The Efficacy of Medical Expulsion Therapy in Distal Ureteric Calculi

Authors

  • Dhurba Bahadur Adhikari Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • David Shrestha Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal
  • Suresh Raj Poudel Department of Surgery, Pokhara Academy of Health Sciences, Western Regional Hospital, Pokhara, Nepal

Keywords:

Alpha blocker, tamsulosin, calculi

Abstract

Objective: To evaluate the efficacy of tamsulosin in the treatment of distal ureteric calculi.

Materials and Methods: Forty patients, who meet the in­clusion criteria, were selected for the prospective study. All these patients re­ceived tamsulosin 0.4 mg once before bed time for fourteen days to observe the effectiveness, side effects and stone expulsion rate.

Results: The average time of stone expulsion was 8.03±2.80 days. The successful medical expul­sion was seen in 82.50%. About 7.5% complained of dizziness and headache, 2.5% complained of fatigue and postural hypotension.

Conclusion: The use of tamsulosin was safe, effective and was associated with fewer side effects. Successful stone expulsion rate was observed in in selected cases.

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Published

2018-06-04

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