Objectives: To assess the efficacy of adjunctive tamsulosin therapy in improving the success rate of laser-assisted semi-rigid 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 semi-rigid URS improved ureteroscopic access to proximal ureteral stones, thus leading to an increased success rate and low morbidity.
The present study is one in a series of planned studies aiming to catalogue the whole order Diptera in both Egypt and Saudi Arabia.
All known Egyptian and Saudi Arabian conopid taxa are systematically catalogued in the present study. Three species are recorded herein for the first time from Saudi Arabia: Conops (Asiconops) elegans Meigen, 1804 and Thecophora atra (Fabricius, 1775) (Al-Baha region, south-western of Saudi Arabia), and Conops (Conops) quadrifasciatus De Geer, 1776 (Tabuk region, north-western of Saudi Arabia). Physocephala variegata (Meigen, 1924) is also recorded for the first time from Gebel Elba, the south-eastern triangle of Egypt. Considering that Gebel Elba in Egypt and Al-Baha in Saudi Arabia are affiliated to the Afrotropical Region, this is the first time Physocephala variegata and Thecophora atra have been recorded from the Afrotropical Region. An updated taxonomy, world and local distributions, dates of collection and some coloured photographs are provided.
A checklist of Eulophidae (excluding Entiinae) is presented based primarily on a total of 155 specimens collected from 23 localities in Egypt during the period of April 2012 to June 2014, mostly by sweep net. Altogether, 55 species in 22 genera and 3 subfamilies (Entedoninae, Eulophinae and Tetrastichinae) are recorded, of which 6 genera (Dicladocerus Westwood, Euplectrus Westwood, Entedon Dalman, Neotrichoporoides Girault, Sigmophora Rondani and Sympiesis Förster) and 33 species (60%) are newly reported for Egypt. The valid name and world distribution of each species are given; local distributions and host records for species previously recorded from Egypt are also given. Most of the species have a distribution characterized as Palaearctic, Afrotropical, or Indo-Malayan. About 4% are cosmopolitan in distribution.
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