Acupuncture as a treatment for neurogenic detrusor overactivity (NDO) in patients with multiple sclerosis (MS)
Item
Title
Acupuncture as a treatment for neurogenic detrusor overactivity (NDO) in patients with multiple sclerosis (MS)
Description
International Journal of Clinical Acupuncture (2017), Wei Zhao.
Abstract
To assess the effects of acupuncture on symptoms ranging from frequent urination, nocturia, urgency and incontinence, this evidence-based case report documents the use of acupuncture in treating four patients from the Department of Urology, McGill University, Sir Mortimer B. Davis-Jewish General Hospital in Montreal, QP, Canada from Septemeber 2011 to July 2012.Acupuncture was administered to 2 men and 2 women, ranging in age from 30 to 57 years (mean, 44.75 years) at the rate of two sessions per week for 10 weeks. Duration of ilness (MS) ranged from 9 to 24 years (mean 8.25 years); and duration of NDO (neurogenic detrusor overactivity) ranged from 3 to 10 years (mean 3.25 years).Prior to receiving acupuncture, all had been refractory to anticholinergic treatment; as, at least 2 anticholinergics had failed.Primary outcomes assessed were effect on urinary incontinence, intensity of urinary urgency, daytime frequency, nocturia episodes and volume voided per micturation, (measured by 3-day bladder diary). Safety outcomes were assessed secondarily. At the conclusion of each treatment, adverse effects were reported, including pain, (according to the McGill virtual pain scale).Each pateint received the same intervention. After a total of twenty acupuncture sessions, three out of the four patients' NDO symptoms had improved. No serious adverse effects were reported during the acupuncture interval; to specify, no urinary tract infections, no pain (0/10) was reported at the end of each treatment and there were no complications or side effects. The positive evidence reported here is limited, due to small sample size.
Alternative Title
International Journal of Clinical Acupuncture
Creator
Date
Date Created
12/1/2018
Language
English
Type
Journal Article
doi
10.3103/S1047197917030097
issn
1074-1979
issue
3
page end
177
page start
173
volume
26