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Comment & Response
October 17, 2017

Acupuncture for Stress Urinary Incontinence

Author Affiliations
  • 1Millwoods Acupuncture Center, Edmonton, Alberta, Canada
JAMA. 2017;318(15):1500. doi:10.1001/jama.2017.13424

To the Editor A randomized clinical trial of women with stress urinary incontinence found that electroacupuncture reduced urinary leakage compared with sham electroacupuncture.1 However, the electroacupuncture used in the study was not a typical acupuncture treatment. First, the authors did not make a traditional Chinese medicine diagnosis to determine the reason for the urinary leakage. A traditional Chinese medicine diagnosis is important to decide the acupuncture points to be used. If participants had a traditional Chinese medicine diagnosis of kidney deficiency or lung deficiency, more than 2 acupuncture points should have been used, but the authors only used 2 acupuncture points.