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Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report

근치적 전립선 절제술 후 발생한 하부요로증상의 근막 트리거 포인트 침치료를 병행한 한의치료 1례

  • Received : 2024.01.18
  • Accepted : 2024.02.16
  • Published : 2024.03.01

Abstract

Objectives: The purpose of this study is to report a case of Korean medicine treatment accompaning myofascial trigger-point accupuncture for severe & persistent lower urinary tract symptoms after radical prostatectomy. Materials and Methods: A prostate cancer patient with severe & persistent lower urinary tract symptoms after radical prostatectomy conducted 26 months ago, was treated with Korean medicine accompaning myofascial trigger-point accupuncture. The International Prostate Symptom Score(IPSS), the IPSS Quality of Life(IPSS-QoL) and the Overactive Bladder Symptom Score(OABSS) questionaires were administered to evaluate the effect of treatment for lower urinary tract symptoms. Results: After 5 month treatment with Korean medicine accompaning myofascial trigger-point accupuncture, IPSS, IPSS-QoL and OABSS progressed from 28 to 8, from 5 to 2 and from 12 to 4 respectively. Conclusion: This case study suggests that Korean medicine accompaning myofascial trigger-point accupuncture may contribute to treat severe & persistent lower urinary tract symptoms after radical prostatectomy.

