ClinicalTrials.gg
RecruitingNCT05635669Updated May 22, 2025

Optimized Acupuncture Treatment for Female Stress Urinary Incontinence

An interventional study of Sacral acupoints acupuncture and Abdominal acupoints acupuncture in Stress Urinary Incontinence, sponsored by Yin Ping. Recruiting at 1 site in China. Open to female participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-05-22.

Sponsored by Yin Ping · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Jan 2023; still recruiting 3 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 22 studies in Urinary Incontinence, Stress with a site in China — 6 open to participants now, 6 under way, 1 of them phase 3. Urinary Incontinence, Stress · China.

Planned enrollment
5th of 20
360 · median 137
Started
2023
with 2 others
No phase
15 of 22
3 open now
Registered
12th of 22
by date

Among the 22 studies in Urinary Incontinence, Stress with a site in China, this one is the 5th largest by planned enrollment of the 20 interventional ones that give a count, is one of 3 that started in 2023, is one of 15 with no phase, and was the 12th registered.

Urinary Incontinence, Stress

653 studies on the registry are indexed under Urinary Incontinence, Stress; 121 are open to participants now.

Browse Urinary Incontinence, Stress studies →

Open to participants now

6 of the 22 studies in Urinary Incontinence, Stress with a site in China are open now. Recruiting first, the newest first:

All 6 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 74 Urinary Incontinence, Stress studies recruiting now, 42 (57%) set no upper age limit and 18 (24%) stop at 75 or younger; 2 take children under 18; 16 take healthy volunteers.

This study: 40 Years to 75 Years · female · no healthy volunteers.

The full table on the hub →

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02

Study summary

This multicenter randomized controlled trial is designed to explore a relatively suitable application of acupoint combinations and to provide certain clinical evidence for the optimization of acupuncture treatment of female SUI.

Read the detailed description

Stress urinary incontinence (SUI) mainly refers to the involuntary leakage of urine when abdominal pressure increases, such as sneezing, coughing, laughing or exercise. According to epidemiological studies, the global median prevalence of female urinary incontinence is 27.6% (4.8%-58.4%), of which SUI accounts for more than 50%. Previous study have demonstrated that acupuncture intervention can reduce the urine leakage in pad test, decrease the ICIQ-SF score, so as to help the patients alleviate the symptoms and improve their quality of life. This multicenter randomized controlled trial set 3 groups. Patients will receive 3 different applications of acupoint combinations so that the optimization of acupuncture treatment of female SUI will be find.

03

Conditions studied

  • Stress Urinary Incontinence
04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with mild to moderate SUI mentioned in the diagnostic criteria above;
  • Aged 40~75 years;
  • Sign the .

Exclusion criteria

Exclusion Criteria:

  • Other types of urinary incontinence (urgent, overflow or mixed).
  • History of urinary incontinence surgery or pelvic floor surgery;
  • Pelvic organ prolapse ≥ stage II;
  • Symptomatic urinary tract infection;
  • Residual urine volume > 30 mL;
  • Maximum urinary flow rate \< 20ml/s.
  • Limitation of movement (walk and/or run and/or climb stairs);
  • Patients who have been using drugs that may affect bladder function or receiving SUI specialized treatment;
  • Severe cardiovascular, cerebral, liver, kidney and hematopoietic system disease, mental disorders, diabetes, multiple system atrophy, cauda equina neuropathy and spinal cord disease;
  • Pregnancy or lactation period.
  • With cardiac pacemaker, acupuncture phobia or metal allergies;
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
360 participants (estimated)

Study arms

  • Experimental
    Sacral acupoints group (Sacral group)

    Participants will receive sacral acupoints combination treatment at bilaterally Huiyang(BL35) and Zhongliao(BL33) with prone position during the whole treatment course.

    Device: Sacral acupoints acupuncture

  • Experimental
    Abdominal acupoints group (Abdominal group)

    Participants will receive abdominal acupoints combination treatment at unilateral Zhongji(RN3), Guanyuan(RN4) and bilaterally Dahe(KI12) with dorsal position during the whole treatment course.

    Device: Abdominal acupoints acupuncture

  • Experimental
    Alternating acupoints group (Alternating group)

    Participants will receive treatment of sacral acupoints combination and abdominal acupoints combination alternately. (For example, A for the first time, B for the second time, A for the third time, and so on. )

    Device: Alternating acupoints acupuncture

Interventions

  • DeviceSacral acupoints acupuncture

    Before treatment, the participants will be asked to go to the toilet. All treatments will be performed after skin disinfection. As acupuncture needles are inserted, all points will be lifted, twisted, and stabbed to activate the sensation of de qi. The electroacupuncture stimulation lasted for 30 minutes with a continuous wave of 50 Hz and a current intensity of 1 to 5 mA (preferably with the skin around the acupoints shivering mildly without pain). Participants will receive three treatments per week (every other day), each lasting 30 minutes, for a total of 18 sessions over the course of 6 weeks. The follow-up sessions are on week 18, 30, 42 and 54. In this group, paired electrodes from the electroacupuncture apparatus were attached transversely to the needle handles at bilateral Huiyang(BL35) and Zhongliao(BL33) .

