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- Title
Efficacy of Tamsulosin plus Tadalafil versus Tamsulosin as Medical Expulsive Therapy for Lower Ureteric Stones: A Randomized Controlled Trial.
- Authors
Gnyawali, Diwas; Pradhan, Manish Man; Sigdel, Prem Raj; Parajuli, Purushottam; Chudal, Sampanna; Poudyal, Sujeet; Chapagain, Suman; Luitel, Bhoj Raj; Chalise, Pawan Raj; Sharma, Uttam; Gyawali, Prem Raj
- Abstract
<bold>Introduction: </bold>Urolithiasis is one of the common disorder with which about 1/5th is found in the ureter, of which 2/3rd is seen in the lower ureter. Medical expulsive therapy is one of the routine modalities of treatment which uses various drugs acting on the ureter smooth muscle by different mechanism. We aim to compare the efficacy of combination vs. single drug.<bold>Methods: </bold>This randomized controlled trial was done in 176 consecutive patients over a period of six months (March 2019 to August 2019) in Department of Urology and Kidney Transplant Surgery, Tribhuvan University Teaching. Participants were divided into two groups (Group A, tamsulosin plus tadalafil, and Group B, tamsulosin) from computer-generated random numbers. Therapy was continued for a maximum of 3 weeks. Stone expulsion rate, time to stone expulsion, analgesic use, number of colic and emergency room visits for pain, early intervention, and adverse effects of drugs were recorded.<bold>Results: </bold>Among 176 patients who were enrolled in study, 7 were lost to follow-up, and 5 people required immediate intervention. There was a significant higher stone passage rate in group A than group B (64 vs. 50; P=0.025) and shorter expulsion time (1.66 vs. 2.32 weeks P=0.001) and less number of emergency room visits and colic episodes. No significant side effects were noted during study.<bold>Conclusion: </bold>Tamsulosin plus Tadalafil is more effective than tamsulosin with early passage of stone and decreased number of colic episodes and emergency visits without significant side effects for lower ureteric calculi of 5 mm to 10 mm.
- Subjects
RANDOMIZED controlled trials; TAMSULOSIN; DRUG side effects; KIDNEY surgery; URINARY calculi
- Publication
Advances in Urology, 2020, p1
- ISSN
1687-6369
- Publication type
journal article
- DOI
10.1155/2020/4347598