{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:47:38Z","timestamp":1791229658513,"version":"4.1.0"},"reference-count":64,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This meta-analysis aimed to determine the clinical efficacy of acupuncture combined with biofeedback electrical stimulation for stress urinary incontinence in women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Databases including CNKI, WanFang, VIP, PubMed, Cochrane Library, Embase, and Web of Science were searched to collect randomized controlled trials (RCTs) on acupuncture combined with biofeedback electrical stimulation for female stress urinary incontinence from database inception to June 1, 2025, and performed a meta-analysis using Stata 15 software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 33 studies involving 2,860 patients were included in the analysis. Meta-analysis revealed that compared with the biofeedback electrical stimulation group, the acupuncture plus biofeedback electrical stimulation group significantly reduced the number of leakage episodes [SMD\u202f=\u202f\u22122.26, 95% CI (\u22123.42, \u22121.11)] and urine leakage volume [SMD\u202f=\u202f\u22121.79, 95% CI (\u22122.22, \u22121.37)], and ICIQ-SF scores [MD\u202f=\u202f\u22122.00, 95% CI (\u22122.61, \u22121.39)]. Additionally, the acupuncture plus biofeedback electrical stimulation group demonstrated significantly greater increases in pelvic floor muscle strength scores [SMD\u202f=\u202f0.99, 95% CI (0.32, 1.65)]. The clinical efficacy of the acupuncture plus biofeedback electrical stimulation group was significantly higher than that of the biofeedback electrical stimulation control group [RR\u202f=\u202f1.20, 95% CI (1.16, 1.25)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Acupuncture combined with biofeedback electrical stimulation therapy may offer certain advantages in treating female stress urinary incontinence. It may reduce the frequency and volume of urinary leakage, lower ICIQ-SF scores, increase pelvic floor muscle strength scores, and improve quality of life in women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1760125","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:54:57Z","timestamp":1769064897000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Acupuncture combined with biofeedback electrical stimulation for female stress urinary incontinence: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Hongji","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Acupuncture and Moxibustion, Dongguan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine","place":["Dongguan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aizizha","family":"Aikebai","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, Dongguan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine","place":["Dongguan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianer","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, Dongguan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine","place":["Dongguan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, Dongguan Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine","place":["Dongguan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1002\/nau.20870","article-title":"Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence","volume":"29","author":"Abrams","year":"2010","journal-title":"Neurourol Urodyn"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.urology.2012.10.087","article-title":"Trends in the surgical Management of Stress Urinary Incontinence among Female Medicare Beneficiaries, 2002-2007","volume":"82","author":"Rogo-Gupta","year":"2013","journal-title":"Urology"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.maturitas.2017.12.008","article-title":"Management of female stress urinary incontinence: a care pathway and update","volume":"109","author":"Capobianco","year":"2018","journal-title":"Maturitas"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1186\/s12905-025-04055-w","article-title":"Logistic regression versus C5.0 decision tree in predicting female stress urinary incontinence risk using clinical and pelvic floor ultrasound data: a model development and validation study","volume":"25","author":"Huang","year":"2025","journal-title":"BMC Womens Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1097\/WON.0000000000000754","article-title":"Conceptual framework for incontinence-associated dermatitis based on scoping review and expert consensus process","volume":"48","author":"Rodr\u00edguez-Palma","year":"2021","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1016\/S0022-5347(06)00588-X","article-title":"Increasing costs of urinary incontinence among female Medicare beneficiaries","volume":"176","author":"Anger","year":"2006","journal-title":"J Urol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2945","DOI":"10.20043\/j.cnki.MPM.202503047","article-title":"The relationship between the nine elements of life and the incidence and prognosis of female stress urinary incontinence. 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