A prospective randomized controlled trial of the efficacy of tamsulosin after extracorporeal shock wave lithotripsy for a single proximal ureteral stone

Yong Hyun Park, Hahn Ey Lee, Jae Young Park, Seung Bae Lee, Hyeon Hoe Kim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: The objective of this study was to evaluate the efficacy of tamsulosin on stone clearance after extracorporeal shock wave lithotripsy (ESWL) in patients with a single proximal ureteral stone. Materials and Methods: This prospective randomized controlled trial was performed on 88 patients with a single proximal ureteral stone. After consenting with a doctor, the patients were allocated to the treatment (tamsulosin 0.2 mg once a day) or control (no medication) group, and the efficacy of tamsulosin was evaluated. The primary outcome of this study was the stone-free rate, and the secondary outcomes were the period until clearance, pain intensity, analgesic requirement, and incidence of complications. Results: A stone-free state was reported in 37 patients (84.1%) in the treatment group and 29 (65.9%) in the control group (p=0.049). The mean expulsion period of the stone fragments was 10.0 days in the treatment group and 13.2 days in the control group (p=0.012). There were no statistically significant differences in aceclofenac requirement or pain score between the two groups. Only one patient in the treatment group experienced transient dizziness associated with medical expulsive therapy, and this adverse event disappeared spontaneously. Conclusions: The results of this prospective randomized controlled trial of the efficacy of tamsulosin after ESWL for a single proximal ureteral stone suggest that tamsulosin helps in the earlier clearance of stone fragments and reduces the expulsion period of stone fragments after ESWL.

Original languageEnglish
Pages (from-to)527-530
Number of pages4
JournalKorean Journal of Urology
Volume54
Issue number8
DOIs
Publication statusPublished - 2013 Jun 1

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tamsulosin
Lithotripsy
Randomized Controlled Trials
Therapeutics
Pain
Control Groups
Dizziness
Analgesics
Outcome Assessment (Health Care)

Keywords

  • Lithotripsy
  • Tamsulosin
  • Urolithiasis

ASJC Scopus subject areas

  • Urology

Cite this

A prospective randomized controlled trial of the efficacy of tamsulosin after extracorporeal shock wave lithotripsy for a single proximal ureteral stone. / Park, Yong Hyun; Lee, Hahn Ey; Park, Jae Young; Lee, Seung Bae; Kim, Hyeon Hoe.

In: Korean Journal of Urology, Vol. 54, No. 8, 01.06.2013, p. 527-530.

Research output: Contribution to journalArticle

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abstract = "Purpose: The objective of this study was to evaluate the efficacy of tamsulosin on stone clearance after extracorporeal shock wave lithotripsy (ESWL) in patients with a single proximal ureteral stone. Materials and Methods: This prospective randomized controlled trial was performed on 88 patients with a single proximal ureteral stone. After consenting with a doctor, the patients were allocated to the treatment (tamsulosin 0.2 mg once a day) or control (no medication) group, and the efficacy of tamsulosin was evaluated. The primary outcome of this study was the stone-free rate, and the secondary outcomes were the period until clearance, pain intensity, analgesic requirement, and incidence of complications. Results: A stone-free state was reported in 37 patients (84.1{\%}) in the treatment group and 29 (65.9{\%}) in the control group (p=0.049). The mean expulsion period of the stone fragments was 10.0 days in the treatment group and 13.2 days in the control group (p=0.012). There were no statistically significant differences in aceclofenac requirement or pain score between the two groups. Only one patient in the treatment group experienced transient dizziness associated with medical expulsive therapy, and this adverse event disappeared spontaneously. Conclusions: The results of this prospective randomized controlled trial of the efficacy of tamsulosin after ESWL for a single proximal ureteral stone suggest that tamsulosin helps in the earlier clearance of stone fragments and reduces the expulsion period of stone fragments after ESWL.",
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