title: [Auricular acupuncture in patients with detrusor overactivity: a pilot study].
abstract: BACKGROUND
  Patients suffering from overactive bladder/detrusor overactivity (OAB/DO) seem to benefit from body acupuncture. The study was carried out to test if auricular acupuncture (AAP), which is supposed to show an immediate effect, can also cause urodynamic changes.
  
  
  METHODS
  The OAB/DO condition was verified by means of cystometry in 14 patients. These patients were subjected to bilateral AAP after cystometry, a second cystometry was performed 20-30 min later and data were analyzed using the Wilcoxon rank-sum test.
  
  
  RESULTS
  None of the patients showed local or systemic complications but DO persisted in all patients and urge urinary incontinence (UUI) persisted in 85 % (11/13) of patients. Intravesical pressure decreased after AAP but without reaching statistical significance. In 22 % (2/9) of patients residual volume (RV) disappeared completely while 78 % (7/9) of patients showed significant reduction of RV.
  
  
  CONCLUSIONS
  This study could not prove a significant influence of AAP on DO or UUI; therefore an immediate effect of AAP in patients suffering from OAB/DO seems to be unlikely. Further studies are necessary to evaluate the effect of repeated AAP sessions on urodynamic changes.
authors.affiliation: Klinik und Poliklinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Justus-Liebig-Universität Gießen, Rudolf-Buchheim-Straße 7, 35385, Gießen, Deutschland, Th.B@gmx.de.
authors.forename: T
authors.initials: T
authors.lastname: Bschleipfer
authors.forename: G
authors.initials: G
authors.lastname: Lüdecke
authors.forename: M
authors.initials: M
authors.lastname: Durschnabel
authors.forename: F M E
authors.initials: FM
authors.lastname: Wagenlehner
authors.forename: W
authors.initials: W
authors.lastname: Weidner
authors.forename: A
authors.initials: A
authors.lastname: Pilatz
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D054644:Ear Auricle; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000175:diagnosis* / Q000628:therapy*