Review Article

A Critical Overview of Systematic Reviews and Meta-Analyses of Acupuncture for Female Stress Urinary Incontinence

Table 3

Characteristics of the included SRs/MAs.

Author, year (Country)Trials (subjects)Intervention groupControl groupRisk of bias assessment toolMain results

Na Yang, 2021 (China) [18]8 (607)MA, EA, MA + control group, EA + control groupCM, SA, RTCochrane criteriaBased on this study, acupuncture intervention on SUI in middle-aged and elderly women can improve clinical efficacy, reduce urine leakage and decrease ICIQ-SF score in the urine pad test.
Xiuhua Lai, 2020 (China) [19]15 (1,577)EACM, SA, RTCochrane criteriaElectroacupuncture for women with SUI demonstrates significant efficacy and safety across key outcomes.
Yajing Zhong, 2020 (China) [20]10 (1,200)EA, EA + control groupCM, SA, RTCochrane criteriaIn conclusion, our findings suggest that there is weak evidence for the use of EA to improve response rates, reduce urine leakage, and decrease incontinence episodes in patients with SUI.
Chen, et al. 2018 (China) [21]14 (1,172)EA, MA, MA + control groupRT, CMJadad scaleThe acupuncture therapy was compared with other treatments, and the data analysis shows that the total effective rate of acupuncture in the treatment of female SUI is higher than that of the control group.
Chen, 2020 (China) [22]11 (1,005)EA, MA, MA + control groupRT, CMJadad scaleThe clinical efficacy of acupuncture in the treatment of female SUI is significantly better than that of pelvic floor muscle exercises.
Ma, et al. 2021 (China) [23]16 (985)MA, EA, MA + control Group, EA + control GroupRTCochrane CriteriaCompared with Kegel exercise, acupuncture in the treatment of female SUI showed statistically significant differences in four commonly used indicators: Effective rate, ICI-Q-SF score, 1-hour urine pad test and 24-hour urine diary.
Wang, et al. 2014 (China) [24]9 (579)MA, EA, MA + control group, EA + control groupRT, CM, placeboJadad scaleThe results show that acupuncture is effective in treating stress urinary incontinence, and is superior to western medicine and pelvic floor muscle training. It has no toxic side effects and is easy for patients to adhere to.
Zhang,et al. 2016 (China) [25]10 (785)EA, MA, EA + control groupRT, CM, placeboJadad scaleIn conclusion, the analysis results show that the acupuncture prescription has some advantages in treating female SUI, but the limitations of inclusion in the study reduce the reliability of the above results.