[Electroacupuncture stimulation of the pudendal nerve for urinary incontinence after radical prostatectomy].

OBJECTIVE: To evaluate the clinical effect of pudendal nerve electroacupuncture (EAP) on urinary incontinence after radical prostatectomy. METHODS: According to the time of hospital visit, we randomly divided 81 patients, aged (68.56 ± 10.47) years, with urinary incontinence after radical prostatectomy into a control (n = 40) and an observation group (n = 41), the former treated by transrectal pelvic floor biofeedback combined with electrical stimulation (qd alt, 50 min/time) and the latter by EAP stimulation of the pudendal nerve at the four sacral points (qd alt, 50 min/time), both for 12 weeks. Before, at 4, 8 and 12 weeks of and 6 months after treatment, we obtained their scores on Urinary Incontinence Questionnaire Short Form (ICI-Q-SF ), urinary incontinence quality of life (I-QOL), Visual Analogue Scale (VAS) and pelvic floor muscle strength (Glazer), and evaluated the effect of 12 weeks of treatment. RESULTS: Compared with the baseline, the ICI-Q-SF, I-QOL, VAS and Glazer scores were significantly improved in the observation group at 4 , 8 and 12 weeks and during the 6-month follow-up (P < 0.05), even more significantly at 12 weeks and 6 months than at 4 and 8 weeks (P < 0.05), and also in the control group (P < 0.05), even more significantly at 6 months than at 12 weeks (P < 0.05). And all the indicators above were even better improved in the observation than in the control group at any point (P < 0.05). The patients in the observation group showed a markedly higher rate of total effectiveness than the controls at 12 weeks (73.17% ï¼»30/41ï¼½ vs 37.50% ï¼»15/40ï¼½, P < 0.05). CONCLUSIONS: EAP stimulation of the pudendal nerve is safe and has a good long-term effect in the treatment of urinary incontinence after radical prostatectomy, and therefore can be used as a first-choice conservative therapeutic strategy for this condition.

A new species of Protopsyllidiidae (Hemiptera, Sternorrhyncha) from the Middle Jurassic of northeastern China.

Based on two compression fossils from the Middle Jurassic Jiulongshan Formation of Daohugou Village, Ningcheng County, Inner Mongolia, China, a new fossil species, Poljanka curticapillata L, Luo & Yao, sp. nov., of the extinct family Protopsyllidiidae is described. It is characterized by the flagellomeres 16 slender and 6 small subsections at apex, the presence of genae, the basal tarsomere almost equal to the apical tarsomere of fore and middle legs, and basal tarsomere about 2.11 times as long as apical tarsomere of hind leg, and the forewing veins R longer than M + Cu1, Cu1 with curved Cu1a and Cu1b, and Cu1a/Cu1b ratio 3.463.63. These body features and combination of forewing venation characteristics differ the new taxon from all other known species of Poljanka Klimaszewski, 1995. We also provide a key to the species of Poljanka and revise the diagnosis of the genus.