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Journal articles on the topic 'Lower ureteric stones'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Ahmed, Mohamed F., Asaad I. Othman, and Uday H. Mohammad. "Effect of ureteric stone location on the success rate of ureteroscopic Holmium laser lithotripsy." Journal of the Faculty of Medicine Baghdad 55, no. 3 (2013): 199–203. http://dx.doi.org/10.32007/jfacmedbagdad.553614.

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Background: Ureteral stone can cause obstructive uropathy and subsequent deterioration of renal function. There are four treatment options for ureteral calculi: lithotripsy, ureteroscopy, laparoscopic ureterolithotomy, and open stone surgery. Holmium YAG laser is an excellent intracorporial lithotripter for all kinds of stones. Accordingly, there is steady increase in number of ureteroscopic laser lithotripsy operations in the managmant of Ureteral stone. Objectives: this study was designed to demonstrate the effect of ureteric stone location on the success rate of ureteroscopic Holmium

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Ahmed, Mohamed F., Asaad I. Othman, and Uday H. Mohammad. "Effect of ureteric stone location on the success rate of ureteroscopic Holmium laser lithotripsy." Journal of the Faculty of Medicine Baghdad 55, no. 3 (2013): 199–203. http://dx.doi.org/10.32007/jfacmedbagdad.553614.

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Background: Ureteral stone can cause obstructive uropathy and subsequent deterioration of renal function. There are four treatment options for ureteral calculi: lithotripsy, ureteroscopy, laparoscopic ureterolithotomy, and open stone surgery. Holmium YAG laser is an excellent intracorporial lithotripter for all kinds of stones. Accordingly, there is steady increase in number of ureteroscopic laser lithotripsy operations in the managmant of Ureteral stone. Objectives: this study was designed to demonstrate the effect of ureteric stone location on the success rate of ureteroscopic Holmium

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Umer, Muhammad, Ahsan Ayub, and Aneela Jumadin. "Efficacy of Pneumatic Lithoclast in Management of Different Metabolic Stones in Lower Ureter." Pakistan Journal of Medical and Health Sciences 16, no. 8 (2022): 99–100. http://dx.doi.org/10.53350/pjmhs2216899.

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Background: Management of ureteral calculi represents one of the complex problems in urological practice. Aim: To study the efficacy of pneumatic lithoclast as a management option for different metabolic ureteric stones. Study design: Descriptive study. Methodology: Study enrolled both male and female patients (n=60) above 12 years of age. Stone size and metabolic type was determined with determining the Hounsfield units of the stone on plain abdominal CT scan and matching them with the predetermined ranges for specific stone types. Renal transplant and cancer patients were excluded. SPSS v.26

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Jasim Mohammed Alzaidy, Othman, and Reyad Ahmed Farhood. "Extra-Corporeal Shock Wave Lithotriposy ( ESWL ) for Lower Ureteral Stone." Diyala Journal of Medicine 19, no. 2 (2020): 174–79. http://dx.doi.org/10.26505/djm.19025670920.

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Background: The optimal treatment of ureteral stones, particularly the lower ureteral stone, still controversial[5,13,15,18]. Objective: To assess the success rate of ESWL and tamsulosin in lower ureteral stone. Also to identify the parameters that affects the success rate of ESWL in the lower ureteral stone. Patients and Methods: Prospective study has been done on thirty-six patients sequentially selected from referred cases to the ESWL department in Sulaimania Teaching Hospital in the period from June, 2010 to January, 2011). All had radioopaque lower ureteric stone (from the lower border of

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Abbas Jafri, Syed Saleem, Mazhar Abbas Haidry, and Zafar Iqbal Khan Niazi. "LOWER URETERIC STONES." Professional Medical Journal 23, no. 03 (2016): 262–67. http://dx.doi.org/10.29309/tpmj/2016.23.03.1470.

