Effect of Different Acupuncture Schemes for Postoperative Urinary Retention in Cervical Cancer Patients

Not yet recruiting

• Conditions: Postoperative Urinary Retention (POUR)

• Registration Number: NCT06639399
• Lead Sponsor: Lu Chao

Brief Summary

This is a retrospective cohort study using a paired control design. We will review the patients of PUR after cervical cancer surgery who went to the acupuncture department and the urinary retention department in Zhejiang Cancer Hospital from October 2020 to August 2024, and 73 patients met the screening criteria. All patients provided written informed consent. The purpose of the study is to compare the effect of acupuncture at different combinations of acupoints for postoperative urinary retention (PUR) after radical hysterectomy of cervical cancer. All outcome-measures data were obtained from past medical records. It is an observational study rather than an intervention study. 73 patients met the screening criteria. They will be assigned into two groups according to the treatment scheme of acupoints combination for acupuncture: Group A (37 cases) and Group B (36 cases).

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-10
• Study First Submitted: 2024-10-09
• Study First Submitted QC: 2024-10-10
• Last Update Submitted: 2024-10-10
• Study First Posted: 2024-10-14
• Last Update Posted: 2024-10-14
• Study Start: 2024-12-01
• Primary Completion: 2025-10-31
• Study Completion: 2025-10-31

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: Female
• Target Recruitment: 73

Inclusion Criteria

• 18-70 years old
• Karnofsky Performance Scale (KPS) score > 70
• met the diagnostic criteria of PUR
• no history of serious urinary system diseases or urinary retention before the operation
• had clear cognition and no severe mental diseases
• had complete medical records and records of residual urine volume data.

Exclusion Criteria

• presence of other serious systemic diseases or advanced cachexia
• obstructive urinary retention caused by urethral stricture, stones, or other diseases
• receiving other treatments or self-change treatment
• poor compliance or failure to complete the acupuncture treatments
• incomplete clinical data.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The change value in residual urine volume	baseline and 2 weeks	Residual urine volume was assessed before the first treatment and after the final treatment by a trained outpatient nurse using a direct measurement method involving catheter insertion for urine drainage and measurement. Calculate the difference value in residual urine volume before and after treatment.

Secondary Outcome Measures

Name	Time	Method
The patient's abdominal distension sensation by the visual analog scale (VAS) method	baseline and 2 weeks	Patients were asked to mark their level of abdominal distension sensation on the line, with 0 indicating no abdominal distension and 10 indicating extremely severe abdominal distension.
The occurrence of urinary tract infections	baseline and 2 weeks	Count the number of urinary tract infections and calculate the incidence rate
The total effective rate	2 weeks	Clinical efficacy was assessed based on the change in residual urine volume before and after treatment. Cured: the residual urine volume was significantly decreased and less than 100 ml after treatment, and the catheter was removed with no recurrence during follow-up; Improved: the residual urine volume remained over 100 ml, but decreased by more than 100 ml compared to before treatment; Unimproved: the residual urine volume did not significantly decreased (less than 100 ml) or worsened. The total effective rate was calculated as the number of cured and improved patients divided by the total number of patients×100%.