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The goal of this study is to examine the efficacy of acupuncture in the management of acute postoperative urinary retention.
Clinical question:
Is acupuncture efficacious for postoperative urinary retention after hemorrhoidectomy compared with sham acupuncture and neostigmine.
Study design:
The participants who undergo hemorrhoidectomy and report postoperative urinary retention will receive one session of acupuncture or sham acupuncture or one injection of 1-mg neostigmine. The primary outcome was the time to first urination after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupuncture | Experimental |
| |
| Sham acupuncture | Placebo Comparator |
| |
| Neostigmine | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupuncture | Other | Acupuncture is a technique that inserts a needle into the acupuncture point to treat a condition. In this trial, we will use acupuncture to treat postoperative urinary retention. |
| Measure | Description | Time Frame |
|---|---|---|
| The time to first urination after surgery | This outcome records the time period from the end of surgery to the immediately first urination. | Immediately after first urination |
| Measure | Description | Time Frame |
|---|---|---|
| The volume of first of urination | This outcome measures the total volume of the first urination after surgery. | Immediately after first urination |
| Bladder residual urine volume | This outcome measures the bladder residual urine volume using the ultrasound measurement. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Min Chen, MD | Chengdu University of Traditional Chinese Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital of Chengdu University of Traditional Chinese Medicine | Chengdu | 610000 | China |
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| Sham acupuncture | Other | Participants will receive sham acupuncture at sham points. |
|
| Neostigmine Injectable Product | Drug | Neostigmine was injected once after postoperative urinary retention. |
|
| 10 minutes before treatment, 0.5, 1, and 2 hours after treatment. |
| Urination Score | The urination score ranges from 0 to 4 points. A higher score indicates more difficult to urinate. | 10 minutes before treatment, 0.5, 1, and 2 hours after treatment. |
| Abdominal symptom score | The abdominal symptom score ranges from 0 to 3 points. A higher score indicates worse abdominal symptoms. | Before treatment, 0.5, 1, and 2 hours after treatment. |
| Visual analogue score after surgery | The visual analogue score ranges from 0 to 10 cm. A higher score indicates more painful symptoms. | 2 hours after treatment. |
| Adverse effects | The adverse events will recorded by the patients and evaluated by the physicians. And the adverse events will be classified into mild and severe. Mild adverse events need no additional medical care. | 48 hours after treatment |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015670 | Acupuncture Therapy |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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