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Aims & Objectives: Placement of a ureteral stent is routinely done followed byureteroscopy. Recently, many researchers have questioned routine stenting after ureteroscopyfor management of distal ureteric stones? We report our outcomes of a randomized studycomparing ureteroscopy with and without placement of stents for management of distalureteric stones. Study Design: Randomized controlled trial. Setting: Department of Urology,Jinnah Hospital/ Allama Iqbal Medical College, Lahore. Period: March 2013 to February, 2015.Materials & methods: Total 155 patients were prospectively divided in

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Thapa, Narayan, Bharat Bhandari, and Bhairab Kumar Hamal. "Tamsulosin in the management of distal ureteric calculi." Journal of Patan Academy of Health Sciences 1, no. 2 (2015): 19–22. http://dx.doi.org/10.3126/jpahs.v1i2.16640.

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Introductions: Ureteral stones account for 20% urinary stone. Two third of ureteral stones are seen in lower third of ureter. Medical expulsive therapy is effective for such stones. This study was designed to observe the efficacy of ‘tamsulosin’ a selective alpha-1 adrenoreceptor antagonist in the management of lower ureteric stone.Methods: A cross sectional study of 70 cases of distal ureteral stones of sizes 5 to 10 mm was taken in the Department of Surgery of Shree Birendra Hospital, Nepalese Army Institute of Health Sciences (NAIHS) from January 2011 to 2013. Patients were randomly divided

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Ali Ghadhban, Mohammed, and Ali Hamdan Fahad. "Outcome, Efficacy and Safety of Ureteroscopic Pneumatic Lithotripsy In Management of Lower and Mid Ureteric Calculi." AL-QADISIYAH MEDICAL JOURNAL 13, no. 23 (2018): 18–26. http://dx.doi.org/10.28922/qmj.2017.13.23.18-26.

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OBJECTIVE: To determine the efficacy and safety of pneumatic lithotripsy in the treatment of mid and lower ureteric calculi.DESIGN: prospective study.DURATION: From 2014 to 2015SETTING: Department of Urology, AL-Diwaniya teaching Hospital.PATIENTS & METHODS:Over a period of one year,one hundred (100) patients of ureteric stones were treated with pneumatic lithoclast. Twenty five (25) Stones were located in mid ureter, Seventy five (75) stones were located in lower ureter . Success rate was defined as symptom free, no residual stones larger than 2mm. General anesthesia was given to all pati

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Ali, Qutubuddin, Shehtaj Khan, Gambhir Patel, Kritik Jaiswal, and Krishnanand . "Medical expulsive therapy: a cost effective evidence-based definitive treatment for ureteric stones." International Surgery Journal 7, no. 9 (2020): 2879. http://dx.doi.org/10.18203/2349-2902.isj20203508.

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Background: The lifetime risk of kidney stones is between 5% and 10% and rates of recurrence are as high as 50%. Majority of the ureteric stones (70%) are found in the lower third of the ureter. Available setup, type, size of the stone, and expertise of the surgeon are the major factors affecting the treatment modality. Medical expulsive therapy has shown promising results in previous studies. Aim of the study was to assess the efficacy of tamsulosin and deflazacort combination therapy for stone expulsion in relation with site and size of stones.Methods: A total of 97 patients with ureteric ca

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Sarhad Khan, Romana Bibi, Abdul Ullah, et al. "Lower Ureteric Stone Expulsion under the Effect of Alpha Blockers: A Clinical Trial over Alpha Blockers Efficacy." Journal of Saidu Medical College, Swat 12, no. 3 (2022): 138–42. http://dx.doi.org/10.52206/jsmc.2022.12.3.707.

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Background: The ureters account for over 20% of urinary tract stones. The lifetime chance of having urinary calculi is between 5-12%, and men are more likely than women to develop them. There are a variety of minimally invasive interventional (ESWL and Ureteroscopy) and expectant options. However, the optimum therapy is mostly determined by the type and size of the stone, as well as the stone's location and the patient's demands. We do minimal invasive procedures like ureterostomy and ESWL to remove stone in ureter with some complications. Objective: To determine the efficacy of alpha bl

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Rashid, Harun Or, Md Shahidul Islam, SM Shameem Waheed, et al. "Comparative Study Between Holmium Laser versus Pneumatic Ureteroscopic Lithotripsy for Proximal Ureteric Stones Close to Pelvi-ureteric Junction (PUJ) -A Prospective Trial." Bangladesh Journal of Urology 23, no. 2 (2020): 188–92. http://dx.doi.org/10.3329/bju.v23i2.50313.

