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TREATMENT WITH TAMSULOSIN IN PATIENTS WITH DISTAL URETERAL CALCULI

Jagodic, K; Bizjak, I; Erklavec, M; Poteko, S; Korosec-Jagodic, H; (2008) TREATMENT WITH TAMSULOSIN IN PATIENTS WITH DISTAL URETERAL CALCULI. Zdrav Vestn , 77 (IV) 33 - 36. Green open access

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Abstract

Background: Symptomatic ureteral calculi are one of the most important issues in urologist emergency clinical settings. Spontaneous passage of distal ureteral calculi is usually achieved with good hydration and spasmoanalgetic drugs. alpha-blocker therapy may facilitate and accelerate the spontaneous passage of ureteral stones.Patients and methodsIn retrospective study we analyzed patients with renal colic admitted to our department in 2006. All of them had clinical examination, urine and blood analysis, plain radiography (number, size and location of radiopaque calculi) and intravenous pyelography (kidney function and morphology). All patients with distal ureteral calcus were treated with spasmoanalgetics and with or without alpha-adrenergic antagonist tamsulosin. We analyzed eventual spontaneous passage of the calculi, additional procedures (splints, ureterorenoscopy, open procedures, extracorporeal shock wave lithotripsy (ESWL)). We used Student's t-test for statistical analysis.Results48 from 72 patients had urinary calculus. 35 (73 %) of them had calculus in the distal part of ureter. 17 (49 %) of 35 patients with distal ureteral calculus were treated with tamsulosin and in all (100 %) spontaneous stone passage was observed. 18 (51 %) patients were not treated with tamsulosin and spontaneous passage was observed in 18 (65 %) patients (p = 0.000).ConclusionsTamsulosin therapy promotes expulsion of ureteral stones.

Type: Article
Title: TREATMENT WITH TAMSULOSIN IN PATIENTS WITH DISTAL URETERAL CALCULI
Open access status: An open access version is available from UCL Discovery
Publisher version: http://ojs.szd.si/index.php/vestnik/
Additional information: This article is published in Zdravniški vestnik / Slovenian Medical Journal. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
Keywords: ureteral calculi, tamsulosin, medical-management, kidney-stones, renal stone, Nifedipine, Nephrolithiasis, recurrence, subtypes
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/1308572
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