In Reply Dr Wang comments on the style of acupuncture, the lack of correlation between improvements in urinary leakage and urine pad use, and the quality control of acupuncture treatments in our study.
The acupuncture interventions in our trial were developed by a consensus of acupuncture experts and based on the results of a previous study.1 Acupuncture is part of traditional Chinese medicine, and these acupuncture experts fully understand the theories of traditional Chinese medicine. The acupoints used in the trial belong to the bladder meridian, which, according to traditional Chinese medicine theory, controls the functions of the urinary bladder. Rather than 2 acupoints being used, we actually used 4 acupoints (bilateral BL33 and BL 35) of the urinary bladder meridian for treatment in the trial. Nonetheless, we agree with the uniqueness of acupoint selection in this trial: electroacupuncture may stimulate S3 via BL33 and the pudendal nerve via BL35 at the lumbosacral region.
Liu Z, Liu Y, Liu B. Acupuncture for Stress Urinary Incontinence—Reply. JAMA. 2017;318(15):1500. doi:10.1001/jama.2017.13428
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