A Prospective Randomized Controlled Trial of the Efficacy of Tamsulosin After Extracorporeal Shock Wave Lithotripsy for a Single Proximal Ureteral Stone
박용현, 이한이, 박재영, 이승배, 김현회,
소속 상세정보
박용현 ( Park Yong-Hyun )
Seoul National University College of Medicine Department of Urology
이한이 ( Lee Hahn-Ey )
Seoul National University College of Medicine Department of Urology
박재영 ( Park Jae-Young )
Korea University College of Medicine Korea University Ansan Hospital Department of Urology
이승배 ( Lee Seung-Bae )
SMG-SNU Boramae Medical Center Department of Urology
김현회 ( Kim Hyeon-Hoe )
Seoul National University College of Medicine Department of Urology
KMID : 0358320130540080527
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.
키워드
Lithotripsy; Tamsulosin; Urolithiasis
원문 및 링크아웃 정보
등재저널 정보