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Objective: To compare the outcomes of ureteroscopic lithotripsy with pneumatic lithotripter versus Holium:Yttrium-Aluminum-Garnet (Ho:YAG) laser in the management of upper ureteric stones. Materials and methods: Patients who underwent ureteroscopic lithotripsy with pneumatic lithotripter or Ho:YAG laser for upper ureteric stones were reviewed. Patients with urinary tract infection, ,loss of follow-up, concurrent middle or lower third ureteral stones or acute renall failure were excluded. Patient age, stone size and burden (based on KUB or computerized tomography), stone upward migration,

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ULLAH, AMAN, QURBAN ALI SHAIKH, ABDUL RASHEED SHAIKH, and Malik Hussain Jalbani. "EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY." Professional Medical Journal 15, no. 03 (2008): 367–70. http://dx.doi.org/10.29309/tpmj/2008.15.03.2827.

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Objective: To assess efficacy of ESWL as a single modality in upperand lower ureteric calculi. Setting: department of Nephro-Urology Chandka Medical College Hospital, Larkana.Period:January 2003 to April 2006. Methods and materials: 62 patients underwent ESWL. Upper and lower ureteral calculiwere treated by using Dornier MPL-9000 Lithotripter with ultrasound localization. Results: Among 62 cases 56(90.3%)patients had upper ureteric calculi, whereas 06(9.7%) patients had lower ureteric calculi. Size of stones ranged from0.5 mm to 18mm having mean size of 10mm. All patients were followed for per

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Gautam, Ashima, Bineet Thapa, and Krishna Kaji Bhomi. "Bilateral Complete Ureteral Duplication with Obstructing Stones in Both Left Ureters: A Case Report and a Review of Literature." Nepal Medical College Journal 26, no. 2 (2024): 169–72. http://dx.doi.org/10.3126/nmcj.v26i2.67215.

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Congenital anomalies like duplex renal collecting systems are rare developmental conditions. Among these anomalies, ureteral duplication is rarely observed, with partial ureteral duplication comprising a majority of cases. Bilateral ureteral complete duplication, where fully duplicated ureters drain separately into the bladder via separate orifices, is extremely rare, making it a seldom-documented anomaly in the medical literature. A case of bilateral complete ureteral duplication complicated by calculi in both the upper and lower moieties of the left kidney presented to the urology outpatient

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Rafaqat Hussain, Liaqat Ali, Abdul Haseeb, Raza Muhammad, Muhammad Tayyib, and Muhammad Ayaz Khan. "Outcome Of Extracorporeal Shock Wave Lithotripsy (Eswl) Of Lower Ureteric Stones." Multidisciplinary Surgical Research Annals 3, no. 1 (2025): 19–25. https://doi.org/10.62019/3aqxfp18.

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Urolithiasis is a prevailing urological condition, with ureteric stones affecting around 22% of cases, mostly causing severe pain and other complications. Surveillance, medical therapy, and interventions including non-invasive and invasive are various treatment options. However, extracorporeal shockwave lithotripsy (ESWL) is one of commonly used primary non-invasive technique in treatment for kidney and ureteric stones due to its success rate and cost-effectiveness. Thus, its effectiveness for lower ureteric stones is arguable due to anatomical and technical challenges. Factors such as stone s

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Factors Influencing the Success of Medical Expulsive Therapy for Lower Ureteric Stones: An Observational Study." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 5 (2024): 56–63. https://doi.org/10.5281/zenodo.15436076.

