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A Review of Research on Electroacupuncture for Female Stress Urinary Incontinence

여성 복압성 요실금에 대한 전침치료 연구 동향

  • Park, Eo-Jin (Dept. of Korean Medicine Obstetrics & Gynecology, Chung-Yeon Korean Medicine Hospital) ;
  • Jo, Hyun-Jeong (Dept. of Korean Medicine Obstetrics & Gynecology, Chung-Yeon Korean Medicine Hospital) ;
  • Jo, Hee-Guen (Chung-Yeon Medical Institute)
  • Received : 2017.10.27
  • Accepted : 2017.11.17
  • Published : 2017.11.24

Abstract

Objectives: The aim of this study is to establish a base for further research by reviewing studies on electroacupuncture (EA) for stress urinary incontinence (SUI). Methods: Clinical studies concerning the effects of EA for SUI, were obtained from Cochrane Library, PubMed, CNKI, RISS, NDSL, KISS and OASIS. Results: Forty-five studies met the criteria, which included 33 RCTs, 1 pilot RCT, 4 non-randomized Clinical Trials, 6 Case studies and 1 Orthogonal design study with 3638 patients. There was only one article published in Korea. In these study, the most common primary outcome measurement was the pad test. Most of the studies showed the group treated by EA effects compared to the control group. Also, many interventions that combined with EA were found and all complex therapy group had significantly better than control group. 7 studies observed adverse events (AEs), four of which referred to EA related AEs among them. And 4 studies reported no AEs associated with EA. Conclusions: Despite several limitations, various studies to prove limited yet effective EA on SUI provides much significance. Subsequent studies conducted by the complementary systematic review of the studies and well-designed clinical trials using the methodological quality will be needed to more firmly validate the therapeutic effect of EA on SUI.

