COMPARISON BETWEEN TAMSULOSIN VS TAMSULOSIN+ DEFLAZACORT IN EXPULSION OF LOWER RETERIC CALCULI
Journal Title: IJAR-Indian Journal of Applied Research - Year 2018, Vol 8, Issue 10
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 fluid 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 deflazacort 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 + deflazacort Group). Results: It was found that with Tamsulosin + deflazacort 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 + Deflazacort has clear advantage over Tamsolusin alone therapy. Key Words: Ureteric Stones; Alpha Blockers; Corticosteroids
Authors and Affiliations
Dr Shashikant Bhange, Dr Dinesh Badarshahi
Keywords
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