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Studien zum Thema Urologie und Andrologie

Acupuncture & neurogenic bladder

One group of patients with spinal cord injury (SCI) and neurogenic bladder received electro-acupuncture at points Zhongji REN-3, Guanyuan REN-4 and Ciliao BL-32 in addition to conventional intermittent catheterisation program (ICP). Compared to a control group who underwent conventional bladder training program with ICP only, the acupuncture patients achieved balanced bladder voiding in a significantly shorter time. It was also found that those who received acupuncture within 3 weeks after injury responded significantly better than those who received acupuncture 3 weeks after injury. The study also found that complete spinal cord injury, either with pronounced detrusor-sphincter dyssynergia in upper motor...
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Acupuncture and Herbs Force Expulsion of Kidney Stones

Acupuncture combined with herbal medicine and medications assists in the elimination of kidney stones that have lodged in the ureters. Jiangxi Jiujiang Hospital of Traditional Chinese Medicine researchers made two important findings. First, a combination of herbs and the drug tamsulosin (Flomax) enables the passage of kidney stones. Second, adding acupuncture to the herbal medicine and drug protocol significantly increases positive patient outcome rates. [1] The results of the investigation have important clinical implications. The drug tamsulosin is an alpha-blocker used to ease urination. It relaxes the muscles of the bladder and prostate and causes dilation of the ureteral lumen....
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ACUPUNCTURE AND IMPOTENCE

29 patients with psychogenic (non-organic) impotence were treated by doctors in the Urology and Anaesthesiology Departments of Ankara University, Turkey. All patients were needled at points Ciliao BL-32, Dadun LIV-1, Yinlian LIV-11, Neiguan P-6, Tiaokou ST-38, Qugu REN-2 and Baihui DU-20 for a total of ten treatments. Successful results (two satisfactory sexual activities in a week) were achieved in 20 (69%) patients (Eur Urol 1994;26:52-55). Quelle: www.jcm.co.uk

ACUPUNCTURE AND SPERM

The effectiveness and safety of acupuncture for poor semen quality in infertile males: a systematic review and meta-analysis This review looks at a selected number of RCTs that examined the effect of acupuncture on sperm motility and count, but not morphology. From the 4 trials they examined, they report that motility and sperm concentration were significantly increased in the acupuncture groups (The authors felt the different trial designs were heterogeneous, and the number of trials analysed too small to draw firm conclusions at this stage). ABSTRACT The aim of this review is to evaluate the effectiveness and safety of acupuncture...
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ACUPUNCTURE AND URINARY TRACT INFECTIONS

A study carried out in Bergen, Norway has demonstrated the value of acupuncture in preventing urinary tract infections in women who are especially prone to repeated recurrences. 67 such women (3 or more attacks in the past 12 months) were randomly divided into an acupuncture group, a sham acupuncture group and a control (no treatment). Acupuncture was given twice a week for 4 weeks mainly at Zhongji REN-3, Shenshu BL-23, Pangguangshu BL-28, Taixi KID-3, Sanyinjiao SP-6, Yinlingquan SP-9 and Xingjian LIV-2 or Taichong LIV-3 according to differentiation. Sham acupuncture was given superficially in the thighs, calves or abdomen outside known...
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Acupuncture better than drugs for chronic prostatitis pain

Acupuncture compares favourably with drug treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), according to Chinese authors. Network meta-analysis, which allows the comparative effectiveness of interventions that have not been directly evaluated against each other to be calculated, was carried out on data from twelve trials involving 1203 participants. The results showed that, compared with placebo, electro-acupuncture was the most efficacious in improving total symptom scores, followed by manual acupuncture, dual drug therapy (a combination antibiotics and alpha-blockers), antibiotics, sham acupuncture and alpha-blockers. In addition, the incidence of adverse events for acupuncture was relatively rare compared with the other treatments....
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Acupuncture Combats Erectile Dysfunction

Acupuncture successfully reverses erectile dysfunction. In a case study of a patient that was unresponsive to the medication sildenafil (Viagra, Revatio), a combination of manual acupuncture and electroacupuncture were successful in improving the quality of sexual intercourse. Acupuncture significantly improved the ability to maintain an erection during sexual intercourse. Erection hardness and sustainability improved and subjective reporting documents improvements in sexual satisfaction. Acupuncture demonstrated five major and significant improvements in erection quality. Confidence in the erection improved. Hardness of the erection improved. Maintenance of the erection during sex improved, maintenance of the erection to completion of sexual intercourse improved and...
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Acupuncture Controls Overactive Bladder