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<strong>Abstract</strong> <strong>Purpose</strong>: This study aimed to assess the factors influencing the success of Medical Expulsive Therapy (MET) in managing lower ureteric stones, with particular focus on stone size, location, and patient-specific characteristics. Methodology: A prospective observational study was conducted at Gandhi Medical College and Hamidia Hospital, Bhopal, from August 2022 to December 2023. A total of 107 patients aged 18-50 years with lower ureteric calculi (5-10 mm), confirmed via ultrasonography (USG) and non-contrast computed tomography (NCCT), were included. Pa

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Arvind Arvind, Sudipta Kumar Singh, Partha Protim Mondal, et al. "Efficacy of holmium laser versus pneumatic lithotripsy for mid and distal ureteric stones above 10 mm size." Asian Journal of Medical Sciences 16, no. 5 (2025): 115–19. https://doi.org/10.71152/ajms.v16i5.4475.

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Background: Over the past decade, ureteral stone treatment has evolved significantly. Pneumatic lithotripsy is common but prone to stone migration. Holmium laser use has increased due to fewer complications and lower stone migration rates. Aims and Objectives: The purpose of the study was to compare Lithoclast with holmium: YAG laser lithotripsy for mid and lower ureteral stone and evaluate the complication rate of both for the endoscopic management of ureteric stone. Materials and Methods: This 2-year comparative study at R.G. Kar Medical College and Hospital involved 200 patients with ureter

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Dr, Raheel Sheikh Dr. Kashif Iqbal Khursheed Anwar. "TAMSULOSIN EFFICACY IN CLEARANCE OF LOWER URETERIC STONES." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES o6, no. 07 (2019): 13917–20. https://doi.org/10.5281/zenodo.3355516.

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<strong><em>Objective:</em></strong><em> To compare the frequency of lower ureteric stones clearance with and without tamsulosin in patients admitted in urology department.</em> <strong><em>Study Design:</em></strong><em> A randomized controlled trial study.</em> <strong><em>Place and Duration:</em></strong><em> In the department of Urology PAEC General Hospital, Islamabad for one year duration from January 2018 to December 2018.</em> <strong><em>Methods:</em></strong><em> 60 lower ureteric stones cases were selected for the study according to inclusion criteria. The demographic data of these

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Dr., Taimoor Ahmed Jataoi Dr. Adeel Mahesar Dr. Javed Altaf Jat *. and Dr. Muhammad Ayyaz. "THE AGE DISTRIBUTION AND EFFECTIVENESS OF LOW DOSE TAMSULOSIN IN LOWER URETERIC STONES." Indo American Journal of Pharmaceutical Sciences 04, no. 11 (2017): 4386–90. https://doi.org/10.5281/zenodo.1064351.

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Objective: To determine the effectiveness of low dose tamsulosin as a medical expulsive therapy in patients with lower ureteric stones. Patients and Methods: The six months randomized control trial was conducted on all patients with either gender, age range 30-60 years and stone size 4-10 mm in the lower 1/3rd of the ureter determined on ultrasound at tertiary care hospital. Group A patients was offered low dose tamsulosin (0.2 mg) one tablet daily in the morning for a maximum of 4 weeks and group B served as control. The final outcome was measured at the end of 4th week of treatment. Patients

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SHAHZAD, I., M. MANZOOR, KH AWAN, MA YOUSUF, GM PATHAN, and S. KUMAR. "OUTCOMES OF URETERORENOSCOPY WITH PNEUMATIC LITHOCLAST FOR URETERIC STONE MANAGEMENT AT A REGIONAL CENTER: A RETROSPECTIVE STUDY." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 878. http://dx.doi.org/10.54112/bcsrj.v2024i1.878.

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The management of ureteric stones has significantly evolved with the advancement of minimally invasive techniques. Ureterorenoscopy (URS) with pneumatic lithoclast has become favored due to its efficacy and safety, providing high success rates across various stone locations. Objective: To share our experiences and outcomes of treating ureteric stones using ureterorenoscopy and pneumatic lithoclast at our regional center. Methods: From 2014 to 2022, 220 patients with ureteral calculi at our regional center underwent 221 URS procedures using a pneumatic lithoclast. Preoperative evaluation includ

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Omer, Muhammad, Maaz Shahid, Syed Muhammad Hassan Akhtar, Hafiz Muhammad Mohsan Iqbal, Muhammad Asif, and Mufassar Nishat. "Outcome of a-Blockers, with and without Corticosteroid Combination, in Medical Expulsive Therapy for Lower Ureteric Stones." Pakistan Journal of Medical and Health Sciences 16, no. 8 (2022): 578–79. http://dx.doi.org/10.53350/pjmhs22168578.

