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  4. Acupuncture for Chronic Urinary Retention due to Spinal Cord Injury: A Systematic Review

Acupuncture for Chronic Urinary Retention due to Spinal Cord Injury: A Systematic Review

Evidence-Based Complementary and Alternative Medicine, 2016 · DOI: http://dx.doi.org/10.1155/2016/9245186 · Published: March 22, 2016

Spinal Cord InjuryUrologyAlternative Medicine

Simple Explanation

This review examines if acupuncture helps people with chronic urinary retention (CUR) caused by spinal cord injury (SCI). CUR means the bladder doesn't empty fully. The review looked at studies comparing acupuncture to other treatments or no treatment. It focused on how acupuncture affected the amount of urine left after going to the bathroom and how well people could urinate on their own. The review found that acupuncture, when added to other treatments, might help reduce the amount of urine left in the bladder and improve the ability to urinate. However, the evidence isn't strong, so more research is needed.

Study Duration
Not specified
Participants
334 patients with chronic urinary retention due to spinal cord injury
Evidence Level
Systematic Review of 3 Randomized Controlled Trials

Key Findings

  • 1
    Acupuncture plus rehabilitation training was more effective than rehabilitation training alone in decreasing postvoid residual urine volume.
  • 2
    A combination of acupuncture and aseptic intermittent catheterization was better than aseptic intermittent catheterization alone in improving response rates.
  • 3
    No severe adverse events were reported in the included studies, suggesting acupuncture may be safe for treating CUR caused by SCI.

Research Summary

This systematic review assessed the effectiveness and safety of acupuncture for chronic urinary retention (CUR) due to spinal cord injury (SCI). The review included three randomized controlled trials (RCTs) with a total of 334 participants. Meta-analysis showed potential benefits of acupuncture as a complementary therapy. The authors concluded that while acupuncture may have a potential effect, the evidence is limited, and more high-quality RCTs are needed to draw definitive conclusions.

Practical Implications

Potential Complementary Therapy

Acupuncture may be considered as a complementary therapy for managing CUR due to SCI, alongside conventional treatments.

Need for Further Research

High-quality, large-scale RCTs are needed to confirm the effectiveness and long-term safety of acupuncture for CUR due to SCI.

Focus on Outcome Measures

Future studies should prioritize measuring postvoid residual urine volume and health-related quality of life to comprehensively evaluate the impact of acupuncture.

Study Limitations

  • 1
    Small sample sizes of included trials
  • 2
    High risk of bias in included trials due to limitations in randomization, allocation concealment, and blinding
  • 3
    Lack of long-term follow-up data

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