LOWER URETERIC STONES EXPULSION;

COMPARISON OF TAMSULOSIN VERSUS EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL)

Authors

  • Khalid Hussain Medcare International Hospital Gill Road Gujranwala
  • Maria Tarique DHQ/GMC, Gujranwala
  • Attiq ur Rehman Khan DHQ/GMC, Gujranwala
  • Asim Bukhari Services Hospital, Lahore
  • Bilal Akhter DHQ/GMC, Gujranwala
  • M. Khalid Butt DHQ/GMC, Gujranwala

DOI:

https://doi.org/10.29309/TPMJ/2017.24.09.899

Keywords:

Renal Stone,, Expulsion Time,, Stone Clearance,, Tamsulosin,, Extracorporeal Shock Wave Lithotripsy.

Abstract

Objectives: To compare Tamsulosin versus ESWL for lower ureteric stones
expulsion. Study Design: Randomized controlled trial. Setting: Outpatient Department of
Urology at Services Hospital, Lahore. Period: January 2015 to December 2015. Material
& Methods: Total 50 patients were enrolled in study. Patients were divided into 2 groups.
In group A, 25 patients received daily oral treatment of 0.4mg Tamsulosin for 28 days, and
in group B, 25 patients were treated with ESWL. A stone-free condition, was defined as the
complete absence of any stone based on plain abdominal X-rays observed and during followup
visits at the time of treatment of stone was noted. Results: The mean age of the patients
were recorded as 33.20±9.23 years. There were 40(80%) males and 10(20%) females with male
to female ratio of 4:1. Out of 50 patients, 16(32%) presented with hematuria, 3(6%) had fever
while 31(62%) appeared with no complication status. Out of 50 patients, 21(42%) presented
with expulsion time 08-14 days in which 14(28%) were from tamsulosin group and 07(14%)
were from ESWL group, similarly 19(38%) patients appeared with expulsion time of 15-28 days
in which 10(20%) were from tamsulosin group and 09(18%) were from ESWL group. Statistically
there is insignificant difference between the groups i.e. p-value=0.28 Ns. Conclusion: This
study suggests that the tamsulosin helps in the earlier clearance of stone fragments and
reduces the complications as compared to ESWL.

Author Biographies

Khalid Hussain, Medcare International Hospital Gill Road Gujranwala

MS (Urology)
Associate Professor
DHQ/GMC, Gujranwala

Maria Tarique, DHQ/GMC, Gujranwala

MBBS
Medical Officer

Attiq ur Rehman Khan, DHQ/GMC, Gujranwala

MS (Urology)
Assistant Professor

Asim Bukhari, Services Hospital, Lahore

MBBS
Medical Officer

Bilal Akhter, DHQ/GMC, Gujranwala

MBBS
Medical Officer

M. Khalid Butt, DHQ/GMC, Gujranwala

MS (Urology)
Professor of Urology Department

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Published

2017-09-08