ABSTRACT
We report a case of overactive type neurogenic bladder with detrusor sphincter dyssnergia (DSD) that was successfully treated with acupuncture. The patient had urinary dysfunction after laminectomy of Th11, Th12 and L1. The symptoms chart, the frequency volume chart and urodynamic study (UDS) were used to evaluate urinary disturbance and the effect of acupuncture treatment. After the treatment, those charts showed improvement of pollakisuria, urinary urgency, urge incontinence, sense of residual urine and voiding volume. The UDS showed increase of bladder capacity, decrease of residual urine volume and disappearance of DSD. These results suggest that acupuncture treatment for overactive bladder and DSD is therefore useful. However, it is considered that the treatment for neurogenic bladder patients should be required long-term examination because of the importance for long-dated clinical observation.
ABSTRACT
A male patient aged 70 years, diagnosed as the benign prostatic hypertrophy (BPH) stage I, was the subject of this study. The effectiveness of acupuncture was evaluated by uroflowmetry (UFM). The patient received acupuncture treatments once a week for 5 weeks. Disposable needles (0.30mm in diameter), were inserted into bilateral Zhongliao (BL-33) points and rotated manually for 10 minutes. Average flow rate (AFR), maximum flow rate (MFR) and flow curve (FC) were used to evaluate the effectiveness of acupuncture treatment. The AFR before acupuncture, immediately after the treatments and twelve months after the cessation of acupuncture were 3.2ml/s, 11.4ml/s and 2ml/s, respectively. The MFR were 10ml/s, 20ml/s and 10ml/s, respectively. FC was observed as normal pattern during the treatment, but the obstructive pattern were recorded before and after the treatment.<br>Acupuncture treatment to the BL-33 points for BPH was shown to be useful although the effect was not long-lasting.