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A Review of Acupuncture Treatment Methods for Urinary incontinence and Overactive bladder in Postmenopausal Women

폐경 후 여성 요실금과 과민성 방광의 침 치료법에 대한 고찰

  • Cho, Se-In (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Kim, Dong-Il (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Choi, Su-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 조세인 (동국대학교 한의과대학 부인과교실) ;
  • 김동일 (동국대학교 한의과대학 부인과교실) ;
  • 최수지 (동국대학교 한의과대학 부인과교실)
  • Received : 2022.10.13
  • Accepted : 2022.11.25
  • Published : 2022.11.25

Abstract

Objectives: The purpose of this study is to review the acupuncture treatment Urinary incontinence (UI) and Overactive bladder (OAB) in postmenopausal women. Methods: We searched articles in 8 search engines with keywords related to 'Overactive bladder', 'Urinary incontinence' and 'Menopause' in July 2022. Randomized Controlled Trials (RCT) that used acupuncture on Urinary incontinence (UI) and Overactive bladder (OAB) after menopause were included. Animal studies and non RCT data were excluded. Data on acupuncture treatment such as methods, site, duration, frequency, and period were analyzed. Also, network analysis between acupoints was conducted. Results: 15 articles were selected and analyzed. Studies were conducted using manual acupuncture, electroacupuncture, pharmacopuncture and fire acupuncture. Most studies used more than one acupoint, and there were 32 acupoints selected for acupuncture treatment for UI and OAB after menopause. The most commonly used acupoint was 中極 (CV3) (n=8). In terms of the correlation of acupoints, 太谿 (KI3) had the highest value of degree centrality at 0.75. The mean treatment time, number of treatments, and duration were 26.42±6.10 minutes, 18.71±9.09 times, and 6.87±4.77 weeks. Conclusions: The results of this study could be useful in establishing the evidence for performing standardized acupuncture treatment for Urinary incontinence and Overactive bladder in postmenopausal women.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number : HF22C0103)

