Is There a Role for Tamsulosin in Shock Wave Lithotripsy for Renal and Ureteral Calculi?

Bhagat, Suresh K.; Chacko, Ninan; Kekre, Nitin S; Gopalakrishnan, Ganesh; Antonisamy, Belavendra; Devasia, Antony

doi:10.1016/j.juro.2007.01.160

Cited by 83 publications

(62 citation statements)

References 19 publications

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“…Two of the four studies used tamsulosin, while one used a calcium channel blocker and the other an herbal agent (phyllanthus niruri). [46][47][48][49][50] The use of medical expulsive therapy was associated with a 17% increase in SWL success rates with a number needed to treat of six. A more recent meta-analysis focused solely on the use of alpha blockers post-SWL and had similar findings.…”

Section: Alpha Blockersmentioning

confidence: 99%

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CUA Guideline: Management of ureteral calculi

Ordon

Andonian²,

Blew³

et al. 2015

CUAJ

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The focus of this guideline is the management of ureteral stones. Specifically, the topics covered include: conservative management, medical expulsive therapy, active intervention with either shockwave lithotripsy (SWL) or ureteroscopy (URS), factors affecting SWL treatment success, optimizing success, and special considerations (e.g., pregnancy, urinary diversion). By performing extensive literature reviews for each topic evaluated, we have generated an evidence-based consensus on the management of ureteral stones. The objective of this guideline is to help standardize the treatment of ureteral stones to optimize treatment outcomes.

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Section: Alpha Blockersmentioning

confidence: 99%

“…The authors identified seven trials that met the inclusion criteria and found that the use of alpha-blockers, which was tamsulosin in all seven studies, improved SWL success by 16%. 47,[51][52][53][54][55][56][57] The authors also reported reduced time to fragment passage, reduced pain, and required less analgesia.…”

Section: Alpha Blockersmentioning

confidence: 99%

CUA Guideline: Management of ureteral calculi

Ordon

Andonian²,

Blew³

et al. 2015

CUAJ

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“…16 In another study results showed excellent success for renal and ureteric stones. 17 Another researcher Gravas showed in study no difference of results patients taking Tamsulosin or not post ESWL. 18 He also studied that tamsulosin is beneficial in terms that it reduces the needs of pain killers in ESWL.…”

Section: Discussionmentioning

confidence: 96%

Lower Ureteric Stones Expulsion; Comparison of Tamsulosin Versus Extracorporeal Shock Wave Lithotripsy (Eswl)

Hussain¹,

Tarique²,

Khan³

et al. 2017

TPMJ

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

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“…7 The control group (30) received 0.4 mg tamsulosin and the study group (30) received placebo daily until stone clearance or for a maximum of 30 days. The overall clearance rate was 96.6% (28 of 29) in their study group and 79.3% (23 of 29) in the control group (p = 0.04).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the efficacy of tamsulosin with or without deflazacort for stone clearance after extracorporeal shockwave lithotripsy for upper ureteral and renal calculi

et al. 2016

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Is There a Role for Tamsulosin in Shock Wave Lithotripsy for Renal and Ureteral Calculi?

Abstract: The alpha-blocker tamsulosin seemed to facilitate stone clearance, particularly with larger stones during shock wave lithotripsy for renal and ureteral calculus. It also appeared to improve the outcome of steinstrasse. Tamsulosin may have a potential role in routine shock wave lithotripsy.

Cited by 83 publications

References 19 publications

CUA Guideline: Management of ureteral calculi

CUA Guideline: Management of ureteral calculi

Lower Ureteric Stones Expulsion; Comparison of Tamsulosin Versus Extracorporeal Shock Wave Lithotripsy (Eswl)

Evaluation of the efficacy of tamsulosin with or without deflazacort for stone clearance after extracorporeal shockwave lithotripsy for upper ureteral and renal calculi

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