  • DeviceAbdominal acupoints acupuncture

    Before treatment, the participants will be asked to go to the toilet. All treatments will be performed after skin disinfection. As acupuncture needles are inserted, all points will be lifted, twisted, and stabbed to activate the sensation of de qi. The electroacupuncture stimulation lasted for 30 minutes with a continuous wave of 50 Hz and a current intensity of 1 to 5 mA (preferably with the skin around the acupoints shivering mildly without pain). Participants will receive three treatments per week (every other day), each lasting 30 minutes, for a total of 18 sessions over the course of 6 weeks. The follow-up sessions are on week 18, 30, 42 and 54. In this group, paired electrodes from the electroacupuncture apparatus were attached to the needle handles respectively at Zhongji(RN3) and one side of Dahe(KI12), as well as Guanyuan(RN4) and another side of Dahe(KI12).

  • DeviceAlternating acupoints acupuncture

    Before treatment, the participants will be asked to go to the toilet. All treatments will be performed after skin disinfection. As acupuncture needles are inserted, all points will be lifted, twisted, and stabbed to activate the sensation of de qi. The electroacupuncture stimulation lasted for 30 minutes with a continuous wave of 50 Hz and a current intensity of 1 to 5 mA (preferably with the skin around the acupoints shivering mildly without pain). Participants will receive three treatments per week (every other day), each lasting 30 minutes, for a total of 18 sessions over the course of 6 weeks. The follow-up sessions are on week 18, 30, 42 and 54. The application of electroacupuncture is the same as Sacral group and Abdominal group.

06

What researchers measure

Primary outcomes

  1. The change of urine leakage measured by the 1-hour pad test

    Quantity of fluid loss will be measured by 1-hour pad test, compared with the baseline (week 0).

    Time frame: Week 6

Secondary outcomes

  1. The change of mean episodes of urinary incontinence in 72 hours

    The mean episodes of urinary incontinence in 72 hours based on '72 hours bladder diary', comparing the value at week 4, 6, 18, 30, 42 and 54 with the baseline(week 0).

    Time frame: Week 4, 6, 18, 30, 42 and 54

  2. The change of International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)

    ICIQ-SF is a brief instrument used to assess the frequency of incontinence, the volume of incontinence, as well as the impact of life quality). The value will be recorded at week 4, 6, 18, 30, 42 and 54, compared to that at baseline(week 0).

    Time frame: Week 4, 6, 18, 30, 42 and 54

  3. Severity of SUI according to '72 hours bladder diary'

    The severity of SUI will be rated according to the amount of UI in usual conditions without extreme activities like severe cough, strenuous exercise or carrying heavy loads in the past 72 hours. Definition: mild(several drops of leakage);moderate(leak that soaked through underwear); severe(leak that soaked through outerwear). In case that participants worn urinal pads, the severity of SUI will be graded as follows. Mild(several drops of leakage); moderate(soaked urine pads in patches by several leakages); severe(soaked urine pads in patches by one leakage). The most severe degree of urine leakage in patient's 72 hours bladder diaries over the assessment period will be selected as the severity of SUI for analyses.

    Time frame: Week 4, 6, 18, 30, 42 and 54

  4. Participant Self-evaluation of Therapeutic Effects

    No help=0; Small help=1; Medium help=2; Great help=3

    Time frame: Week 4, 6, 18, 30, 42 and 54

  5. The number of patients who used other treatment for SUI

    Compare the number of patients who used other specialty therapy for SUI during the study between 3 groups.

    Time frame: Week 18, 30, 42 and 54

  6. Bladder neck mobility by pelvic floor ultrasonography

    Bladder neck mobility will be observed both at rest and during a Valsalva maneuver by pelvic floor ultrasonography. The result can be measured from the ultrasonic image.

    Time frame: Week 6

  7. Urethral rotation angle by pelvic floor ultrasonography

    Urethral rotation angle will be observed both at rest and during a Valsalva maneuver by pelvic floor ultrasonography. The result can be measured from the ultrasonic image.

    Time frame: Week 6

  8. Retrovesical angle by pelvic floor ultrasonography

    Retrovesical angle will be observed both at rest and during a Valsalva maneuver by pelvic floor ultrasonography. The result can be measured from the ultrasonic image.

    Time frame: Week 6

  9. Lowest point of bladder by pelvic floor ultrasonography

    Lowest point of bladder at rest and during a Valsalva maneuver by pelvic floor ultrasonography. The result can be observed from the ultrasonic image.

    Time frame: Week 6

  10. Urethral funnel formation by pelvic floor ultrasonography

    Urethral funnel formation at rest and during a Valsalva maneuver by pelvic floor ultrasonography. The result can be observed from the ultrasonic image.

    Time frame: Week 6

  11. The type of bladder bulging by pelvic floor ultrasonography

    The type of bladder bulging at rest and during a Valsalva maneuver by pelvic floor ultrasonography. The result can be observed from the ultrasonic image.

