Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Yeung YK(1), Lo HY(1), Ng SW(1) , Leung WC(1), Fung KY(1), Lau CH(2)
Affiliation :
(1) Physiotherapy Department, Kwong Wah Hospital, (2) Obstetrics and Gynaecology Department, Kwong Wah Hospital
Introduction :
Approximately 20.8% of the Asian population is affected by detrusor instability, causing low quality of life. 66% of patient fails traditional conservative management which includes bladder training and pelvic floor muscle exercise. Medication intervention being second line treatment has some side effects on elderly population and patients may be unresponsive to the treatment. Third line treatment using surgical options has poor cure rates. Therefore, electrical acupuncture with evidences from studies, is a promising treatment option for these patients.
Objectives :
To evaluate the effectiveness of electro-acupuncture stimulation on urge incontinence.
Methodology :
Patients with confirmed urge incontinence by Cystometrogram was recruited. They were selected as they were either unfit for medication or with no response from medication. Patients attended an incontinence educational talk followed by one-on-one assessment on bladder training and pelvic floor muscle exercise. They then received a total of 12 sessions of electrical acupuncture. The program is being carried out at Kwong Wah Hospital.(1)Numeric Global Rating of Change Scale(NGRCS)-subjective improvement (0-10).(2)Frequency of incontinence (per month).(3)Frequency of nocturia (per month).(4)Frequency of leakage (per month).(5)Maximum voiding volume (milliliter).(6)veractive bladder symptom score.(7)Pelvic floor muscle(PFM) strength-Oxford Scale (Grade 1-5)
Result & Outcome :
Three patients completed the program from August 2023 . Patient reported subjective improvement(NGRCS) of 4 on average. Average frequency of incontinence improved from 6 times to 1 time a week. Average of urinary frequency in the day time improved from 10 times to 9 times. Average of nocturia frequency improved from 3 times to 2 times. Average of maximal voiding volume improved from 227ml to 230ml. Average OABSS improved from 11 to 8 (3-5: mild, 6-11: moderate, ≥ 12: severe). It appears that the results are positive and further investigation with more cases are required to evaluate the effectiveness of the program.
