ABSTRACT
We studied the effect of acupuncture on a case of neurogenic impotence caused by surgery for ano-rectal cancer. Acupuncture needles (length: 60mm, diameter: 0.3mm) were inserted into bilateral Zhongliao (BL33) and were stimulated erectrically or rotated manually for 10 minutes. The effectiveness of acupuncture was evaluated by IMP DIARY, which was consisted of the rate of increase on Erectometer, and the changes of the subjective symptoms. We also investigated the effects of acupuncture stimulation on microcirculation of the glans penis. After the treatmeent, IMP DIARY showed improvement of nocturnal penile tumescence, morning erection and erection by masturbation. The microcirculation at the glans penis was increased significantly immediately after acupuncture therapy. From these results, acupuncture treatment to the BL-33 points for neurogenic impotence after surgery for ano-rectal cancer was considered to be useful.
ABSTRACT
The frequencies of the urinary complaints oa the outpatients (male 188, female 339, average age 59.2+14.9) of the five acupuncture clinics were surveyed. The elder patients showed the higher frequencies of the urinary complaints. The frequencies of the complaints were as follows: nocturia (25.8%), urinary urgency (17.7%), stress incontinence (16.3%), sense of residual urine (15.2%), protracted micturition (12.0%), and retarded micturition (11.3%), respectively. The nocturia was accompanied with the majority of the other urinary complaints. These results suggest that the survey of the patient's complaint of nocturia is useful.
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.