    Time frame: Week 6

  12. Subgroup analysis: correlation between 1-hour pad test and severity of SUI

    Analyze the correlation between 1-hour pad test and severity of SUI.

    Time frame: Week 6

  13. Subgroup analysis: correlation between episodes of urinary incontinence in 72 hours and severity of SUI

    Analyze the correlation between episodes of urinary incontinence in 72 hours and severity of SUI.

    Time frame: Week18, 30, 42 and 54

  14. Number of urine pads used weekly

    The weekly consumption of urine pads was assessed in participants.

    Time frame: Week 4, 6, 18, 30, 42 and 54

  15. Incidence of adverse events

    Observe the incidence of adverse events during the treatment.

    Time frame: Week 1-6

  16. Evaluation of discomfort during treatment

    Visual analog scale (VAS) will be used to evaluate the degree of discomfort during treatment. The scale ranging from 0 to 10cm, with 0cm indicating no discomfort and 10cm indicating severe discomfort. Evaluation time: The average value of the first and ninth acupuncture treatments was taken within 5 minutes after the end of the two treatments. If the VAS value is missing in one of the cases, another is taken as the result.

    Time frame: Within 5 minutes after the first and ninth acupuncture treatment

  17. Patient acceptability evaluation

    0=very difficult to accept, 1=slightly difficult to accept, 2=acceptable, 3=easy to accept, 4=very easy to accept. Evaluation time: The average value of the first and ninth acupuncture treatments was taken within 5 minutes after the end of the two treatments. If the VAS value is missing in one of the cases, another is taken as the result.

    Time frame: Within 5 minutes after the first and ninth acupuncture treatment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Yang N, Ge X, Ye J, Liu Q, Wu Y, Yan H, Han X. Efficacy of acupuncture for urinary incontinence in middle-aged and elderly women: A systematic review and meta-analysis of randomized controlled trials. Eur J Obstet Gynecol Reprod Biol. 2021 Feb;257:138-143. doi: 10.1016/j.ejogrb.2020.11.001. Epub 2020 Nov 4. PubMed 33419589 ↗
  • Liu Z, Liu Y, Xu H, He L, Chen Y, Fu L, Li N, Lu Y, Su T, Sun J, Wang J, Yue Z, Zhang W, Zhao J, Zhou Z, Wu J, Zhou K, Ai Y, Zhou J, Pang R, Wang Y, Qin Z, Yan S, Li H, Luo L, Liu B. Effect of Electroacupuncture on Urinary Leakage Among Women With Stress Urinary Incontinence: A Randomized Clinical Trial. JAMA. 2017 Jun 27;317(24):2493-2501. doi: 10.1001/jama.2017.7220. PubMed 28655016 ↗
  • Nambiar AK, Arlandis S, Bo K, Cobussen-Boekhorst H, Costantini E, de Heide M, Farag F, Groen J, Karavitakis M, Lapitan MC, Manso M, Arteaga SM, Riogh ANA, O'Connor E, Omar MI, Peyronnet B, Phe V, Sakalis VI, Sihra N, Tzelves L, van Poelgeest-Pomfret ML, van den Bos TWL, van der Vaart H, Harding CK. European Association of Urology Guidelines on the Diagnosis and Management of Female Non-neurogenic Lower Urinary Tract Symptoms. Part 1: Diagnostics, Overactive Bladder, Stress Urinary Incontinence, and Mixed Urinary Incontinence. Eur Urol. 2022 Jul;82(1):49-59. doi: 10.1016/j.eururo.2022.01.045. Epub 2022 Feb 23. PubMed 35216856 ↗
  • Guan LX, Song XL, Wang X, Zhang X, Liu LM, Chen BL, Chen YL. Immediate effects of Zhongji point acupuncture on pelvic floor structure in female patients with stress urinary incontinence: a randomized, single-blind, and sham-controlled clinical trial protocol. Ann Palliat Med. 2021 Jul;10(7):8292-8299. doi: 10.21037/apm-21-662. Epub 2021 Jul 2. PubMed 34263647 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2023 (actual). Primary completion is estimated for Aug 2026, 43 months after the start.

Of 226 non-industry interventional studies with no phase under Urinary Incontinence, Stress, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 43 months is above that.

Counting every sponsor, half of 267 studies reached it within 19 months; a quarter within 9 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 12, 2022
First posted
Dec 2, 2022
StartActual
Jan 4, 2023
Primary completionEst.
Aug 2026
CompletionEst.
Dec 2026
Last update
May 22, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05635669
Lead sponsor
Yin Ping
Collaborators
Longhua Hospital
Responsible party
Yin Ping (Shanghai University of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine) — Sponsor-investigator
First posted
Dec 2, 2022
Start date
Jan 4, 2023
Primary completion
Aug 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 22, 2025

Study contacts

PING YIN
Contact
bingxue616@163.com
086-18917561621
YUELAI CHEN
Contact
chenyuelai@163.com
0086-13020193726
YUELAI CHEN
principal investigator · Shanghai University of Traditional Chinese Medicine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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