Effectiveness of osteopathic treatment in patients with Lower Urinary Tract Symptoms (LUTS)
Keywords:Storage symptoms, voiding symptoms, post micturition symptoms, osteopathy treatment
Introduction and Aim: International continence society mentions that more than 50 % of females suffer from lower urinary tract symptoms (LUTS) and more than 90% of them were not on any medication. LUTS is a term that covers symptoms resulting from conditions affecting the urinary bladder and urethra, prostate, other pelvic organs or any other part of the body which is related to the bladder and urethra anatomically. LUTS can be classified into 3 subcategories, i.e., storage symptoms (symptoms during storage of urine), voiding symptoms (symptoms during micturition), and post micturition symptoms (symptoms after completing micturition). Patients with LUTS may present with a combination of storage, voiding, and post micturition symptoms. The aim of this study is to assess the effectiveness of osteopathy treatment in patients with lower urinary tract symptoms.
Materials and Methods: This is a pre-test post-test single group experimental study conducted at Sri Sri University. In this study, 20 females having the mean age of 21.9± 2.61 years with moderate and severe symptoms voluntarily participated. The pre-test scores were measured in 3 different questionnaires (AUA symptom score index, ICIQ – FLUTS and HPMDQ). The subjects were diagnosed and given 4 osteopathy sessions. The post-test scoring was noted and data was analysed using MS Excel.
Results: Compared to the baseline scoring, the post intervention scores on all the questionnaires reduced significantly. Subjects having moderate and severe symptoms were selected for the study. After intervention either the symptoms were absent or mild residual symptoms were seen.
Conclusion: The results shows that osteopathy treatment is effective in patients having lower urinary tract symptoms.
Drake, M.J. Fundamentals of terminology in lower urinary tract function. Neurourology and Urodynamics. 2018 Aug; 37(S6): S13-S19.
Wang, Y., Hu, H., Xu, K., Wang, X., Na, Y., Kang, X. Prevalence, risk factors and the bother of lower urinary tract symptoms in China: a population-based survey. International Urogynecology Journal. 2015 Jun; 26(6):911-919.
Kupelian, V., Wei, J.T., O’Leary, M.P., Kusek, J.W., Litman, H.J., Link, C.L., et al., BACH Survey Investigators. Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH) Survey. Archives of Internal Medicine. 2006 Nov 27; 166(21):2381-2387.
Andersson, KE. Storage and voiding symptoms: pathophysiologic aspects. Urology. 2003 Nov 24; 62(5):3-10.
Farley, J.1999. OMT and Urinary Incontinence. A case study. AAO J. 9 (2), 12-13.
Zhang, L., Zhu, L., Xu, T., Lang, J., Li, Z., Gong, J., et al., A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. European Urology. 2015 Jul 1; 68(1):97-112.
Zhang, W., Song, Y., He, X., Xu, B., Huang, H., He, C., et al., Prevalence and risk factors of lower urinary tract symptoms in Fuzhou Chinese women. European Urology. 2005 Aug 1; 48(2):309-313.
Franke, H., Hoesele, K. Osteopathic manipulative treatment (OMT) for lower urinary tract symptoms (LUTS) in women. Journal of Bodywork and Movement Therapies. 2013 Jan 1; 17(1):11-18.
Zacharin, R.F. The suspensory mechanism of the female urethra. Journal of Anatomy. 1963 Jul; 97(Pt 3):423
Klutke, C.G., Siegel, C.L. Functional female pelvic anatomy. The Urologic clinics of North America. 1995 Aug 1;22(3):487-498.
Raz, S., Stothers, L., Chopra, A. Vaginal reconstructive surgery for incontinence and prolapse. In: Walsh, P.C., Retik, A.B., Vaughan, E.D, Jr, Wein AJ, editors. Campbell’s Urology. 7th ed. Philadelphia: WB Saunders Company; 1998. pp. 1059–1094.
Chapple, C., Castro-Diaz, D., Chuang, Y.C., Lee, K.S., Liao, L., Liu, S.P., et al., Prevalence of lower urinary tract symptoms in China, Taiwan, and South Korea: results from a cross-sectional, population-based study. Advances in Therapy. 2017 Aug;34(8):1953-1965.
DeLancey, J.O.L. Pubovesical ligament: a separate structure from the urethral supports (‘pubourethral ligaments’) Neurourol Urodyn. 1989; 8: 53-61.
Bordoni, B. Zanier, E. The Continuity of the Body: Hypothesis of Treatment of the Five Diaphragms. The Journal of Alternative and Complementary Medicine. 2015; 1-6.
Farley, J. OMT and urinary incontinence. A case study. AAO J. 1999; 9 (2), 12-13.
Frymann, V. The core-link and the three diaphragms. In: Academy of Applied Osteopathy Yearbook 1968. Indianapolis, IN: Academy of Applied Osteopathy, 1968
Brash, J.C. The relation of the ureters to the vagina: With a note on the asymmetrical position of the uterus. The British Medical Journal. 1922 Oct 28:790-792.
Herschorn, S. Female pelvic floor anatomy: the pelvic floor, supporting structures, and pelvic organs. Reviews in Urology. 2004;6(Suppl 5): S2.
Burrows, L.J., Meyn, L.A., Walters, M.D., Weber, A.M. Pelvic symptoms in women with pelvic organ prolapse. Obstetrics & Gynecology. 2004 Nov 1;104(5):982-988.
Sundin, T., Dahlström, A. The sympathetic innervation of the urinary bladder and urethra in the normal state and after parasympathetic denervation at the spinal root level: an experimental study in cats. Scandinavian Journal of Urology and Nephrology. 1973 Jan 1;7(2-3):131-149.
Rubin, D.C., Langer, J.C. Small intestine: anatomy and structural anomalies. Yamada's Atlas of Gastroenterology. 2022 Apr 15:22-26.
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