Researchers have discovered that acupuncture is effective for controlling overactive bladder syndrome. The research team, a combination of Whipps Cross University Hospital and University College of London Hospital investigators, document that 79% of patients in the study showed clinically significant improvements. The researchers conclude that acupuncture is an effective treatment modality for patients with overactive bladder syndrome (OAB) and “is well tolerated with no side effects or complications.” As a result, the research team notes that acupuncture “should be considered as a potential alternative to our current therapeutic regimes” for patients with OAB. Overactive bladder syndrome is a dysfunction of the...
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Acupuncture Halts Urinary Incontinence

Acupuncture helps women with stress urinary incontinence (SUI). This condition is characterized by leakage of urine during physical activity, standing, sexual intercourse, sneezing, or coughing. Stress incontinence is due to pelvic floor muscle weakness leading to increased pressure on the bladder upon stress. Risk factors include pelvic surgery, hormonal deficiencies, and delayed second stage of labor. Forceps delivery may also be associated with this condition. The researchers discovered that a special acupuncture procedure produces a total effective rate of 93.3%. Standard care treatments include pelvic floor muscle exercises, retiming of fluid consumption, urethral inserts, injectable bulking agents, and several surgical procedures....
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Acupuncture Heals Erectile Dysfunction Finding

Quelle (02 MAY 2018): http://www.healthcmi.com Acupuncture and herbs are effective for the treatment of erectile dysfunction. In research conducted at the Yunnan Provincial Hospital of Traditional Chinese Medicine, acupuncture plus herbs produced a 46.56% total effective rate. Using only herbal medicine produced a 16.17% total effective rate and using only acupuncture produced an 13.24% total effective rate. [1] The researchers conclude, “Acupuncture combined with herbal medicine has a synergistic therapeutic effect on erectile dysfunction.” Erectile dysfunction (ED) is a sexual disorder characterized by the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse (>3 months). [2]...
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Acupuncture helpful for premature ejaculation

Acupuncture treatment can benefit men with premature ejaculation (PE), Turkish investigators report. One hundred and twenty patients with chronic PE were randomised to receive either dapoxetine (a short-acting selective serotonin reuptake inhibitor used as a pharmacological treatment for PE), acupuncture or sham acupuncture over a period of four weeks. The acupuncture group received two sessions per week, with needling at Yintang M-HN-3, Zhongji REN-3, and bilateral Baihuanshu BL-30, Zhishi BL-52, Zusanli ST-36, L.I.-4 Hegu and LIV-3 Taichong. Sham acupuncture was performed with shallow needle insertion at locations one centimetre to the left of each selected acupoint. Although less effective than...
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Acupuncture helps dialysis patients

A Korean pilot study suggests that acupuncture can help with symptom management in patients undergoing haemodialysis. Twenty-four patients received individualised acupuncture treatment for their symptoms twice a week for six consecutive weeks. Patients experienced a significant improvement of symptoms they considered most bothersome, reporting a decrease of 1.87 and 2.08 points on a 0-6 symptom scale at 7 weeks and 11 weeks, respectively. Disease-related symptom scores showed significant improvement at 7 weeks (effects of kidney disease, burden of kidney disease, role-limitations physical, emotional well-being, and energy/fatigue) and 11 weeks (physical functioning and energy/fatigue). (Acupuncture for symptom management in hemodialysis patients:...
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Acupuncture improves prostate symptoms

A Chinese study has found that electro-acupuncture (EA) at a single point, Zhongliao BL-33, could significantly reduce the symptoms of enlarged prostate in patients with benign prostatic hyperplasia (BPH). A total of 100 men with moderate to severe BPH were randomly allocated either to a treatment group who received EA at Zhongliao BL-33, or a control group who received EA at a nearby non-acupoint. Patients received 16 acupuncture sessions; five in the first and second weeks and three in the third and fourth weeks. Six weeks from baseline, treatment group patients showed a significantly greater decline in prostate symptom scores...
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Acupuncture improves renal function in kidney disease

Acupuncture improves renal function markers in patients with chronic kidney disease (CKD), according to research from Taiwan. Fifty nine patients with CKD were randomised into acupuncture and sham treatment groups. In the acupuncture group, manual acupuncture was applied to bilateral Hegu L.I.-4, Zusanli ST-36 and Taixi KID-3 to obtain qi, and electroacupuncture (2 Hz) was applied to two acupoint pairs (right Zusanli ST-36 and Taixi KID-3 and left Zusanli ST-36 and Taixi KID-3) once per week for 12 weeks. In the sham group, needles were inserted 1.5 cm lateral to the acupoints, and no electrical stimulation was applied. Levels of serum creatinine...
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Acupuncture in the treatment of psychogenic erectile dysfunction: first results of a prospective randomized placebo-controlled study