Keywords

References

  1. Novara G, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol. 2010;58(2):218-38. https://doi.org/10.1016/j.eururo.2010.04.022
  2. 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
  3. Reynolds WS, Dmochowski RR, Penson DF. Epidemiology of stress urinary incontinence in women. Curr Urol Rep. 2011;12(5):370-6. https://doi.org/10.1007/s11934-011-0206-0
  4. Wood LN, Anger JT. Urinary incontinence in women. BMJ. 2014;349:1-11.
  5. Dumoulin C, Hay-Smith E, Mac Habee -Seguin G. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2014;(5):CD005654.
  6. Labrie J, et al. Surgery versus physiotherapy for stress urinary incontinence. N Engl J Med. 2013; 369(12):1124-33. https://doi.org/10.1056/NEJMoa1210627
  7. Imamura M, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess. 2010;14(40):1-188, iii-iv. https://doi.org/10.3310/hta14400
  8. Dmochowski RR, et al. Update of AUA guideline on the surgical management of female stress urinary incontinence. J Urol. 2010;183(5):1906-14. https://doi.org/10.1016/j.juro.2010.02.2369
  9. Chung IM, et al. Effects of acupuncture on abdominal leak point pressure and c-Fos expression in the brain of rats with stress urinary incontinence. Neurosci Lett. 2008;439(1):18-23. https://doi.org/10.1016/j.neulet.2008.04.100
  10. Liu Z, et al. Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial. JAMA. 2017;317(24):2493-501. https://doi.org/10.1001/jama.2017.7220
  11. Wang Y, et al. Acupuncture for stress urinary incontinence in adults. Cochrane Database Syst Rev. 2013;(7):CD009408.
  12. Hou W, et al. Preventive and Therapeutic Effects of Electroacupuncture in Treating Mild-moderate Female Stress Urinary Incontinence. Shanghai Journal of Acupuncture and Moxibustion. 2017; 36(8):956-9.
  13. Lin L. 20 cases of female stress incontinence treatmented by moxibustion Yongquan combined with electroacupuncture. Fujian Journal of Traditional Chinese Medicine. 2017;48(3):66.
  14. Yang S, et al. Effect of nursing interventions combined with electrical acupuncture on the treatment for community female stress urinary incontinence. Lingnan Modern Clinics in Surgery. 2017;17(4):500-3
  15. Yu C, Zhang D, Chen C. Treatment of Female Stress Urinary Incontinence by Electroacupuncture Combined with Pelvic Floor Muscle Training: A Clinical Observation of 38 Cases. Jiangsu Journal of Traditional Chinese Medicine. 2017;(6):51-3.
  16. Tang K, et al. Therapeutic Evaluation of Acupuncture for Female Stress Urinary Incontinence. Shanghai Journal of Acupuncture and Moxibustion. 2016;35(12):1439-41.
  17. Xu H, et al. A Pilot Randomized Placebo Controlled Trial of Electroacupuncture for Women with Pure Stress Urinary Incontinence. PLoS One. 2016;11(3) :e0150821. https://doi.org/10.1371/journal.pone.0150821
  18. Tao L, Lu J, Leng W. Orthogonal Design Study on the Best Indications of Electric Acupuncture for Female Stress Urinary Incontinence. Journal of Traditional Chinese Medicine. 2016;57(10):843-6.
  19. Liu X, et al. Efficacy Observation of Electro-acupuncturing at Zhongliao (BL33) and Huiyang(BL35) on Female Stress Urinary Incontinence. Chinese Journal of Basic Medicine In Traditional Chinese Medicine. 2016;(7):955-7.
  20. Hong L, Zhao J. Clinical observation of electro-acupuncture on pudendal nerve stimulation therapy in stress urinary incontinence patients. China Journal of Traditional Chinese Medicine and Pharmacy. 2016;31(7):2857-60.
  21. Wang S, et al. Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence. Urology. 2016;91:64-9. https://doi.org/10.1016/j.urology.2016.02.027
  22. He E, et al. Effective observation of electroacupuncture with different courses for female stress urinary incontinence. Zhongguo Zhen Jiu. 2016;36(4):351-4.
  23. Wang W, et al. Observations on the Therapeutic Effect of Electroacupuncture on Mild and Moderate Female Stress Incontinence. Shanghai Journal of Acupuncture and Moxibustion. 2016; 35(1):47-9.
  24. Lv T, et al. Therapeutic Effect of Electro-acupuncture Pudendal Nerve Stimulation Therapy on Failed TVT. Journal of Clinical Acupuncture and Moxibustion. 2015;31(12):40-3.
  25. Chen Y, Ma R. Clinical Observation of Electroacupuncture at Huiyang(BL35) and Zhongliao(BL33) plus Scalp Acupuncture for Female Stress Urinary Incontinence. Shanghai Journal of Acupuncture and Moxibustion. 2015; 34(12):1159-61.
