Background: This study aims to assess Tamsulosin's contribution to spontaneous medical expulsion for distal ureteral stones. Methodology: The research included 113 patients diagnosed with the distal ureteral stone of 4-10 mm. These patients were introduced to 0.4 mg of Tamsulosin. The technique of KUB ultrasonography was adopted as the means of assessment of stone status following the period of Tamsulosin introduction. Results: There was a high frequency of Spontaneous expulsion among the enrolled patients (86.73%). Furthermore, there was a significant effect of age on the frequency of spontaneous expulsion (p=0.008). While gender, disease duration, stone size, and side had no significant effect on the frequency of spontaneous expulsion after Tamsulosin administration for distal ureteral stones. Conclusion: It is concluded that Tamsulosin has an efficient impact on triggering spontaneous expulsion among patients with distal ureteral stones.

Background: Partial nephrectomy has emerged as a standard treatment for managing small renal masses. RENAL Nephrometry score (RNS) is a widely used tool for assessing tumors, minimizing bias, and improving clinical outcomes. This study aimed to determine the frequency of various renal mass complexities based on the RENAL nephrometry score in patients undergoing partial nephrectomy and to compare the mean blood loss in these patients. Methodology: The cross-sectional study was conducted at the Department of Urology, Sindh Institute of Urology & Transplantation, Karachi- Pakistan. Perioperative blood loss after partial nephrectomy was observed in all cases, and patients had their RENAL nephrometry score determined before surgery. The patient's baseline demographic data, including age, gender, and body mass index (BMI), was recorded using a pre-designed Proforma. Results: According to the RNS, there were 33(52.4%) patients with moderate complexity, followed by 19(30.25%) and 11(17.4%) who had severe and mild complexity, respectively. Furthermore, there was a significant difference in the mean blood loss among the three groups (p=0.025). Among the cofounders, age, BMI, and male gender significantly affected mean blood loss in different RNS groups (p<0.05). Conclusion: There was a high frequency of moderate renal complexity among the studied patients based on the RNS. A significant difference in the mean blood loss was observed among the patients with mild, moderate, and severe complexity.