In a prospective study, we investigated the potentially curative effect of acupuncture in patients with psychogenic erectile dysfunction (pED). A total of 22 patients with pED were randomized into two groups. They were either treated with acupunture specific against ED (treatment group) or acupuncture specific against headache (placebo group). Nonresponders of the placebo group were crossed over to the treatment group. Prior to acupuncture, serum sexual hormone levels, IIEF score, nocturnal penile tumescence testing for three nights (Rigiscan) and the erectile response to 50mg sildenafil were evaluated. Out of 21 patients, 20 completed the study, including 10 patients after crossover....
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Acupuncture more effective for incontinence than physiotherapy

A Norwegian pilot study suggests that acupuncture may be more effective for preventing urinary incontinence than pelvic floor muscle training (PFMT). Thirty-four women with incontinence were randomly assigned to receive either 12 sessions of acupuncture, 12 sessions of PFMT, or to a waiting list control group for 12 weeks. The acupuncture points used were semi-standardised, with alternation between front and back points. Zhongji REN-3, Guanyuan REN-4, Qihai REN-6, Sanyinjiao SP-6, Taixi KID-3 and Fuliu KID-7 were used with patients in a supine position, and Neiguan P-6, Taichong LIV-3 and Taibai SP-3 were added based on specific symptoms. Shangliao BL-31 to...
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Acupuncture Restores Urine Flow Blocked By Enlarged Prostate

Researchers find acupuncture and Chinese herbal medicine effective for the alleviation of urinary retention caused by benign prostatic hyperplasia (BPH), a condition often referred to as enlargement of the prostate gland. Benign prostatic hyperplasia often leads to bladder, kidney, and urinary tract disorders. The prostate enlargement may block the flow of urine and cause discomfort or urinary retention. Common symptoms of benign prostatic hyperplasia include weak urine flow or a stream of urine that starts and stops. Dribbling towards the end of urination or the incomplete emptying of the bladder are also common. There may be difficulty initiating urination, frequent...
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Acupuncture versus titrated morphine in acute renal colic: a randomized controlled trial

Objective: The objective of this study was to compare the analgesic effect and tolerance profile of acupuncture versus intravenous (IV) titrated morphine in patients presenting to the emergency department (ED) with renal colic. Materials and methods: A total of 115 patients were randomized into two groups. Patients in the IV titrated-morphine group (n=61) received 0.1 mg/kg morphine every 5 minutes until pain score dropped by at least 50% of its baseline value. Patients in the acupuncture group (n=54) received an acupuncture session of 30 minutes following a prespecified protocol. The visual analog scale (VAS) was used to assess pain intensity...
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BL-23 plus KID-3 is most effective point combination for preventing cystitis

Investigators based in Norway have explored the correlation between choice of acupoints and the recurrence rate of cystitis among cystitis-prone women receiving acupuncture as a prophylactic treatment. Fifty-eight cystitis-prone women were included in the analysis. Acupuncture treatments, given twice a week for four weeks, were customised based on patients’ TCM pattern diagnoses, and patients were followed up over a six-month period. The main acupoints used for patients with Kidney qi/yang deficiency were Shenshu BL-23, Taixi KID-3, Zhongji REN-3, Sanyinjiao SP-6 and Pangguangshu BL-28; for Liver qi stagnation, Taichong LIV-3, Zhongji REN-3, Pangguangshu BL-28, Yinlingquan SP-9 and Sanyinjiao SP-6 were used;...
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Chronic pelvic pain syndrome in men

Despite some allegations to the contrary (e.g. ‘man flu’), it is generally accepted that men tend to suffer in silence, being reluctant to discuss health problems with friends, family or the medical profession. It is not surprising therefore that the facts about chronic pelvic pain syndrome (CPPS) in men are not better known. It is thought that up to 10% of men aged between 20 and 74 years have characteristic symptoms which can vary in frequency and intensity from intermittent and mild to severe and permanent. The key symptom is pain although there can be a constellation of other symptoms....
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Electro-acupuncture decreases stress incontinence

Electro-acupuncture (EA) can help ease stress urinary incontinence (SUI) in women, suggests a study from China. In a multi-centre randomised clinical trial, 504 women with SUI were randomly assigned to receive 18 sessions of EA (at lumbosacral acupoints) or sham EA (non-penetrating needling of non-acupoints). At the end of six weeks of treatment, EA showed a clear benefit over sham, with significantly less urine leakage and fewer diary reports of episodes of stress incontinence. The benefits of EA versus sham were maintained at six month follow up. The authors also note that while the safety and effects of EA for...
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Elektroakupunktur als Therapieoption bei Stressinkontinenz

