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Source publication
Introduction
Urinary incontinence (UI) is one of the main complications of radical prostatectomy. Electrical pudendal nerve stimulation (EPNS) has been used to treat stress UI based on its mechanism of passive pelvic floor muscle contraction reported in the previous research. However, there are no studies comparing the effects of EPNS and active pe...
Context in source publication
Context 1
... selection: We select four specific acupoints in the sacrococcygeal region(ie, the 'four sacrococcygeal points'). Upper acupuncture needles will be inserted at points located 1 cm from the sacrococcygeal joint (bilaterally symmetrical), and lower acupuncture needles will be inserted at points located 1 cm from the apex of the coccyx (bilaterally symmetrical) ( figure 3). ...
Citations
... The potential mechanisms underlying the effects of warm acupuncture on PPFD may be associated with the inferior location of the perineal nerves in relation to the Zhibian acupoint. Research has demonstrated that acupuncture stimulation of these nerves can augment the contraction of PFMs, resulting in enhanced urinary control and strengthened pelvic floor musculature [30]. Furthermore, the perineal nerves are a subdivision of the pelvic plexus nerves, and the sensation elicited by needle insertion may propagate through the perineal nerves to the pelvic plexus nerves, subsequently providing feedback to the primary urinary control center located in the lumbosacral spinal cord or even higher to the cerebral cortical urinary control center, thereby exerting a favorable regulatory influence on the urination center [31]. ...
Introduction and hypothesis
The objective was to observe the clinical efficacy of warm acupuncture combined with Kegel exercise in treating postpartum pelvic floor dysfunction in women.
Methods
A total of 70 primiparous women with postpartum pelvic floor muscle (PFM) injury were randomly divided into a combination group ( n = 35, receiving warm acupuncture at Zhibian (BL54) acupoint and Kegel exercise) and a sham control group ( n = 35, receiving sham warm acupuncture and Kegel exercise). Both groups were treated three times a week for 4 consecutive weeks. The recovery of PFM strength and changes in Urethral Rotation Angle (URA), Bladder Neck Descent (BND), and Retrovesical Angle (RVA) in pelvic floor ultrasound reports, the scores of pelvic floor dysfunction-related questionnaires, and the efficacy of urinary incontinence treatment of the two groups were compared before and after treatment.
Results
After treatment, the recovery rates of type I and II PFM strength, pelvic floor ultrasound parameters, pelvic floor dysfunction-related scale scores, and urinary incontinence treatment efficacy in the combination group were significantly better than those in the sham control group ( p < 0.05).
Conclusion
Warm acupuncture combined with Kegel exercise can significantly improve PFM strength and promote the recovery of postpartum pelvic floor function in women.
Objectives: The purpose of this study is to report a case of Korean medicine treatment accompaning myofascial trigger-point accupuncture for severe & persistent lower urinary tract symptoms after radical prostatectomy.Materials and Methods: A prostate cancer patient with severe & persistent lower urinary tract symptoms after radical prostatectomy conducted 26 months ago, was treated with Korean medicine accompaning myofascial trigger-point accupuncture. The International Prostate Symptom Score(IPSS), the IPSS Quality of Life(IPSS-QoL) and the Overactive Bladder Symptom Score(OABSS) questionaires were administered to evaluate the effect of treatment for lower urinary tract symptoms.Results: After 5 month treatment with Korean medicine accompaning myofascial trigger-point accupuncture, IPSS, IPSS-QoL and OABSS progressed from 28 to 8, from 5 to 2 and from 12 to 4 respectively.Conclusion: This case study suggests that Korean medicine accompaning myofascial trigger-point accupuncture may contribute to treat severe & persistent lower urinary tract symptoms after radical prostatectomy.