  26. Zheng H, et al. Observation on Short-term and Long-term Therapeutic Effects of Electro-acupuncture on Mild and Moderate Stress Urinary Incontinence. World Journal of Integrated Traditional and Western Medicine. 2015;10(2): 191-3, 209.
  27. Cui Y. Therapeutic Effect of Electroacupuncture combined with Jinguishenqi Pills on Female Stress Urinary Incontinence. Guangxi Journal of Traditional Chinese Medicine. 2015;38(1):43-4.
  28. Wen Q. Electroacupuncture combined with Chinese moxibustion and functional training in treatment of female stress urinary incontinence. Acta Medicinae Sinica. 2015;28(1):44-6.
  29. Xu X, et al. Comparison of electroacupuncture pudendal nerve stimulation with traditional acupuncture points in treatment of real stress urinary incontinence in elderly women. Chinese Journal of Gerontology. 2015; 35(24):7164-6.
  30. Xu G, et al. Clinical Observation of 20 cases on Deep Electroacupuncture at Baliao Point Combined with Pelvic Floor Muscle Training for Female Stress Urinary Incontinence. Zhejiang Journal of Traditional Chinese Medicine. 2014;49(8):605-6.
  31. Zhao Y. Clinical Observations on Female Stress Urinary Incontinence Patients with Acupuncture and Traditional Chinese Medicine. Journal of Liaoning College of Traditional Chinese Medicine. 2014;16(5):209-11.
  32. Xu H, et al. A phase 1 clinical study on the efficacy of electroacupuncture for female patients with mild to moderate stress incontinence. China Journal of Traditional Chinese Medicine and Pharmacy. 2014;29(12):3755-8.
  33. Bao J. Clinical Efficacy and Mechanism of Electroacupuncture Pudendal Nerve Stimulation in the Treatment of Female Stress Urinary Incontinence. China Foreign Medical Treatment. 2014;33:4-5.
  34. Shi X, et al. Clinical research of modified acupuncture for the treatment of female stress urinary incontinence perimenopausal. Shanghai Journal of Traditional Chinese Medicine. 2014; 48(10):67-8, 73.
  35. Xu G, Xaio S, Yao G. Clinical Observation on Deep Electroacupuncture at Baliao Point for Stress Urinary Incontinence. Modern Diagnosis & Treatment. 2014; (24):5551-2.
  36. Lu T, Wang S. Comparative Study of the Efficacies of Different Operators -performed Electroacupuncture Pudendal nerve Stimulation in Treating Female Stress Incontinence. Shanghai Journal of Acupuncture and Moxibustion. 2014;33(3):231-3.
  37. Chen S, Zhang F, Wang S. Clinical Observation of Electrical Pudendal Nerve Stimulation for Female Stress Urinary Incontinence. Journal of Clinical Acupuncture and Moxibustion. 2014; 30(3):5-8.
  38. Su J. Clinical observation of biofeedback monitoring electroacupuncture pudendal nerve stimulation in female stress urinary incontinence. Chinese Journal of Practical Nervous Diseases. 2014; 17(3):104-5.
  39. Wang L, et al. Clinical Observation on 61 Cases of Senile Stress Urinary Incontinence Treated with Combination of Acupuncture and Traditional Chinese Medicine. Chinese Journal of Traditional Medical Science and Technology. 2014; 21(4):465-6.
  40. Zhao L, Wang S. Efficacy impacts of the different treatment frequencies on female stress urinary incontinence. Chinese Acupuncture & Moxibustion. 2013;33(12):1088-90.
  41. Mo Q, Liu Z, Ma X. Efficacy observation of electro-acupuncture on female stress urinary incontinence. Beijing Journal of Traditional Chinese Medicine. 2013; 32(6):434-6.
  42. Zhao L, Wang S. Clinical observation of biofeedback monitoring electroacupuncture pudendal nerve stimulation in female stress urinary incontinence. Shanghai Journal of Acupuncture and Moxibustion. 2013;32(5):372-4.
  43. Ye X, et al. Comparative Study on Electro-acupuncture and Acupoint Catgut-Embedding Therapy in the Treatment of Stress Urinary Incontinence. China Medical Engineering. 2013;21(2) :72-3.
  44. Lin D, Gao T, Li J. 30 cases of female stress urinary incontinence treated by warm acupuncture treatment. Journal of External Therapy of Traditional Chinese Medicine. 2012;21(3):47-8.
  45. He C, Li Z. Electroacupuncture for female patients with mild to moderate stress incontinence. Xinjiang Journal of Traditional Chinese Medicine. 2011; 29(1):19-21.
  46. Chen L. 35 Cases of Female Urinary Incontinence by Stress Treated by Moxibustion on Salt and Electroacupuncture. Journal of External Therapy of Traditional Chinese Medicine. 2010;20(6):36-7.
