Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report

Lee Jin Kwang; Lee, Jin Kwang

doi:10.13048/jkm.24017

JKM > Volume 45(1); 2024 > Article

Kwang: Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report

Case Report

The Journal of Korean Medicine 2024; 45(1): 238-248.

Published online: March 1, 2024

DOI: https://doi.org/10.13048/jkm.24017

Korean Medicine Treatment Accompaning Myofascial Trigger-Point Accupuncture for Lower Urinary Tract Symptoms after Radical Prostatectomy : A Case Report

Lee Jin Kwang

SeKang Korean Medicine Clinic

Correspondence to: Lee Jin Kwang, 1740, Nambusunhwan-ro, Gwanak-gu, Seoul, Republic of Korea, Tel: +82-2-889-0333, E-mail: med96@hanmail.net

Received January 18, 2024 Revised February 11, 2024 Accepted February 16, 2024

Abstract

Objectives

The purpose of this study is to report a case of Korean medicine treatment accompaning myofascial trigger-point accupuncture for severe & persistent lower urinary tract symptoms after radical prostatectomy.

Materials and Methods

A prostate cancer patient with severe & persistent lower urinary tract symptoms after radical prostatectomy conducted 26 months ago, was treated with Korean medicine accompaning myofascial trigger-point accupuncture. The International Prostate Symptom Score(IPSS), the IPSS Quality of Life(IPSS-QoL) and the Overactive Bladder Symptom Score(OABSS) questionaires were administered to evaluate the effect of treatment for lower urinary tract symptoms.

Results

After 5 month treatment with Korean medicine accompaning myofascial trigger-point accupuncture, IPSS, IPSS-QoL and OABSS progressed from 28 to 8, from 5 to 2 and from 12 to 4 respectively.

Conclusion

This case study suggests that Korean medicine accompaning myofascial trigger-point accupuncture may contribute to treat severe & persistent lower urinary tract symptoms after radical prostatectomy.

Keywords: prostate cancer, radical prostatectomy, lower urinary tract symptoms, Korean medicine, myofascial trigger-point accupuncture, IPSS

Fig. 1

IPSS progression

Fig. 2

IPSS-QoL progression

Fig. 3

OABSS progression

Table 1

Prescription of Paljin-tang gagambang

Herb	Scientific name	Amount (g/pack)
熟地黃	Rehmanniae Radix Preparata	3
當歸	Angelicae Acutilobae Radix	3
川芎	Ligustici Officinalis Rhizoma	1.5
芍藥	Paeonia lactiflora Pallas	1.5
人蔘	Ginseng Radix	1
黃耆	Astragali Radix	3
白朮	Atractylodis Macrocephalae Rhizoma	1.5
紅花	Carthami Flos	1.5
桃仁	Persicae Semen	1
黃柏	Phellodendron amurense Rup	1

Table 2

Progression of Lower Urinary Tract Symptoms from 2023. 7. 5 to 12. 21

	IPSS^*	IPSS-QoL^†	OABSS^‡
2023. 7. 5 (1st tx^§)	28	5	12[Q3^** 4]
8. 5 (9th tx)	11	3	4 [Q3 1]
9. 2 (12th tx)	12	4	6 [Q3 3]
10. 10 (14th tx)	10	4	5 [Q3 2]
11. 23 (16th tx)	8	2	4 [Q3 1]
12. 21 (17th tx)	8	2	4 [Q3 1]

* IPSS : International Prostate Symptom Score

† IPSS-QoL : International Prostate Symptom Score-Quality of Life

‡ OABSS : OverActive Bladder Symptom Score

§ tx : treatment

** Q3 : Question3

Table 3

Progression of 3 major Symptoms from 2023. 7. 5 to 12. 21

	frequency	nocturia	urge incontinence
2023. 7. 5 (1st tx^††)	8~14(usally 12)	more than 3	2~4/day
8. 5 (9th tx)	less than 7	2	less than 1/week
9. 2 (12th tx)	less than 7	2	1/day
10. 10 (14th tx)	less than 7	2	more than 1/week
11. 23 (16th tx)	less than 7	2	less than 1/week
12. 21 (17th tx)	less than 7	2	less than 1/week

†† tx : treatment

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