Suen et al, 2019(99 Suen LKP, Yeh CH, Yeung SKW, Yeung JWF. Is the combined auriculotherapy approach superior to magneto-auriculotherapy alone in aging males with lower urinary tract symptoms? A randomized controlled trial. Aging Male. 2019;16:1-12. doi:10.1080/13685538.2018.1542673
https://doi.org/10.1080/13685538.2018.15...
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Design: RCT double blind.
Objective: to assess whether auriculotherapy with laser and magnet is more effective than just with magnet for treatment of LUTS in elderly men.
Sample: 62 men.
Control group: 20 patients who received placebo (deactivated laser device + Medulla Junci patch).Intervention group II: 20 patients treated with laser therapy and magnet therapy at auricular points.
Intervention group III: 22 patients treated only with magnet therapy at auricular points
Limitations: sample size and short follow-up time. |
- LUTS- Urinary flow rate (ml/s)
- Residual urine (ml)
- Quality of life
- Sleep pattern
- Satisfaction with therapy |
I-PSSUrofluxometry
Doppler of the supra-pubic region
I-PSS QoL
PSQI
Satisfaction questionnaire (0 to 10 points) |
04 (baseline, 4th week, 1 and 3 months of follow-up) |
Combination therapy (laser + magnet) had greater effects (p <0.05) in controlling urinary symptoms, increased urinary flow and reduced residual urine. |
Michel-Cherqui et al, 2019(2323 Michel-Cherqui M, Szekely B, Lemoyne F, Feliot E, Gayat E, Fischler M. Auriculotherapy in the prevention of postoperative urinary retention in patients with thoracotomy and thoracic epidural analgesia: A randomized, double-blinded trial. Medicine (Baltimore). 2019;98(23):e15958. doi:10.1097/MD.0000000000015958
https://doi.org/10.1097/MD.0000000000015...
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Design:double blind RCT.
Objective:to assess the effect of auriculotherapy in preventing postoperative urinary retention in patients undergoing thoracotomy.
Sample: 50 men.
Control group:25 men received after anesthesia and before surgery five applications of adhesive tapes without needles in certain ear points.
Experimental group: 25 men received anesthetic acupuncture after anesthesia and before surgery using semi-permanent needles at certain ear points.
Type of anesthesia: combined (general and epidural).
Limitations:sample composed only of male patients |
- Urinary retention
- Anxiety
- Discomfort |
Need for bladder catheterization during;
Visual analog scale (0=no anxiety or stress; 10=maximum anxiety and stress) |
01 (each patient was monitored during the day and the first night after surgery) |
Auricular acupuncture is a safe and useful technique to reduce cases of postoperative urinary retention in patients undergoing thoracotomy. |
Capodice et al, 2007(2828 Capodice JL, Jin Z, Bemis DL, Samadi D, Stone BA, Kapan S, et al. A pilot study on acupuncture for lower urinary tract symptoms related to chronic prostatitis/chronic pelvic pain. Chin Med. 2007;2(1):1-17. doi:10.1186/1749-8546-2-1
https://doi.org/10.1186/1749-8546-2-1...
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Design: quasi-experimental
Objective: to assess the effect of systemic and auricular acupuncture on urinary symptom control and quality of life in men with prostatitis and chronic pelvic pain.
Sample: 10 men.
Intervention: 12 sessions of systemic and ear acupuncture.
Limitations: sample size, non-randomization, possible placebo effect. |
- Dysuria
- Frequency
- Quality of life |
NIH-CPSI
SF-36
|
04 (baseline, 3 and 6 weeks of treatment, and 6 weeks of follow-up) |
There was a statistically significant difference before and after intervention for pain, urinary symptoms and quality of life. |
Ricci et al, 2004(1414 Ricci L, Minardi D, Romoli M, Galosi AB, Muzzonigro G. Acupuncture reflexotherapy in the treatment of sensory urgency that persists after transurethral resection of the prostate: a preliminary report. Neurourol Urodyn. 2004;23(1):58-62. doi:10.1002/nau.10105
https://doi.org/10.1002/nau.10105...
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Design: RCT.
Objetivo: to assess whether systemic and auricular electroacupuncture is effective in controlling LUTS in patients undergoing transurethral resection of the prostateSample: 42 men with urgent UI.
Control group: 14 placebo-treated patients.
Intervention Group I: 15 patients treated with 5 mg oxybutynin.
Intervention Group II: 13 patients treated with systemic and auricular electroacupuncture (5 to 10 Hz).
Limitations: sample size. |
- Prostatic volume
- Urinary flow rate (ml/s)
- LUTS
- UI (no specification)
- Quality of life |
Transurethral ultrasound of the prostateUrofluxometry
I-PSS
I-PSS QoL
Voiding diary |
03 (baseline, 3 and 12 months) (1414 Ricci L, Minardi D, Romoli M, Galosi AB, Muzzonigro G. Acupuncture reflexotherapy in the treatment of sensory urgency that persists after transurethral resection of the prostate: a preliminary report. Neurourol Urodyn. 2004;23(1):58-62. doi:10.1002/nau.10105
https://doi.org/10.1002/nau.10105...
