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Tuesday, 20 November 2012 12:10

Can acupuncture help stress incontinence?

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Q:  In 2010 I had a T.U.R.P on my prostate and after the operation I had stress incontinence for several weeks. I still have slight leakage now and again e.g. when lifting something heavy. I wondered if acupuncture is used to treat this problem.

 

A:  There is no evidence which we can find of the treatment of post-TURP incontinence with acupuncture. Most research into male incontinence is done on subjects who have had spinal injuries, but the evidence from these is not very conclusive. There are some very useful articles on the problem, such as
 
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938549/
 
but none which make a positive recommendation for treatment. If you google the condition you may find a number of individual practitioners who make claims about treatment in this area, mainly from the USA, but you would be well advised to treat such websites with caution.
 
Having said that, the use of acupuncture treatment to improve the overall function of the system is one of its purposes. In ancient times patients paid the doctor to keep them well, not to get them better after they had become ill, and the underlying theories of Chinese medicine are about maintaining good health as much as trying to resolve symptoms. It is possible that there have been aspects of the condition itself and of the treatment which you have received which have lowered your system as a whole, and a skilled practitioner might find that there are aspects of your balance which, if corrected, may have consequences for your ability to recover successfully foir what can be quite unpleasant surgery.
 
We are aware, though, that without a proven evidence base for treating this condition any form of treatment aside from the ones outlined in the article above will involve a certain leap of faith, and as such we would recommend that whatever you might try you draw a very sharp line in the sand about the number of sessions you have before determining whether to carry on, and to set measurable outcomes for your progress. 'Feeing a bit better' is difficult to quantify, and can change very quickly, but recording episodes on a chart is hard evidence.
 
We recommend that you visit a BAcC member local to you for advice on whether they think acupuncture treatment may be of benefit to you based on a brief face to face assessment.  

Read 3060 times Last modified on Friday, 11 January 2013 21:01

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