MEDICAL EXPULSIVE THERAPY- AN EFFECTIVE TREATMENT OPTION FOR LOWER URETERIC CALCULI
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 1
Abstract
BACKGROUND This is a prospective randomized trial to study the efficacy of medical expulsive therapy for lower ureteric calculi. Ureteral stones are a global health issue. Almost 20% of urinary tract stones are found in the ureter with majority (70%) being located in the lower third of the ureter. MATERIALS AND METHODS Patients diagnosed with lower ureteric calculi in the Department of Surgery, People's College of Medical Sciences and RC, Bhopal were included in this study. The study comprised of 180 patients which were randomly divided equally into three groups. Patients in the first group were subjected to conservative management; silodosin was added to those in the second group and patients in the third group were administered a combination of silodosin and deflazacort. RESULTS A statistically significant stone expulsion rate was seen in group 3 as compared to group 1 and 2. CONCLUSION Medical expulsive therapy with alpha-blockers (Silodosin) and corticosteroids (Deflazacort) is effective for management of lower ureteric calculi and avoids surgical intervention in many patients.
Authors and Affiliations
Chirag Shanti Dausage, Ranjit Chaudhary, Dhiraj Sharma
Keywords
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- EP ID EP553053
- DOI 10.14260/jemds/2019/15
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