Electroacupuncture of Different Treatment Frequency in Chronic Urinary Retention Caused by Lower Motor Neuron Lesions

Launched by GUANG'ANMEN HOSPITAL OF CHINA ACADEMY OF CHINESE MEDICAL SCIENCES · Apr 3, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at a treatment called electroacupuncture to see how different frequencies of this therapy can help people with chronic urinary retention caused by lower motor neuron lesions. Urinary retention means that a person has difficulty emptying their bladder, and this specific condition can occur due to nerve damage in the lower part of the body. The study aims to find out which frequency of electroacupuncture works best for improving bladder function in patients experiencing this issue.

To participate in the trial, individuals must be at least 18 years old and diagnosed with urinary retention for at least one month. They should have a specific amount of urine left in their bladder after trying to go (at least 150 mL) and should have normal bladder sensation. Participants will be required to sign consent forms and can expect to receive treatment over a set period, while closely monitored by the research team. It's important to note that individuals with certain medical conditions or devices, such as severe urinary blockages or implanted devices like pacemakers, cannot participate in the study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Diagnosed with urinary retention caused by lower motor neuron lesions (e.g., sacral plexus, cauda equina, or sacral cord lesions).
• • 18 years or older.
• • Baseline post void residuals (PVR) ≥150 mL.
• • The course of urinary retention ≥1 month.
• • Having normal bladder sensation.
• • Using clean intermittent catheterization (CIC), indwelling catheterization (IC), manual assisted voiding including putting pressure on abdomen, or cystostomy catheterization.
• • Signed informed consent and voluntary participation in the study.
• Exclusion Criteria:
• • Having a lower urinary tract obstruction, such as bladder neck contracture, urethral stricture, prostatic hyperplasia, or large urinary stones that can cause obstruction.
• • Having any type of malignant tumors not removed.
• • Having severe systemic disorders not controlled.
• • Having implanted electrodes of cardiac pacemaker, pudendal nerve stimulation, bladder stimulation, or SNM.
• • Pregnancy or lactation.
• • Eletroacupuncture treatment duration \< 2 weeks.