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Electrical Acupuncture, Point Injection and BPH

When men reach 50 years old, about 50% of them experience frequent night urination, urinary urgency, and urinary retention. These symptoms can influence sleep and social life, create anxiety and insomnia. Medications can help relax the smooth muscles of the bladder and prostate to reduce the urgency and frequency of urination, but they can also lead to erectile dysfunction, UTIs and urinary retention.

The newest research on acupuncture and chronic prostatitis and chronic pelvic pain syndrome was just published in 2018 in the Journal of Urology by Qin et al. This research was a 32-week randomized controlled trial, which included 8 weeks of treatment and then 24 weeks of follow-up. Sixty-eight patients from 18 to 50 years old were randomly assigned to acupuncture or non-invasive acupuncture. The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) total score was significantly different between the two groups at 8, 20, and 32 weeks after treatment. There was no significant difference between the groups in NIH-CPSI pain and quality of life subscale score and International Prostate Symptom Score (IPSS) at Week 4 (p>0.05 for all). For all other secondary outcomes, the acupuncture group was statistically better than the sham acupuncture group. The researchers concluded that acupuncture showed clinical and long-lasting benefits compared to sham acupuncture for chronic prostatitis and chronic pelvic pain syndrome, but sufficient doses were needed to achieve the best result.

Electroacupuncture can reduce the symptoms of benign prostatic hyperplasia, but it does not reduce testosterone levels. This was verified by R. Zheng in 2017 in Zhong Guo Zhen Jiu. Sixty patients were randomized into an electroacupuncture group and a medication group with 30 people in each one. In the electroacupuncture group, electroacupuncture was applied to Zhongji (CV 3) and Qugu (CV 2), once a day, 5 times a week. In the medication group, 0.2 mg tamsulosin hydrochloride sustained-release capsules were prescribed for oral administration once a day. The duration of treatment was 6 weeks in both groups. Changes in serum testosterone (T), estradiol (E2), E2/T, IPSS, erectile function score (â…¡EF5), serum prostate specific antigen (PSA) and adverse reactions were observed before and after treatment. two groups. Clinical therapeutic effects were compared between the two groups.

Before and after the treatment, the difference in serum T, E2 and E2/T was not significant in the electroacupuncture group (all P>0.05), but the difference in E2/T was significant in the medicine group (P<0.05 ). IPSS was reduced compared to that before treatment in the electroacupuncture group (P<0.05. The difference was significant in the comparison of the two groups after treatment (P<0.05), and the electroacupuncture group had the best effect. After treatment, the severity of symptoms was significantly reduced in the electroacupuncture group, and the general condition of the patients was better than that in the drug group (P<0.05). The total effective rate was 60.7% in the electroacupuncture group, almost double the improvement rate of 30.8% (P<0.05 ).0.05) in the medicine group. This study indicates that electroacupuncture can relieve the symptoms of chronic prostatitis more effectively without changing serum testosterone and estrogen levels significantly and electrical acupuncture can improve testicular function by bringing more blood flow to the testicles. and the adrenal glands.

If men do not have time to perform acupuncture treatments twice a week for 8 weeks, they may be able to use saline or herbal injections to reduce the frequency of acupuncture treatments needed. This study supports this interesting combination of electrical acupuncture and point injection for prostate enlargement.

An interesting research article was published in the Journal of Acupuncture Meridian Studies titled Hwanglyunhaedok Pharmacopuncture versus Saline Pharmacopuncture by KM Seong et al. In this study, 63 patients diagnosed with chronic prostatitis/chronic pelvic pain syndrome were treated with electroacupuncture and injection of eight 1 mL herbal or saline injections at acupoint CV1 twice a week for 4 weeks. The herbal injection group had 32 patients, while the saline group had 31 patients. After treatment twice a week for 4 weeks, the researchers found that the NIH-CPSI total scores were significantly reduced in both groups. Pain scores in both groups were also significantly reduced. In addition, IPSS was significantly reduced after treatment in both groups. However, there was no significant difference between the herbal injection and saline injection groups in NIH-CPSI and IPSS scores.

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