References

  1. Shin JH, Diagnosis and Treatment of Urinary Incontinence in Female Patients. Korean Journal of Family Practice. 2022;12(4):217-22. https://doi.org/10.21215/kjfp.2022.12.4.217
  2. Hillard T, The postmenopausal bladder. Menopause Int. 2010;16(2):74-80. https://doi.org/10.1258/mi.2010.010020
  3. Zhao Y, et al. Acupuncture for adults with overactive bladder: a systematic review and meta-analysis of randomized controlled trials. Medicine. 2018;97(8):e9838. https://doi.org/10.1097/md.0000000000009838
  4. Wang W, et al. Electroacupuncture for postmenopausal women with stress urinary incontinence: secondary analysis of a randomized controlled trial. World J Urol. 2019;37(7):1421-7. https://doi.org/10.1007/s00345-018-2521-2
  5. The society of Korean medicine obstetrics and gynecology. Korean medicine obstetrics and gynecology. Seoul:Euiseongdang. 2012:876-57.
  6. Ha SJ, et al. Electroacupuncture for Women with Overactive Bladder: A Systematic Review and Meta-analysis of Randomized Controlled Trials. The Journal of Korean Obstetrics and Gynecology. 2020;33(3):1-19. https://doi.org/10.15204/JKOBGY.2020.33.3.001
  7. Hwang YK, Kim WI. Three Cases of Severe Female Urination Disorder Treated with HongYi Pharmacopuncture. 2018;39(1):69-75.
  8. Li S. Clinical observation of combined acupuncture and medicine in the treatment of perimenopausal stress urinary incontinence of kidney-yang deficiency type, Graduate School, Heilongjiang University of Chinese Medicine. 2018.
  9. Wang Q, et al. Clinical observation on the treatment of perimenopausal women with stress urinary incontinence by herbal cake-partitioned moxibustion combined with acupuncture at Bliao point. Hubei Journal of Traditional Chinese Medicine. 2020;42(11):16-20.
  10. Wang HJ, et al. Acupuncture of "Zhibian (BL 54) through Shuidao (ST 28)" for female stress urinary incontinence: a randomized controlled trial. Zhongguo Zhen Jiu. 2020;40(10):1061-4.
  11. Ye D. Clinical research on treatment of stress urinary incontinence in postmenopausal women with scalp and body acupuncture, Graduate School, Changchun University of Traditional Chinese Medicine. 2013.
  12. Su JF. Clinical observation on perimenopausal urethral syndrome of yin deficiency and damp-heat type combined with acupuncture and medicine, Graduate School, Heilongjiang University of Traditional Chinese Medicine. 2017.
  13. Chen SL, Zhao SL, Chen QX. Curative effect of combined use of acupuncture and medicine in the treatment of postmenopausal overactive bladder and its effect on the level of urinary nerve growth factor. Shanghai Journal of Acupuncture and Moxibustion. 2019;38(10):1150-3.
  14. Shi L. An open, randomized, controlled clinical trial to evaluate the effects of acupuncture and cupping in the treatment for postmenopausal women with stress urinary incontinence. ChiCtr. 2021. Available from:URL:https://trialsearchwhoint/Trial2aspx?TrialID=ChiCTR2100047328. 100047328
  15. Heba Mohamed Aly Embaby, Cairo University. Laser Acupuncture and Pelvic Floor Training on Stress Urinary Incontinence Postmenopausal. ClinicalTrials.gov. 2021. Available from:URL:https://clinicaltrials.gov/ct2/show/NCT04959084.
  16. Nam EY, et al. Efficacy and Safety of Electroacupuncture and Acupuncture in Postmenopausal Women with Overactive Bladder: a Pilot Study of Randomized Clinical Controlled Trial. The Journal of Korean obstetrics & gynecology. 2018;31(1):84-98. https://doi.org/10.15204/JKOBGY.2018.31.1.084
  17. Nam EY, et al. Electroacupuncture to treat with Overactive Bladder in Postmenopausal Women: Study protocol for a multicenter, randomized, controlled, parallel clinical trial. Trials. 2018;19(1):493. https://doi.org/10.1186/s13063-018-2715-3
  18. Liu LM, et al. TCM syndrome differentiation and nursing combined with electroacupuncture on the curative effect of stress urinary incontinence in perimenopausal women and the effect of TGF-β1 and CTGF expression. Sichuan Traditional Chinese Medicine. 2020;38(11):203-6.
  19. Gu YM, et al. Clinical study of electro-acupuncture and traditional Chinese medicine combined with pelvic floor muscle training in the treatment of stress urinary incontinence in perimenopausal women. Chinese Clinical Pharmacology and Therapeutics. 2019;24(04):464-70.
  20. Xiong Z, et al. Effect of electroacupuncture in pre- and postmenopausal women with stress urinary incontinence: A subgroup analysis of two randomised clinical trials. International Journal of Clinical Practice. 2020;74(12):13631.
  21. Peng YY, et al. Treatment of Menopausal Syndrome by Combined Electroacupuncture, Acupoint-injection and Fire-needle Therapies. Zhen ci yan jiu Acupuncture research. 2018;43(4):260-2.
  22. Zhang BJ. Acupuncture four flowers combined with moxibustion Yongquan in the treatment of perimenopausal syndrome, Graduate School, Guangzhou University of Traditional Chinese Medicine. 2015.
  23. Haylen BT, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. https://doi.org/10.1002/nau.20798
  24. Goforth J, Langaker M. Urinary Incontinence in Women. North Carolina Medical Journal. 2016;77(6):423-5. https://doi.org/10.18043/ncm.77.6.423
  25. Lee HS, Seo JT. Urinary incontinence and overactive bladder. Journal of the Korean Medical Association. 2015;58(10):886-91. https://doi.org/10.5124/jkma.2015.58.10.886
  26. Park CH, Neurologic Study of SP6 (Sanyinjiao, 三陰交) Acupuncture on Bladder parasympathetic Nerve, Tibial Nerve and Blood Pressure in Rats. The journal of Korean Acupuncture & Moxibustion Society. 2002;19(1):175-88.
  27. Paik SH, et al. Acupuncture for the treatment of urinary incontinence: A review of randomized controlled trials. Exp Ther Med. 2013;6(3):773-80. https://doi.org/10.3892/etm.2013.1210
  28. Kim DI et al. Korean Medicine Clinical Practice Guideline of Climacteric Syndrome and Postmenopausal Syndrome. The Society of Korean Medicine Obstetrics and Gynecology. Paju:Koonja Publishing Inc. 2021:153-7.
  29. Freeman LC. Centrality in social networks conceptual clarification. Social networks. 1978;1(3):215-39. https://doi.org/10.1016/0378-8733(78)90021-7
  30. Kim KT, et al. The Study on the Effect of Electroacupuncture at Ciliao (BL32) on Voiding Pattern and Uroflowmetry in the Patients with Functional Voiding Disease. The Journal Of Korean Acupuncture & Moxibustion Medicine Society. 2006;23(4):101-13.