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As for daytime urinary loss (voiding diary) in the intervention group I, there was a reduction of 8% and in the intervention group II, 20%. On nocturia, a reduction of 20% was found in the intervention group I and 60% in the intervention group II. |
| Tang et al, 2000(2929 Tang X, Wang X. Clinical observation on treatment of hyperplasia of prostate by combination of auricular acupuncture with ultrasonic infrared photon. Chin Acupuncture Moxib. 2000;9:531-2.)
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Design: quasi-experimental.
Objective: to assess the effect of auricular acupuncture associated with infrared therapy on LUTSb and prostate size in patients with BPHd.
Sample: 120 men.
Control group I: 30 patients who received auricular acupuncture.
Control group II: 30 patients who received infrared therapy in the pelvic region.
Experimental group: 60 patients who received combination therapies: auricular + infrared acupuncture
Limitations: no. |
- LUTS
- Prostatic volume |
I-PSS
Digital rectal examination
Prostate ultrasonography |
02 (before and after)(2929 Tang X, Wang X. Clinical observation on treatment of hyperplasia of prostate by combination of auricular acupuncture with ultrasonic infrared photon. Chin Acupuncture Moxib. 2000;9:531-2.)
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Ear acupuncture alone proved to be 83.3% effective, while infrared therapy alone, 76.7%. |
| Leilei 2015(2121 Leilei LI. Moxibustion combined ear acupuncture point buries beans improve curative effect observation of urinary incontinence after stroke. Clin J Tradit Chinese Med. 2015;27(12):1752-4.)
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Design: RCT
Objective: to assess the clinical effect of moxibustion associated with auricular acupuncture in the treatment of UI after stroke.
Sample:78 patients.
Control group: 38 patients received routine nursing care.
Experimental group: 40 patients received atrial therapy combined with moxibustion at systemic points.
Limitations: no. |
- UI (no specification) |
Patient report of occurrence or not of urinary loss |
02 (baseline and 20 days of treatment)(2121 Leilei LI. Moxibustion combined ear acupuncture point buries beans improve curative effect observation of urinary incontinence after stroke. Clin J Tradit Chinese Med. 2015;27(12):1752-4.)
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Auriculotherapy combined with moxibustion was effective in controlling UI in patients with stroke (p <0.05). |
Bschleipfer et al, 2013(3030 Bschleipfer T, Ludecke G, Durschnabel M, Wagenlehner FME, Widner W, Pilatz A. Auricular acupuncture in patients with detrusor overactivity: a pilot study. Urologe A. 2014;53(11):1633-8. doi:10.1007/s00120-013-3189-2
https://doi.org/10.1007/s00120-013-3189-...
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Design: quasi-experimental.
Objective: to assess whether ear acupuncture can cause urodynamic changes immediately after treatment in patients with detrusor hyperactivity.
Sample: 14 patients.
Intervention: an auricular acupuncture session.
Limitations: sample size, single therapy session. |
- UI emergency (cystometry exam)
- Bladder filling volume
- Maximum detrusor pressure
- Residual urine (ml) |
Cystometry examination |
02 (before and after)(3030 Bschleipfer T, Ludecke G, Durschnabel M, Wagenlehner FME, Widner W, Pilatz A. Auricular acupuncture in patients with detrusor overactivity: a pilot study. Urologe A. 2014;53(11):1633-8. doi:10.1007/s00120-013-3189-2
https://doi.org/10.1007/s00120-013-3189-...
)
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There was no statistically significant effect to control detrusor hyperactivity. There was a statistically significant reduction in residual urine volume after treatment (p <0.05). |
| Huang, 2011(2222 Huang G. Therapeutic effect of auricular acupuncture on 160 cases of urinary retention after operation. China Foreign Med Treatm. 2011;3:126.)
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Design: RCT.
Objective: to assess the clinical effect of auricular and systemic acupuncture in the treatment of urinary retention of patients in the postoperative period of abdominal hernia.
Sample: 320 patients.
Intervention group: 160 patients received auricular acupuncture.
Control group: 160 patients received systemic acupuncture.
Type of anesthesia: not described.
Limitations: no. |
- Urinary retention |
Positive effect: urinary elimination within 8 hours after surgery.
Negative effect: urinary elimination 8 hours after surgery. |
01 (each patient was monitored until the 1st urinary elimination occurred or for a period up to 12 hours)(2222 Huang G. Therapeutic effect of auricular acupuncture on 160 cases of urinary retention after operation. China Foreign Med Treatm. 2011;3:126.)
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Auricular acupuncture was effective in 95.62% of cases of urinary retention (n=153), and systemic acupuncture in 79.38% (n=127). A statistical difference was found between the groups (p <0.05). |
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