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Background: Urinary calculi have serious implications in urology. Lower ureteral stones can cause obstructive uropathy and subsequent deterioration of renal function. Because the patient’s symptoms and stone size do not predict loss of renal function and because there is no clear time threshold for irreversible damage, treatment should be strongly considered in any patient with ureteral stones. In this study we are comparing the results of medical expulsive therapy using alpha blockers with vs, without combination of corticosteroids as adding steroids increases the efficacy by decreasing stone

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Hamid, Haris, Israr Ali, Rafi Ullah, et al. "Spontaneous Expulsion of Lower Ureteric Stones in Patients with Elevated Level of C-Reactive Protein." Pakistan Journal of Medical and Health Sciences 16, no. 11 (2022): 484–86. http://dx.doi.org/10.53350/pjmhs20221611484.

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Background: Around 4–15% of people worldwide have urolithiasis, and ureteric stones account for around 20% of this condition. One of the most frequent situations a urologist has to deal with is acute renal colic caused by urolithiasis. Objective: To determine the spontaneous expulsion of lower ureteric stones in patients with elevated level of c-reactive protein Methodology: This descriptive cross sectional study was performed at the urology department Khalifa Gul Nawaz Teaching Hospital, Bannu Medical College Bannu for a period of six months from January 2022 to June 2022. A total of 210 pati

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Radulovic, Slobodan, Aleksandar Vuksanovic, Dragica Milenkovic-Petronic, and Bozo Vavic. "The influence of lithotripsy methods on the incidence of auxiliary procedures after ureteric stone desintegration." Vojnosanitetski pregled 65, no. 8 (2008): 619–25. http://dx.doi.org/10.2298/vsp0808619r.

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Introduction/Aim. Localization of ureteric stones and the difference in disintegration success are the most important but not the only factors in choosing the first treatment approach to ureteric stones. The aim of the study was to investigate the incidence of auxiliary procedures after different ureteric stones lithotripsy modalities. Methods. In a prospective bicentric study 260 patients with ureteric stones were analyzed. The patients were divided into two groups: group I - 120 patients subjected to extracorporeal shock ware lithotripsy (ESWL) treatment and group II - 140 patients treated e

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Noor Shad Khan, Muhammad Izhar, Tausif Ahmad, et al. "FREQUENCY OF SPONTANEOUS STONE EXPULSION OF SMALL LOWER URETERIC STONES IN PATIENTS WITH RAISED SERUM CRP(C-REACTIVE PROTEIN)." Journal of Khyber College of Dentistry 12, no. 1 (2022): 7–10. http://dx.doi.org/10.33279/jkcd.v12i1.77.

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Objective: To determine the frequency of spontaneous stone expulsion of small lower ureteric stones in patients with raised serum CRP. Materials and Methods: Total of 195 patients with lower ureteric stone size 4mm to 9mm and with raised CRP were analyzed. All patients were subjected to history taking and examination for suspected ureteric stone. Urine R/E, blood investigation, was carried out followed by x-ray KUB and ultrasound of the pelvis and abdomen. CRP was measured only on initial presentation.Results: In our study Spontaneous stone expulsion was recorded in 54.87 % patients while the

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Hassan, Suzan, and Sameeah Rashid. "Prediction of the ureteric stone outcome by CT scan." Zanco Journal of Medical Sciences 25, no. 2 (2021): 560–66. http://dx.doi.org/10.15218/zjms.2021.020.

