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- Title
Semi-Rigid Ureteroscopy for Proximal Ureteral Stones: Does Adjunctive Tamsulosin Therapy Increase the Chance of Success?
- Authors
ahmed, abul-fotouh; Maarouf, aref; Shalaby, Essam; alshahrani, Saad; El-feky, Mohamed; Khaled, Sabri; Daoud, abdullah; Soliman, ahmed; Desoky, Esam; El-Helaly, Hisham
- Abstract
Objectives: To assess the efficacy of adjunctive tamsulosin therapy in improving the success rate of laser-assisted semirigid ureteroscopy (URS) for removing proximal ureteral stones. Patients and Methods: This prospective study included 165 patients with proximal ureteral stones ≥ 10 mm. The patients were randomly assigned to a tamsulosin group (Group I, n = 81) receiving tamsulosin 0.4 mg daily for 1 week pre-URS and a control group (Group II, n = 84) without tamsulosin therapy. Treatment consisted of URS using a semi-rigid ureteroscope (7.5 Fr), followed by intracorporeal holmium: YAG laser lithotripsy. The patients were followed up regularly for 8 weeks after URS. Results: The operative time was 43.4 and 49.6 min in Groups I and II, respectively (p < 0.001). Scope to stone access rate was 93.8 and 82.1% in patients of Groups I and II, respectively (p = 0.022). The stone-free rate was significantly higher in Group I compared to Group II (74/81; 91.4% vs. 67/84; 79.8%; p = 0.035). The complication rate was significantly lower in Group I compared to Group II (17.3 vs. 38.1%, p = 0.003). Only minor complications were encountered and were managed conservatively. Conclusions: Tamsulosin therapy prior to semirigid URS improved ureteroscopic access to proximal ureteral stones, thus leading to an increased success rate and low morbidity.
- Subjects
URETEROSCOPY; YAG lasers; DISEASES; DISEASE complications; MEDICAL care
- Publication
Urologia Internationalis, 2017, Vol 98, Issue 4, p411
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000452926