Does the Addition of Tamsulosin to Outpatient Analgesic Therapy Enhance Spontaneous Stone Passage in Patients With Uncomplicated Distal Ureteral Stones?

Buehler, G.; Mills, Angela M.; Chen, Esther H.

doi:10.1016/j.annemergmed.2007.06.003

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…[ 17 ] Thus, according to the available evidence, an adrenergic α-antagonist is an effective adjunct to the standard analgesic therapy in the outpatient pharmacological treatment of uncomplicated distal ureteral stones. [ 32 ] It would be within the standard of care to add a short course (two to four weeks) of tamsulosin to analgesic therapy for patients discharged from the emergency department with appropriate urologic follow-up.…”

Section: Medical Expulsive Therapymentioning

confidence: 99%

Emergency management of ureteral stones: Recent advances

et al. 2008

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Most ureteral stones can be observed with reasonable expectation of uneventful stone passage. When an active ureteral stone treatment is warranted, the best procedure to choose is dependent on several factors, besides stone size and location, including operators’ experience, patients’ preference, available equipment and related costs. Placement of double-J stent or nephrostomy tube represents the classical procedures performed in a renal colic due to acute ureteral obstruction when the conservative drug therapy does not resolve the symptoms. These maneuvers are usually followed by ureteroscopy or extracorporeal shockwave lithotripsy, which currently represent the mainstay of treatment for ureteral stones. In this review paper a literature search was performed to identify reports dealing with emergency management of renal colic due to ureteral stones. The main aspects related to this debated issue are analyzed and the advantages and disadvantages of each treatment option are carefully discussed.

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Section: Medical Expulsive Therapymentioning

confidence: 99%

Emergency management of ureteral stones: Recent advances

et al. 2008

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“…Medical expulsive therapy, as this use of alphablockade has been termed, has been evaluated in two recent meta-analyses that suggest that alpha-blockade improves the likelihood of stone passage, with a number needed to treat of only 3.3 in one study and 4 in another, and results in a mean time to stone passage of Ͻ 14 days (2,13). Another review of eight studies concluded that an adrenergic alpha-antagonist is an effective adjunct to analgesia in the outpatient pharmacological treatment of uncomplicated distal ureteral stones (14).…”

Section: Introductionmentioning

confidence: 96%

The Effect of Alpha-Blockade in Emergency Department Patients with Ureterolithiasis

Watts

Tekwani

Chan

et al. 2010

The Journal of Emergency Medicine

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“…[16][17][18] Bu amaçla çeşitli ilaç seçenekleri mevcuttur. Doğal olarak medikal tedavideki amaçlarımız da normal antegrad peristaltizmi bozmadan düz kas gevşemesinin sağlanması, ağrının giderilmesi, üreter duvarında meydana gelen yoğun enflamasyon ve submukozal ödemin giderilmesi ve enfeksiyonun engellenmesidir.…”

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Medical expulsive therapy for ureteral stones

Atan¹,

Tuncel²

2010

Turkish Journal of Urology

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Although minimally invasive treatment options for ureteral stones are efficacious, complications and high cost of these treatments are important disadvantages. Medical expulsive therapy has recently emerged as an alternative treatment method for initial management of small distal ureteal stones. In this review, knowledge on medical expulsive therapy for ureteral stones will be updated. ÖzetÜreter taşlarının tedavisinde minimal invazif tedavi seçenekleri etkin olmasına rağmen komplikasyon riski ve yüksek maliyet bu tedavilerin önemli dezavantajlarıdır. Medikal ekspulsif tedavi son zamanlarda küçük distal üreter taşlarının başlangıç tedavisinde kullanılan alternatif bir tedavi yöntemidir. Bu derlemede, üreter taşları için medikal ekspulsif tedavi hakkındaki bilgiler güncellenecektir.Anah tar söz cük ler: Ekspulsiyon; tedavi; üreter; ürolithiasis.

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Does the Addition of Tamsulosin to Outpatient Analgesic Therapy Enhance Spontaneous Stone Passage in Patients With Uncomplicated Distal Ureteral Stones?

Cited by 3 publications

References 12 publications

Emergency management of ureteral stones: Recent advances

Emergency management of ureteral stones: Recent advances

The Effect of Alpha-Blockade in Emergency Department Patients with Ureterolithiasis

Medical expulsive therapy for ureteral stones

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