Effect of acupuncture on urinary incontinence after laparoscopic radical prostatectomy under the guidance of enhanced recovery after surgery

doi:10.3877/cma.j.issn.1674-3253.2022.01.007

Abstract

Abstract:

Objective

To observe the clinical effect of acupuncture on urinary incontinence (UI) after laparoscopic radical prostatectomy under the enhanced recovery after surgery (ERAS).

Methods

Forty-eight UI patients were divided into experimental group and control group (24 cases in each group) from January 2018 to November 2019 in Qingdao Municipal Hospital. The experimental group was treated with acupuncture combined with pelvic floor muscle training, and the control group was treated with pelvic floor muscle training. The urinary control before and after treatment in the two groups of patients was observed.

Results

The urine leakage (g), ICIQ-SF score, and 24-hour urinary incontinence were improved in the two groups compared with those before the treatment. Compared with the control group, the observational indexes of the experimental group were significantly better. The total effective and cure rate were significantly higher than those in the control group and there was no adverse reactions in the two groups.

Conclusion

Acupuncture can effectively improve the symptoms of UI and promote the recovery of urinary control function after laparoscopic radical prostatectomy, these suggested that the ERAS deserves to be popularized.

Key words: Acupuncture, Urinary incontinence, ERAS, Prostate cancer, Pelvic floor muscle training

Fanyou Bu, Xueshuang Dai, Yingyu Zhang, Zhilei Qiu, Miao Xin. Effect of acupuncture on urinary incontinence after laparoscopic radical prostatectomy under the guidance of enhanced recovery after surgery[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(01): 31-34.

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References 23

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组别	例数	年龄(岁)	BMI(kg/m²)	CCI(分)	1小时漏尿量(g)	ICIQ-SF评分(分)	漏尿频次(次)
对照组	24	69.69±4.25	22.44±0.99	1.04±0.75	15.23±3.81	13.37±1.62	6.31±0.33
治疗组	24	71.04±3.69	22.25±1.43	1.08±0.72	15.37±3.89	13.44±1.63	6.04±0.58
P值		0.243	0.599	0.845	0.897	0.867	0.062

组别	例数	年龄(岁)	BMI(kg/m²)	CCI(分)	1小时漏尿量(g)	ICIQ-SF评分(分)	漏尿频次(次)
对照组	24	69.69±4.25	22.44±0.99	1.04±0.75	15.23±3.81	13.37±1.62	6.31±0.33
治疗组	24	71.04±3.69	22.25±1.43	1.08±0.72	15.37±3.89	13.44±1.63	6.04±0.58
P值		0.243	0.599	0.845	0.897	0.867	0.062

观察时点	例数	1小时漏尿量(g)	ICIQ-SF评分(分)	漏尿频次(次)
治疗前	24	11.95±2.10	8.22±1.29	4.43±0.54
治疗后	24	7.11±3.37	5.09±1.03	3.35±0.61
P值		0.002	<0.001	<0.001

观察时点	例数	1小时漏尿量(g)	ICIQ-SF评分(分)	漏尿频次(次)
治疗前	24	11.95±2.10	8.22±1.29	4.43±0.54
治疗后	24	7.11±3.37	5.09±1.03	3.35±0.61
P值		0.002	<0.001	<0.001

组别	例数	治愈(例)	显效(例)	有效(例)	无效(例)	总有效率
治疗组	24	11	9	3	1	95.83%
对照组	24	2	3	11	8	66.67%

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