  47. Zhou Z, Gao W. 20 Cases of Female Urinary Incontinence by Stress Treated by Electroacupuncture. Shanghai Journal of Acupuncture and Moxibustion. 2010; 29(2):124.
  48. Yue J, Deng H, Zheng F. Clinical Observations on Electroacupuncture Warming Moxibustion for Female Stress Urinary Incontinence. Shandong Journal of Traditional Chinese Medicine. 2008;27(10):688-9.
  49. Le X, Wu H, Wang R. Clinical Study of the Treatment of Female Stress Incontinence by Combined Electroacupuncture and Pelvic Floor Muscle Exercises. Shanghai Journal of Acupuncture and Moxibustion. 2008;27(10):18-9.
  50. Shi J, Gao W. Clinical Observation of Electroacupuncture for Stress Urinary Incontinence. Journal of Clinical Acupuncture and Moxibustion. 2007; 23(4):33.
  51. Bi W. Clinical Study on Electroacupuncture Treatment of Female Stress Incontinence. Chinese Archives of Traditional Chinese Medicine. 2007;25(6):1284-5.
  52. Jeong SY, Kim DI. Case report of the stress urinary incontinence which is improved by Acupunture treatment and Sasang Constitutional Herbal medication. J Korean Obstet Gynecol. 2007;20(4):210-6.
  53. Wang S, Chen G, Li L. "Four sacral needles" therapy for female stress incontinence. Journal of Acupuncture and Tuina Science. 2006;4(3):170-3. https://doi.org/10.1007/BF02850993
  54. Xiong X, et al. Clinical Study of the Treatment of Stress Incontinence by Combined Electroacupuncture and Pelvic Floor Muscle Exercises. Chinese Journal of Physical Medicine and Rehabilitation. 2005;27(7):432-3.
  55. Yang T, Zhou Q, Zhai K. Clinical Study on Electroacupuncture Treatment of Female Stress Incontinence. Journal of Sichuan of Traditional Chinese Medicine. 2004;22(6):90-1.
  56. Kulseng-Hanssen S, Borstad E. The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. BJOG. 2003;110(11):983-8. https://doi.org/10.1111/j.1471-0528.2003.01406.x
  57. Glazer HI. Biofeedback vs electrophysiology. Rehab Manag. 2005;18(9):32-4.
  58. Aoki Y, et al. Urinary incontinence in women. Nat Rev Dis Primers. 2017;3:17042. https://doi.org/10.1038/nrdp.2017.42
  59. Mouritsen L, Rasmussen A. Bladder neck mobility evaluated by vaginal ultrasonography. Br J Urol. 1993;71(2) :166-71. https://doi.org/10.1111/j.1464-410X.1993.tb15911.x
  60. Lucas MG, et al. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2012; 62(6):1130-42. https://doi.org/10.1016/j.eururo.2012.08.047
  61. Franco AV, Lee F, Fynes MM. Is there an alternative to pad tests? Correlation of subjective variables of severity of urinary loss to the 1-h pad test in women with stress urinary incontinence. BJU Int. 2008;102(5) :586-90. https://doi.org/10.1111/j.1464-410X.2008.07612.x
  62. Kubista E, et al. Electro-acupuncture's influence on the closure mechanism of the female urethra in incontinence. Am J Chin Med(Gard City N Y). 1976;4(2):177-81.
  63. Yu JN, et al. Effect of electroacupuncture at "Ciliao"(BL 32) on c-fos expression in the sacral segment of spinal cord in rats with detrusor hyperreflexia. Zhen Ci Yan Jiu. 2010;35(3):204-7, 221.
  64. Tanaka Y, et al. Effects of acupuncture to the sacral segment on the bladder activity and electroencephalogram. Psychiatry Clin Neurosci. 2002;56(3) :249-50. https://doi.org/10.1046/j.1440-1819.2002.00976.x
  65. Sato A, Sato Y, Suzuki A. Mechanism of the reflex inhibition of micturition contractions of the urinary bladder elicited by acupuncture-like stimulation in anesthetized rats. Neurosci Res. 1992;15(3):189-98. https://doi.org/10.1016/0168-0102(92)90004-V
  66. Tang L, et al. Impacts of the low -frequency electric stimulation at the acupoints on the content of plasma 5-HT and NE in the patients with post-stroke insomnia. Zhongguo Zhen Jiu. 2015;35(8):763-7.
  67. Weil E, et al. Randomized double-blind placebo-controlled multicenter evaluation of efficacy and dose finding of midodrine hydrochloride in women with mild to moderate stress urinary incontinence: a phase II study. Int Urogynecol J Pelvic Floor Dysfunc. 1998;9(3):145-50. https://doi.org/10.1007/BF02001083
  68. Fan Y, Huang Z, Yu D. Incontinence-specific quality of life measures used in trials of sling procedures for female stress urinary incontinence: a meta-analysis. Int Urol Nephrol. 2015;47(8):1277-95. https://doi.org/10.1007/s11255-015-1020-2
  69. Mo S, et al. Sling surgery for stress urinary incontinence in women: a systematic review and metaanalysis. Am J Obstet Gynecol. 2014;211(1) :71.e1-71.e27. https://doi.org/10.1016/j.ajog.2014.01.030