Medical expulsive therapy in ureteric calculi: A prospective study

Authors : Gyanendra S. Mittal, Shalabh Gupta, Rajiv Verma, Alok Agarwal, Priyanka Jadaun

DOI : 10.18231/j.jsas.2021.022

Volume : 3

Issue : 4

Year : 2021

Page No : 96-100

Background: Ureteric calculus with a colicky pain is a common issue faced by surgeons and urologists in the ER and OPD with a major universal health and financial strain on the health care system. Different studies have shown promising outcomes for ureteric calculus with medical expulsive therapy (MET) in relation to the expulsion rate and mean duration of expulsion, decrease hospital stay and less requirements of analgesics. The aim of this study is to compare the efficacy and safety of Tamsulosin alone or in combination of Deflazacort in medical expulsive therapy of ureteric calculus of less than 10 mm (sub-centric).
Subject and Methods: Effect was studied on two groups. Group-A patient received standard medical treatment plus Tamsulosin. Group-B patients received standard medical treatment and Tamsulosin plus Deflazacort.
Result: MET with Tamsulosin and Deflazacort has major advantages, with very mild, reasonable side effects and substantially lower healthcare system costs.
Conclusion: Medical therapy with Tamsulosin is effective and have been found to increase and hasten the expulsion of ureteric calculus, but expulsion rate is more, mean expulsion time and duration of hospital stays, and the episodes of pain is less when tamsulosin is combined with Deflazacort.

Keywords: Uretric calculus, Colicky pain, Effect of tamsulosin and deflazacort.

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