H. Honjo et al., Acupuncture on clinical symptoms and urodynamic measurements in spinal-cord-injured patients with detrusor hyperreflexia, UROL INTERN, 65(4), 2000, pp. 190-195
Objectives: We investigated the possible use of acupuncture for the treatme
nt of urinary incontinence caused by detrusor hyperreflexia in patients wit
h chronic spinal cord injuries. Methods: A total of 13 patients (11 males,
2 females) suffering from urinary incontinence due to spinal cord injuries
were treated by acupuncture, which was carried out with disposable stainles
s steel needles inserted into the bilateral BL-33 (Zhongliao) points on the
skin of the third posterior sacral foramina. Urodynamic studies were also
performed before acupuncture, immediately after the ist acupuncture and 1 w
eek after the 4th acupuncture, In 6 patients, these urodynamic studies were
performed again 1 month after the 4th acupuncture. Results: No side effect
s were recognized throughout the treatment period. Of the 13 patients, inco
ntinence disappeared in 2 (15%) and decreased to 50% or less compared to ba
seline in a further 6 (46%). Maximum cystometric bladder capacity increased
significantly from 76.2 +/- 62.3 to 148.1 +/- 81.5 ml 1 week after the 4th
acupuncture (p < 0.01). In the 6 patients in whom cystometry was repeated
1 month after the 4th acupuncture, bladder capacity decreased from 187.5 +/
- 90.4 ml 1 week after the 4th acupuncture to 128.3 +/- 93.4 ml. Conclusion
: in spinal cord injury patients acupuncture could represent another valuab
le therapeutic alternative to the treatment of urinary incontinence caused
by detrusor hyperreflexia. Copyright (C) 2000 S. Karger AG, Basel.