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Background and objective: Urolithiasis is prevalent in both developed and developing countries, which is attributed to changes in lifestyles. Management of ureteric stones is highly dependent on their characteristics such as volume, size, and density which can be determined based on the images obtained from CT scan. The present study was carried out to examine the association between the final outcomes of the stones and different stone parameters specified by CT scan. Methods: The present prospective cross-sectional study consisted of 100 patients who had been referred to the Radiology Departm

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Hussain, Khalid, Maria Tarique, Attiq ur Rehman Khan, Asim Bukhari, Bilal Akhter, and M. Khalid Butt. "LOWER URETERIC STONES EXPULSION;." Professional Medical Journal 24, no. 09 (2017): 1331–35. http://dx.doi.org/10.29309/tpmj/2017.24.09.899.

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Objectives: To compare Tamsulosin versus ESWL for lower ureteric stonesexpulsion. Study Design: Randomized controlled trial. Setting: Outpatient Department ofUrology at Services Hospital, Lahore. Period: January 2015 to December 2015. Material& Methods: Total 50 patients were enrolled in study. Patients were divided into 2 groups.In group A, 25 patients received daily oral treatment of 0.4mg Tamsulosin for 28 days, andin group B, 25 patients were treated with ESWL. A stone-free condition, was defined as thecomplete absence of any stone based on plain abdominal X-rays observed and during fo

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Priyosantoso, Bacilius Agung, and Sawkar Vijay Pramod. "Transperitoneal Laparoscopic Ureterolithotomy for Large Distal Ureteric Stone: The first Experience in Hasan Sadikin Hospital, Bandung." Jurnal llmu Bedah Indonesia 43, no. 1 (2014): 61–64. http://dx.doi.org/10.46800/jibi-ikabi.v43i1.76.

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   Background. Laparoscopic ureterolithotomy has become an alternative to open surgery for removing large stones that is not amenable to endoscopic treatment. In most of the published literature, laparoscopic ap- proach for lower ureteric stone is described to be less successful than middle and upper ureter. Identifica- tion in anatomical landmarks and exposing the distal ureter has been the major boundaries in establishing laparoscopic distal ureteral stone. We hope to provide clarity and feasibility that may increase our knowledge in laparoscopic ureterolithotomy for large

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Abdelaziz, Alsayed S., Mohab AS Abdalaziz, Mostafa M. Ebraheem, Ali A. Raheem, and Ayman M. Ghoneem. "Preliminary Study: Expulsive Effect of Empagliflozin on Small Lower Ureteric Stones in Type II Diabetic Patients." Al-Azhar Assiut Medical Journal 22, no. 1 (2024): 31–37. http://dx.doi.org/10.4103/azmj.azmj_53_23.

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Background and aim Currently, a new oral diabetes medication comprises inhibition of the sodium-glucose co-transporter 2 (SGLT2), resulting in glycosuria, which may have a dislodging impact on stone ureter. The purpose of this trial was to examine and compare efficacy of empagliflozin in treatment of ureteric stones in type 2 diabetes patients with tamsulosin. Methods Between July 2018 and March 2020, 111 diabetic patients coming to urology outpatient clinics with a single 5–10 mm lower ureteral stone were randomly assigned to two groups: Empagliflozin group (Group A, n=54): Patients got an or

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Akbar, Md A., Md S. Alam, A. Sharif, and R. Parvin. "Endoscopic Management of Ureteric Stones : Experience In Holy Family Red Crescent Medical College Hospital." Journal of Medical Science & Research 22, Number 1 (2014): 10–14. http://dx.doi.org/10.47648/jmsr.2014.v2201.02.

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A retrosceptic study was done on 60 patient with ureteric stone underwent uretereroscopic stone in Holy Family Red Crescent Medical College Hospital from June 2008 to July 2011. Among them 35 were male and 25 were female. The male female ratio was 1.4:1. Age of the patients ranged from 21-73 years, with mean age 48±10.8 years. Of the stones 8 were located in the upper ureter, 23 in the mid ureter and 29 at the lower ureter. Size of the stone ranged from 0.8 cm to1.5cm. Ureterorenoscopy was done by 9.5 Fr. Semirigid ureteroscope and stones ware fragmented by pneumatic lithotriptor. Ultimate sto

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Radulovic, Slobodan, Dragica Milenkovic-Petronic, Aleksandar Vuksanovic, and Bozo Vavic. "Influence of lithotripsy modalities on complication rate." Srpski arhiv za celokupno lekarstvo 137, no. 5-6 (2009): 259–65. http://dx.doi.org/10.2298/sarh0906259r.

