Objective To assess the efficacy of Zhibian（BL54）through Shuidao（ST28）acupuncture for neurogenic bladder following spinal cord injury above the conus medullaris level.Methods Thirty-one patients with neurogenic bladder following spinal cord injury above the conus medullaris level treated at a Chongqing hospital between February 2016 and February 2018 were included in our study.Based on a random number table

patients were divided into the trial group（n=16）and the control group（n=15）.Patients in the control group received conventional treatment（intermittent catheterization and transcutaneous bladder electrical stimulation）;while those in the trial group received conventional treatment plus Zhibian（BL54）through Shuidao（ST28）acupuncture.The average daily frequency of urination

average daily single urine output

average daily frequency of urinary incontinence

maximum cystometric capacity

detrusor pressure

maximum urethral closure pressure

maximum flow rate

and residual urine volume were measured before treatment and 2 weeks after treatment

which were also compared between the two groups.Results The pre-treatment average daily frequency of urination

average daily single urine output

and average daily frequency of urinary incontinence were similar between the two groups（P>0.05）.After treatment

the average daily single urine output was increased in both groups

with a greater increase in the trial group（P<0.05）.Before treatment

the maximum cystometric capacity

detrusor pressure

maximum urethral closure pressure

maximum flow rate

and residual urine volume were comparable between the two groups（P>0.05）.After treatment

the maximum cystometric capacity was increased in both groups

with a greater increase in the trial group（P<0.05）;the detrusor pressure and maximum urethral closure pressure were lower than their baseline levels in both groups

and the detrusor pressure in the trial group was lower than that in the control group（P<0.05）;the residual urine volume were reduced in both groups

with agreater reduction in the trial group（P<0.05）.Conclusion For patients with neurogenic bladder following spinal cord injury above the conus medullaris level

Zhibian（BL54）through Shuidao（ST28）acupuncture added to conventional treatment is superior to conventional treatment alone

which may increase the average daily single urine output and maximum cystometric capacity

as well as decrease the detrusor pressure and residual urine volume.These findings suggest that Zhibian（BL54）through Shuidao（ST28）acupuncture is associated with significant improvement in detrusor overactivity and detrusor external sphincter dyssynergia

which deserves widespread clinical application.