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http://dx.doi.org/10.13045/jar.2021.00241

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)
Publication Information
Journal of Acupuncture Research / v.39, no.1, 2022 , pp. 1-9 More about this Journal
Abstract
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.
Keywords
acupuncture; Korean traditional medicine; lower urinary tract symptoms;
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