Die elektrische Stimulation zweier Akupunkturpunkte erwies sich in einer Studie bei Patienten mit unkontrolliertem Verlust von Urin der Scheinakupunktur als überlegen. Der unkontrollierte Verlust von Urin, auch als Belastungs- oder Stressinkontinenz bezeichnet, stellt für die betroffenen Patienten ein gesellschaftliches Stigma dar und bedeutet meist eine eindeutige Minderung der Lebensqualität. Schätzungsweise vier Millionen Menschen in Deutschland, insbesondere Frauen und Personen über 65 Jahren, sind von diesem Leiden betroffen. Die Ursache für den unfreiwilligen Verlust von Urin liegt meist in einer erschlafften Beckenbodenmuskulatur in Folge schwerer Geburten, Übergewicht oder intensiver körperlicher Arbeit. Hilfsmittel, wie spezielle Einlagen, sowie präventive Maßnahmen, wie beispielsweise regelmäßige...
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Ginseng prevents hypotension during dialysis

Chewing slices of ginseng root while having haemodialysis can prevent patients’ blood pressure from dropping dangerously, according to Taiwanese investigators. Intradialytic hypotension (IDH) is a common complication of haemodialysis which increases mortality risks. Thirty-eight patients with IDH were instructed to chew slices of Korean red ginseng (KRG) at each haemodialysis session during a four-week treatment period. The results showed that KRG significantly reduced the degree of blood pressure drop during haemodialysis, as well as the frequency of symptomatic IDH. Blood samples taken during dialysis showed increased activity of the vasoconstrictors endothelin-1 and angiotensin II. Post-dialytic levels of endothelin-1 and angiotensin...
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Huai Qi Huang helpful for kidney disease

Chinese researchers have found that a herbal formula called Huai Qi Huang (HQH) can ameliorate proteinuria and haematuria in patients suffering from IgA nephropathy (IgAN, aka Berger’s disease). In this condition, immunoglobulin A (IgA) deposits form in the glomeruli, causing inflammation, which results in chronic kidney damage. HQH is a compound Chinese herbal medicine that contains Trametes robiniophila murr (Huaier), wolfberry fruit (Gou Qi Zi), and Polygonatum (Huang Jing). Forty-five adults diagnosed with IgAN who had haematuria and/or proteinuria were randomly assigned to receive HQH or no treatment for 12 weeks. The results showed that 24-hour urinary protein excretion was...
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Improving Well-Being of Prostate Cancer Survivors Using the NADA Acupuncture Protocol: A Clinical Outcome Study

ABSTRACT Background Prostate cancer survivors experience a range of troublesome symptoms related to cancer and its treatments. Objective The aim of this research was to evaluate the feasibility of using the National Acupuncture Detoxification Association(NADA)5-pointearacupunctureprotocoltoimprovethewell-beingofmendiagnosedwithprostatecancer. Materials and Methods This study was a single-arm, observational, clinical outcome study that used beforeand-after measurements. It took place in a National Health Service cancer treatment center in southern England. The subjects were men diagnosed with prostate cancer who were ‡35 years old, without relapse or metastatic disease, ‡6 months post active cancer treatment, experiencing symptoms and/or side-effects of cancer or its treatments. Twenty patients...
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Single point acupuncture in urge incontinence

ABSTRACT Objectives Urinary incontinence (UI) is common in middle- and old-age. Previous studies have shown that multiple-point and multiple-frequency acupuncture are efficacious treatment modalities for UI. This study investigated the efficacy of single-point acupuncture for the treatment of UI in women. Materials and Methods Twelve female subjects, ages 40–75, participated in the trial. Acupuncture at CV 2 was performed. Before needle insertion, each subject completed the Revised Urinary Incontinence Scale (RUIS). After treatment, subjects were contacted at 2 and 8 weeks to assess treatment effects using the RUIS questionnaire again. Results Statistically significant improvements were seen with respect to symptoms...
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Single-Point Acupuncture for Treatment of Urge Incontinence in Women: A Pilot Nonrandomized Trial

ABSTRACT Objectives Urinary incontinence (UI) is common in middle- and old-age. Previous studies have shown that multiple-point and multiple-frequency acupuncture are efficacious treatment modalities for UI. This study investigated the efficacy of single-point acupuncture for the treatment of UI in women. Materials and Methods Twelve female subjects, ages 40–75, participated in the trial. Acupuncture at CV 2 was performed. Before needle insertion, each subject completed the Revised Urinary Incontinence Scale (RUIS). After treatment, subjects were contacted at 2 and 8 weeks to assess treatment effects using the RUIS questionnaire again. Results Statistically significant improvements were seen with respect to symptoms...
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Urinary incontinence and acupuncture

A study carried out at the Department of Physiology at Meiji University of Oriental Medicine in Japan has confirmed the value of acupuncture in treating urinary incontinence in patients with chronic spinal cord injuries. Eight male patients, four with cervical lesions and four with thoracic lesions, were treated with acupuncture at Zhongliao BL-33. Four once-weekly treatments were given with needles inserted into bilateral Zhongliao and manually rotated for ten minutes. Incontinence was controlled completely in three patients and partially in three more. (Nippon Hinyokika Gakkai Zasshi Jul;89(7):665-669). Quelle: www.jcm.co.uk

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