{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T15:49:30Z","timestamp":1779205770835,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the additional benefit of acupuncture to pelvic floor exercise (PFE) on the improvement of urinary incontinence (UI) and quality of life (QoL) in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a single\u2010blinded randomized controlled trial in a tertiary university hospital. Women with UI in various severity and types were randomized to receive either a weekly course of acupuncture with PFE or PFE alone for 6 weeks and then followed up for 24 weeks in every 6 weeks. Investigators were blinded to group allocation in pre\u2010 and postintervention assessments.\u00a0Primary outcome was subjective changes of UI symptoms at 24 weeks. Secondary outcomes were episodes and severity of UI from bladder diary, severity by Visual Analogue Scale, and QoL scores by validated Chinese short\u2010form of Urogenital Distress Inventory (UDI\u20106) and Incontinence Impact Questionnaire (IIQ\u20107).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred\u00a0seventy\u2010nine women were screened while 137 were randomized. Significant subjective improvement in UI symptoms was demonstrated at all follow\u2010up, latest at 24 weeks (odds ratio [OR]: 2.29, 95% confidence Interval [CI]: 1.02\u20135.12, respectively), with reduced episodes and severity of UI after (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), and a trend of improvement in IIQ\u20107 score\u00a0(<jats:italic>p<\/jats:italic>\u2009=\u20090.05). No major adverse events occurred. History of 2 years or longer duration of UI symptoms was associated with lower effectiveness of acupuncture (OR: 0.08, 95% CI: 0.01\u20130.68).<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24918","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T18:55:23Z","timestamp":1648666523000},"page":"1097-1108","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Effect of additional acupuncture to pelvic floor exercise on urinary incontinence: A randomized controlled trial"],"prefix":"10.1002","volume":"41","author":[{"given":"Osanna Y. K.","family":"Wan","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine, Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel Y. K.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine, Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle P. M.","family":"Law","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Centre for Health Education and Health Promotion, The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lai Loi","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine, Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald Chi Chiu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine, Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong Hong Kong"},{"name":"Reproduction and Development Laboratory, Li Ka Shing Institute of Health Science The Chinese University of Hong Kong Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Symphorosa S. C.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine, Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00232-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","unstructured":"National Institute for Health and Care Excellence. Urinary incontinence and pelvic organ prolapse in women: management Clinical Guidelines [NG 123]; 2019.\u00a0Accessed\u00a0February 25 2021.https:\/\/www.nice.org.uk\/guidance\/ng123","DOI":"10.1111\/bju.14763"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12075"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2010.08.004"},{"key":"e_1_2_10_7_1","article-title":"Acupuncture for stress urinary incontinence in adults","volume":"7","author":"Wang Y","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000009838"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18042112"},{"key":"e_1_2_10_10_1","unstructured":"The CAMDOC Alliance. The regulatory status of Complementary and Alternative Medicine for medical doctors in Europe; 2010. 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