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Published in: Trials 1/2015

Open Access 01-12-2015 | Study protocol

The efficacy of electroacupuncture for the treatment of simple female stress urinary incontinence - comparison with pelvic floor muscle training: study protocol for a multicenter randomized controlled trial

Authors: Tongsheng Su, Jing Zhou, Zhishun Liu, Yuelai Chen, Wei Zhang, Haoran Chu, Qiong Luo, Jin Lu, Junming An, Baoyan Liu

Published in: Trials | Issue 1/2015

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Abstract

Background

Previous research has shown that electroacupuncture therapy has a potential therapeutic effect for simple female stress urinary incontinence. In this study, pelvic floor muscle training, the first-line treatment for stress urinary incontinence in women based on meta-analysis of numerous randomized control trials and recommended by international clinical practice, is used as a control group to demonstrate whether electroacupuncture therapy is a better method for female stress urinary incontinence.

Methods/design

A randomized controlled trial has been designed to evaluate the therapeutic benefit of electroacupuncture for female stress urinary incontinence compared with pelvic floor muscle training. The safety of electroacupuncture and patient compliance will also be evaluated. Untoward reaction to the electroacupuncture, including a broken needle, fainting on acupuncture, or pain during acupuncture, will be recorded and the therapy will be stopped if an untoward reaction occurs. After we have received full ethical approval and patient consent, participants will be randomized to receive a series of 24 electroacupuncture or pelvic floor muscle training interventions. The frequency and amount of leakage will be measured as the primary outcome parameters. Secondary outcome parameters include the 1-hour pad test, the short-form of the International Consultation on Incontinence Questionnaire, patient subjective effectiveness evaluation, weekly usage of pad, and usage of specialty therapy for female stress urinary incontinence.

Discussion

This trial will help to determine whether electroacupuncture is a more effective treatment than pelvic floor muscle training for patients with female stress urinary incontinence.

