Nerve Stimulation on Neurogenic Lower Urinary Tract Disease: A Pilot Research. Urology 2018;112:69-73. https://doi.org/10.1016/j.urology.2017.10.047
  33. Liu ZH, Shao SJ, Ye YM, Li YS, Huang M, Zhang H et al. Analysis of the curative effect of electro-acupuncture at Ciliao and Huiyang points to treat senile urinary incontinence. Shanghai Zhenjiu Zazhi 1998;17:14-15.
  34. Zhang W, Xu N, Dong Y. Elongated-Needle Treatment of Urinary Incontinence Caused by Apoplexy. World J Acupunct Moxibustion 1996;6:33-35.
  35. Feng QT, He B, Chen XL, Li RH. Clinical observation of different acupuncture methods for treating overactive bladder syndrome. Xin Zhongyi 2014;46:188-190.
  36. Li LF, Ka-Kit Leung G, Lui WM. Sacral Nerve Stimulation for Neurogenic Bladder. World Neurosurg 2016;90:236-243. https://doi.org/10.1016/j.wneu.2016.02.108
  37. Kessler TM, Fowler CJ. Sacral neuromodulation for urinary retention. Nat Clin Pract Urol 2008;5:657-666. https://doi.org/10.1038/ncpuro1251
  38. Elkelini MS, Abuzgaya A, Hassouna MM. Mechanisms of action of sacral neuromodulation. Int Urogynecol J 2010;21 Suppl 2:S439-446.
  39. Yoshimura N. Bladder afferent pathway and spinal cord injury: Possible mechanisms inducing hyperreflexia of the urinary bladder. Prog Neurobiol 1999;57:583-606. https://doi.org/10.1016/S0301-0082(98)00070-7
  40. Wang Y, Hassouna MM. Neuromodulation reduces c-fos gene expression in spinalized rats: a double-blind randomized study. J Urol 2000;163:1966-1970. https://doi.org/10.1016/S0022-5347(05)67611-2
  41. Leng WW, Chancellor MB. How sacral nerve stimulation neuromodulation works. Urol Clin North Am 2005;32:11-18. https://doi.org/10.1016/j.ucl.2004.09.004
  42. Aboseif S, Tamaddon K, Chalfin S, Freedman S, Mourad MS, Chang JH et al. Sacral neuromodulation in functional urinary retention: An effective way to restore voiding. BJU Int 2002;90:662-665. https://doi.org/10.1046/j.1464-410X.2002.02989.x
  43. Bosch JL. Electrical neuromodulatory therapy in female voiding dysfunction. BJU Int 2006;98 Suppl 1:43-48; discussion 9. https://doi.org/10.1111/j.1464-410X.2006.06316.x
  44. Groen J, Amiel C, Bosch JL. Chronic pudendal nerve neuromodulation in women with idiopathic refractory detrusor overactivity incontinence: Results of a pilot study with a novel minimally invasive implantable mini-stimulator. Neurourol Urodyn 2005;24:226-230. https://doi.org/10.1002/nau.20131
  45. Wang S, Zhang S, Zhao L. Long-term efficacy of electrical pudendal nerve stimulation for urgency-frequency syndrome in women. Int Urogynecol J 2014;25:397-402. https://doi.org/10.1007/s00192-013-2223-7
  46. Vaganee D FE, Voorham J, Van de Borne S, Voorham-van der Zalm P, De Wachter S. Behind the scenes: An electromyographic interpretation of the pelvic floor contractions seen by the naked eye upon stimulation in sacral neuromodulation patients. Neurourol Urodyn 2019;38:S446-449.
  47. De Wachter S, Vaganee D, Kessler TM. Sacral Neuromodulation: Mechanism of Action. Eur Urol Focus 2020;6:823-825. https://doi.org/10.1016/j.euf.2019.11.018
  48. Wang S, Zhang S. Simultaneous perineal ultrasound and vaginal pressure measurement prove the action of electrical pudendal nerve stimulation in treating female stress incontinence. BJU Int 2012;110:1338-1343. https://doi.org/10.1111/j.1464-410X.2012.11029.x