Segmental Acupuncture for Prevention of Recurrent Urinary Tract Infections. A Randomised Clinical Trial

Area of Science:

• Integrative Medicine
• Urology
• Preventive Healthcare

Background:

• Recurrent urinary tract infections (UTIs) present a significant clinical challenge.
• Prophylaxis strategies for recurrent UTIs are continuously being explored.
• Acupuncture is investigated as a potential non-antibiotic preventive measure.

Purpose of the Study:

• To evaluate the efficacy of acupuncture in preventing recurrent UTIs in women.
• To compare acupuncture plus cranberry versus cranberry alone for UTI prophylaxis.

Main Methods:

• A multicenter randomized controlled trial involving women with recurrent uncomplicated UTIs.
• Participants were randomized to receive either acupuncture therapy or a control (no acupuncture).
• Acupuncture involved 12 sessions over 18 weeks; all participants received cranberry products.

Main Results:

• While not significant at 6 months, acupuncture combined with cranberry showed a higher proportion of UTI-free women at 12 months (66% vs. 45%).
• The number of UTIs decreased significantly in the acupuncture group by the 12-month follow-up.
• Acupuncture therapy resulted in a significantly lower median number of UTIs at 12 months (p=0.01).

Conclusions:

• Segmental acupuncture shows promise as an effective treatment for recurrent UTIs in women.
• Acupuncture may offer a viable alternative to long-term antibiotic use for UTI prevention.
• Further research is warranted to confirm these findings and explore long-term effects.