Trial registration

ClinicalTrials.gov NCT01940432 (12 September 2013).
Appendix
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Literature
1.
go back to reference Chen YH, Lin YN, Chen WC, Hsieh WT, Chen HY. Treatment of stress urinary incontinence by ginsenoside Rh2. Am J Chin Med. 2014;42:817–31.CrossRefPubMed Chen YH, Lin YN, Chen WC, Hsieh WT, Chen HY. Treatment of stress urinary incontinence by ginsenoside Rh2. Am J Chin Med. 2014;42:817–31.CrossRefPubMed
2.
go back to reference Kinchen KS, Lee J, Fireman B, Hunkeler E, Nehemiah JL, Curtice TG. The prevalence, burden, and treatment of urinary incontinence among women in a managed care plan. J Womens Health. 2007;16:415–22.CrossRef Kinchen KS, Lee J, Fireman B, Hunkeler E, Nehemiah JL, Curtice TG. The prevalence, burden, and treatment of urinary incontinence among women in a managed care plan. J Womens Health. 2007;16:415–22.CrossRef
3.
go back to reference Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynecol Obstet. 2003;82:327–38.CrossRef Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynecol Obstet. 2003;82:327–38.CrossRef
4.
go back to reference Yang HJY. Incidence of urinary incontinence survey in Beijing. Beijing J Med. 2000;32:74–5. Yang HJY. Incidence of urinary incontinence survey in Beijing. Beijing J Med. 2000;32:74–5.
5.
go back to reference Sand PK, Owens GM, Black EJ, Anderson LH, Martinson MS. Cost effectiveness of radiofrequency microremodeling for stress urinary incontinence. Int Urogynecol J. 2014;4:517–23.CrossRef Sand PK, Owens GM, Black EJ, Anderson LH, Martinson MS. Cost effectiveness of radiofrequency microremodeling for stress urinary incontinence. Int Urogynecol J. 2014;4:517–23.CrossRef
6.
go back to reference Chong EC, Khan AA, Anger JT. The financial burden of stress urinary incontinence among women in the United States. Curr Urol Rep. 2011;12:358–62.CrossRefPubMed Chong EC, Khan AA, Anger JT. The financial burden of stress urinary incontinence among women in the United States. Curr Urol Rep. 2011;12:358–62.CrossRefPubMed
7.
go back to reference Wood LN, Anger JT. Urinary incontinence in women. BMJ. 2014;15:349. Wood LN, Anger JT. Urinary incontinence in women. BMJ. 2014;15:349.
8.
go back to reference Bø K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J Urol. 2012;30:437–43.CrossRefPubMed Bø K. Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World J Urol. 2012;30:437–43.CrossRefPubMed
9.
go back to reference Zhilan Y, Jianping S, Zihong S. Influence factors of compliance of older women in countryside with stress urinary incontinence using pelvic floor muscle exercise treatment. Chin Gerontol J. 2011;31:2547–8. Zhilan Y, Jianping S, Zihong S. Influence factors of compliance of older women in countryside with stress urinary incontinence using pelvic floor muscle exercise treatment. Chin Gerontol J. 2011;31:2547–8.
11.
go back to reference Mo Q, Liu Z. Analysis of female stress urinary incontinence with treatment of acupuncture and moxibustion. Shang Hai J Acupunct Moxibustion. 2013;12(5):12–20. Mo Q, Liu Z. Analysis of female stress urinary incontinence with treatment of acupuncture and moxibustion. Shang Hai J Acupunct Moxibustion. 2013;12(5):12–20.
12.
go back to reference Wang Y, Zhisun L, Peng W, Zhao J, Liu B. Acupuncture for stress urinary incontinence in adults. Cochrane Database Syst Rev. 2013;1:CD009408. Wang Y, Zhisun L, Peng W, Zhao J, Liu B. Acupuncture for stress urinary incontinence in adults. Cochrane Database Syst Rev. 2013;1:CD009408.
13.
go back to reference Idanpaan-Heikkila JE. Ethical principles for the guidance of physicians in medical research - the Declaration of Helsinki. Bull World Health Organ. 2001;79:279.PubMedPubMedCentral Idanpaan-Heikkila JE. Ethical principles for the guidance of physicians in medical research - the Declaration of Helsinki. Bull World Health Organ. 2001;79:279.PubMedPubMedCentral
15.
go back to reference Da Roza T, de Araujo MP, Viana R, Viana S, Jorge RN, Bø K, et al. Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study. Int Urogynecol J. 2012;23:1069–73.CrossRefPubMed Da Roza T, de Araujo MP, Viana R, Viana S, Jorge RN, Bø K, et al. Pelvic floor muscle training to improve urinary incontinence in young, nulliparous sport students: a pilot study. Int Urogynecol J. 2012;23:1069–73.CrossRefPubMed
16.
go back to reference Zhu L, Lang J, Li C. Development of nonsurgical methods. Chin J Obstetric Gynecol. 2003;38:318–9. Zhu L, Lang J, Li C. Development of nonsurgical methods. Chin J Obstetric Gynecol. 2003;38:318–9.
17.
go back to reference Zhou Q, Gao W. 20 Cases of female stress urinary incontinence patients with electroacupuncture. J Acupunct Moxibustion. 2010;22:21–6. Zhou Q, Gao W. 20 Cases of female stress urinary incontinence patients with electroacupuncture. J Acupunct Moxibustion. 2010;22:21–6.
18.
go back to reference Mo Q, Liu Z, Ma X. Effective observation on stress urinary incontinence with electroacupuncture therapy. Beijing J Tradit Chin Med. 2013;20:434–6. Mo Q, Liu Z, Ma X. Effective observation on stress urinary incontinence with electroacupuncture therapy. Beijing J Tradit Chin Med. 2013;20:434–6.
19.
go back to reference Dumoulin C, Glazener C, Jenkins D. Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence. Neurourol Urodyn. 2011;3:746–53.CrossRef Dumoulin C, Glazener C, Jenkins D. Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence. Neurourol Urodyn. 2011;3:746–53.CrossRef
20.
go back to reference Sandvik H, Seim A, Vanvik A, Hunskaar S. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn. 2000;19:137–45.CrossRefPubMed Sandvik H, Seim A, Vanvik A, Hunskaar S. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn. 2000;19:137–45.CrossRefPubMed
Metadata
Title
The efficacy of electroacupuncture for the treatment of simple female stress urinary incontinence - comparison with pelvic floor muscle training: study protocol for a multicenter randomized controlled trial
Authors
Tongsheng Su
Jing Zhou
Zhishun Liu
Yuelai Chen
Wei Zhang
Haoran Chu
Qiong Luo
Jin Lu
Junming An
Baoyan Liu
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Trials / Issue 1/2015
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-015-0560-1

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