COMPARISON BETWEEN TAMSULOSIN VS TAMSULOSIN+ DEFLAZACORT IN EXPULSION OF LOWER URETERIC CALCULI

Dr Shashikant Bhange, Dr Dinesh Badarshahi

Abstract


BACKGROUND: Medical Expulsive Therapy (MET) has become an established part of the protocol for treatment of
ureteric stones of 5-10 mm size in the lower 1/3rd of the ureter.
α-1 adrenergic blockers with or without corticosteroid along with IV uid therapy are in use to facilitate expulsion of stones.
AIMS & OBJECTIVE: In this study comparison of α-1 adrenergic blocker Tamsulosin alone and in combination with corticosteroid deazacort
have been compared.
MATERIALS AND METHODS: Total of 50 symptomatic patients of lower ureteric stones, who presented in the OPD in MIMER Medical
College Hospital were selected for our study. Patients were randomly divided in group 1 and group 2 viz. Group 1 (Tamsulosin Group) & Group 2
(Tamsulosin + deazacort Group).
RESULTS: It was found that with Tamsulosin + deazacort offers better stone clearance rate with in shorter period. There was minimum
discomfort to the patients during stone expulsion. Success rate was comparable in both groups up to 10 mm stone size.
CONCLUSION: MET using Tamsulosin + Deazacort has clear advantage over Tamsolusin alone therapy.


Keywords


Ureteric Stones; Alpha Blockers; Corticosteroids

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References


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