Keywords

References

  1. Kang, M. J., Jung, K. W., Bang, S. H., Choi, S. H., Park, E. H., Yun, E. H., et al. (2023). Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2020. Cancer Res Treat, 55(2), 385-399. doi: 10.4143/crt.2023.447 
  2. Giannantoni, A., Mearini, E., Di Stasi, SM., Mearini, L., Bini, V., Pizzirusso, G., Porena, M., et al. (2004). Assessment of bladder and urethral sphincter functionbefore and after radical retropubic prostatectomy. The Journal of Urology, 171(4), 1563-6. doi: 10.1097/01.ju.0000118957.24390.66 
  3. Han, J. Y., Choo, M.S. (2011). Drug treatment for lower urinary tract symptoms. J Korean Med Assoc, 54(6), 637-645. doi: 10.5124/jkma.2011.54.6.637 
  4. Amano, K., Suzuki, K., Ito, Y. (2022). Changes in quality of life and lower urinary tract symptoms over time in cancer patients after a total prostatectomy: systematic review and meta-analysis. Support Care Cancer, 30(4), 2959-2970. doi:10.1007/s00520-021-06595-x 
  5. Matsubara, A., Yasumoto, H., Mutaguchi, K., Mita, K., Teishima, J., Seki, M., et al. (2005). Impact of radical perineal prostatectomy on urinary continence and quality of life: a longitudinal study of Japanese patients, Int J Urol, 12(11), 953-8. doi: 10.1111/j.1442-2042.2005.01187.x. 
  6. Lepor, H., Kaci, L. (2004). The impact of open radical retropubic prostatectomy on continence and lower urinary tract symptoms: a prospective assessment using validated self-administered outcome instruments. The Journal of Urology, 171(3), 1216-1219. doi.org/10.1097/01.ju.0000113964.68020.a7 
  7. Yoon, B. I., Hwang, T. K., Kim, J. C. (2008). Impact of Laparoscopic Radical Prostatectomy on Urinary Incontinence and Lower Urinary Tract Symptoms. Korean Journal of Urology, 49(2), 134-138. doi:10.4111/kju.2008.49.2.134 
  8. Choi, H. S., Im, C. M., Kim, S. O., Kim, M. K., Kwon, D. Deuk., Ryu, S. B. (2008). Lower Urinary Tract Symptoms after Radical Retropubic Prostatectomy: Preliminary Study. Korean J Urol, 49(8), 715-719. doi.org/10.4111/kju.2008.49.8.715 
  9. Jang, K. J., Yang, J. M., Hwang, W. S., Lee, B. J. (2022). Traditional Korean Medicine Treatment for Sequelae After Surgery in Prostate Cancer Patients : Two Case Report. The Journal of Internal Korean Medicine, 43(5), 795-808. doi: https://doi.org/10.22246/jikm.2022.43.5.795 
  10. Kim, S. Y., Kim, S. L., Choi, Y. J., Bae, J. I., Yoon, C. H. (2012). A Case Report Complications after Radical Retropubic Prostatectomy. Journal of Internal Korean Medicine, 351-357. 
  11. Barry, M. J., Fowler, F. J., O'Leary, M. P., Bruskewitz, R. C., Holtgrewe, H. L., Mebust, W. K., et al. (1992). The American Urological Association Symptom Index for benign prostatic hyperplasia. J Urol, 148(5), 1549-1557. doi: 10.1016/s0022-5347(17)36966-5 
  12. Rhodes, P. R., Krogh, R. H., Bruskewitz, R. C. (1999). Impact of drug therapy on benign prostatic hyperplasia-specific quality of life. Urology, 53(6), 1090-8. doi: 10.1016/s0090-4295(99)00041-2 
  13. Sagnier, P. P., MacFarlane, G., Richard, F., Botto, H., Teillac, P., Boyle, P. (1994). Results of an epidemiological survey using a modified American Urological Association symptom index for benign prostatic hyperplasia in France. J Urol, 151(5), 1266-70. doi: 10.1016/s0022-5347(17)35229-1 
  14. Tsukamoto, T., Kumamoto, Y., Masumori, N., Miyake, H., Rhodes, T., Girman, C. J., et al. (1995). Prevalence of prostatism in Japanese men in a community-based study with comparison to a similar American study. J Urol, 154(2), 391-5. doi: 10.1097/00005392-199508000-00018 
  15. Homma, Y., Kakizaki, H., Yamaguchi, O., Yamanishi, T., Nishizawa, O., Yokoyama, O., et al. (2011). Assessment of overactive bladder symptoms: comparison of 3-day bladder diary and the overactive bladder symptoms score. Urology, 77(1), 60-64. https://doi.org/10.1016/j.urology.2010.06.044 
  16. Yamaguchi, O., Nishizawa, O., Takeda, M., Yokoyama, O., Homma, Y., Kakizaki, H., et al. (2009). Clinical guidelines for overactive bladder. Int J Urol, 16(2), 126-42. https://doi.org/10.1111/j.1442-2042.2008.02177.x 
  17. Castellan, P., Ferretti, S., Litterio, G., Marchioni, Giulio., Schips, Luigi. (2023). Management of Urinary Incontinence Following Radical Prostatectomy: Challenges and Solutions. Therapeutics and Clinical Risk Management, 19, 43-56. doi: 10.2147/TCRM. S283305 
  18. Chen, H., Liu, Y., Wu, J., Liang, F., Liu, Z. (2023). Acupuncture for postprostatectomy incontinence: a systematic review. BMJ Support Palliat Care, 13(e1), e10-e19. doi: 10.1136/bmjspcare-2020-002450. 
  19. Tan, M. Y., Mo, C. Y., Zhao, Q. (2023). Efficacy and safety of acupuncture in the treatment of urinary incontinence after prostate surgery: protocol for a systematic review and meta-analysis. BMJ Open, 13(8), e072516. DOI:10.1136/bmjopen-2023-072516 
  20. Chen, S., Wang, S., Liu, S., Wang, S., Xuan, L., Gao, Y.(2023). Efficacy of electrical pudendal nerve stimulation versus pelvic floor muscle training in treating postradical prostatectomy urinary incontinence: study protocol for a randomised controlled trial, 13(1), e062323. doi: 10.1136/bmjopen-2022-062323. 
  21. Hoyland, K., Vasdev, N., Abrof, A., Boustead, G. (2014). Post-Radical Prostatectomy Incontinence: Etiology and Prevention. Rev Urol, 16(4), 181-188. doi: 10.3909/riu0606 
  22. Van der Poel, HG., De Blok, W., Joshi, N., Van Muilekom, E. (2009). Preservation of lateral prostatic fascia is associated with urine continence after robotic-assisted prostatectomy. Eur Urol, 55(4), 892-900. doi: 10.1016/j.eururo.2009.01.021 
  23. Song, C., Doo, C, K., Hong, J, H., Choo, M. S., Kim, C. S., Ahn, H. (2007). Relationship between the integrity of the pelvic floor muscles and early recovery of continence after radical prostatectomy. J Urol, 178(1), 208-211. doi:10.1016/j.juro.2007.03.044. 
  24. Burzynski, B., Jurys, T., Knapik, M., Burzynski, K., Rzymski, P., Rajwa, P., et al. (2023). Abdominal complex muscle in women with stress urinary incontinence prospective case-control study. Arch Med Sci, 19 (4), 1016-1021. https://doi.org/10.5114/aoms/135708. 
  25. Gu, Y., Tingting Lv., Jiang, C., Jianwei Lv. (2021). Neuromodulation of the Pudendal Nerve Assisted by 3D Printed: A New Method of Neuromodulation for Lower Urinary Tract Dysfunction. Front. Neurosci, 15, 619672. https://doi.org/10.3389/fnins.2021.619672. 
  26. Bava, R., Castagna, F., Musella, Vincenzo., Lupia, C., Palma, E., Britti, E. (2023). Therapeutic Use of Bee Venom and Potential Applications in Veterinary Medicine. Vet Sci, 10(2), 119. doi: 10.3390/vetsci10020119 
  27. Park, H. K., Park, H. Z., Cho, S. Y., Bae, J. Bum., Jeong, S. Jin., Hong, S. K., et al. (2009). The Prevalence of Benign Prostatic Hyperplasia in Elderly Men in Korea: A Community-Based Study. Korean Journal of Urology, 50(9), 843-847. https://doi.org/10.4111/kju.2009.50.9.843