To evaluate the clinical efficacy of transpercutaneous elongated needle acupuncture combined with pelvic floor magnetic stimulation in the treatment of post-stroke urinary retention.

A single-center controlled clinical trial was conducted, in which 140 patients with stroke-induced urinary retention were enrolled and divided into an observation group and a control group, each with 70 participants. The control group received transpercutaneous elongated needle acupuncture therapy alone, while the observation group received transpercutaneous elongated needle acupuncture therapy combined with pelvic floor magnet stimulation. All treatments were administered once daily for 5 consecutive days per week over 4 weeks. Efficacy was evaluated using urinary diaries, bladder pressure measurements (including bladder capacity, residual urine volume, and filling phase bladder pressure), quality of life (QOL) assessments, and adverse reaction incidence rates (urinary tract infections, hydronephrosis, and ureteral dilation) before and after treatment.

After four weeks of treatment, both groups showed significant improvements in 24-hour urinary frequency and single-micturition volume compared to baseline (P＜0.05), with the observation group exhibiting greater improvement than the control group (P＜0.001). Bladder capacity and filling-phase bladder pressure significantly increased, while residual urine volume significantly decreased in both groups (P＜0.001), with superior improvement noted in the observation group (P＜0.001). QOL scores significantly decreased in both groups (P＜0.001), and the observation group demonstrated significantly lower scores than the control group (P＜0.001). The incidence of urinary tract infection, hydronephrosis, and ureteral dilation was significantly lower in the observation group (P＜0.05). The overall treatment effectiveness was higher in the observation group (87.14% vs 72.86%, P＜0.05).

Percutaneous elongated needle acupuncture combined with pelvic floor magnetic stimulation significantly improves bladder function, relieves urinary retention symptoms, reduces adverse events, and enhances quality of life in patients with post-stroke urinary retention, demonstrating superior efficacy compared to elongated needle acupuncture alone.