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Introduction. Localization of ureteric stones and difference in disintegration success are the most important factors in determining the first treatment approach for ureteric stones. Objective. The aim of our study was to evaluate the difference in complication rate between different ureteric stone lithotripsy modalities. Methods. Two hundred sixty patients with ureteric stones were analyzed in a prospective bicentric study that lasted 1 year. The patients were divided into two groups: I - 120 patients who underwent ESWL (extracorporeal shockwave lithotripsy) treatment and II - 140 patients wh

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AL sunboli, Mostafa, Mohammed basil, and Raghib Jassam. "A Comparative Study between Dusting and Fragmentation in Intracorporeal Laser Lithotripsy in Distal Ureteric Stone." Journal of the Faculty of Medicine Baghdad 65, no. 3 (2023): 156–62. http://dx.doi.org/10.32007/jfacmedbagdad.2018.

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Background: Ureteric stones commonly have an impact on the quality of life of the patient. There are many treatment choices for the condition, including medical treatment, extra-corporeal shock wave lithotripsy (ESWL), endoscopic intervention by ureteroscope (URS), or surgery (open or laparoscopic). Semi-rigid URS with laser lithotripsy is used to fragment ureteric stones, especially those in the distal ureter. Objectives: To assess the efficacy and complications of the dusting versus the fragmentation method for lower ureteric stones using holmium laser lithotripsy by analyzing intra-operativ

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Sreedharan, Jayadevan, LJ John, HAM Aly Freeg, and J. Muttappallymyalil. "Urolithiasis in male patients: A pilot study on the ethnic differences and clinical profile." Nepal Journal of Epidemiology 4, no. 4 (2014): 393–98. http://dx.doi.org/10.3126/nje.v4i4.11359.

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Background Ethnicity play a role in the occurrence of urinary stones, probably related to climatic, environmental and dietary factors in ethnic groups. The association between ethnicity, age, clinical profile, stone size with type of ureteric stones among males with urolithiasis was studied. Materials and Methods Male patients (>18 years) with lower ureteral stones size <10mm attending outpatient department of Urology, at a private hospital, Ajman over a period of one year were included. Ethics approval was obtained from Institutional Ethics Committee. Data was retrieved from the case re

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Gupta, Sudip Das, Mohammed Mizanur Rahman, Md Zahurul Haque, Md Nazrul Islam Mridha, Mrinmoy Biswas, and Md Abu Naser Wahid. "Role of Medical Expulsive Therapy in Ureterolithiasis." Bangladesh Journal of Urology 17, no. 2 (2020): 67–70. http://dx.doi.org/10.3329/bju.v17i2.49153.

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Objective: Medical expulsive therapy (MET) for urolithiasis has gained increasing attention in the last few years. MET is an excellent treatment modality for ureteric stones in the appropriately selected patients. This study was carried out to study the role of MET in the treatment of upper/middle/lower ureteric and VUJ calculi to compare the safety and efficacy of tamsulosin and tamsulosin with Deflazacort as medical expulsive therapy for ureteric stones. Materials and methods: Between July 2013 to June 2014, 105 adult patients with ureteric stones sized 5mm to 10mm were randomized equa

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Sarwar Bhatti, Wasim, Aijaz Hussain Memon, and Nauman Khalid. "ESWL;." Professional Medical Journal 24, no. 05 (2017): 723–28. http://dx.doi.org/10.29309/tpmj/2017.24.05.1288.

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Objectives: Objectives of the study are to evaluate extracorporeal shock waveslithotripsy (ESWL) with and without double-J-ureteric stent in 2-3 cm renal stone. Study Design:Comparative study. Place and Duration of Study: This study was out conducted at LithotripsyCenter, Department of Urology & Renal Transplantation, KEMU/ Mayo Hospital, Lahore, fromJune 2015to May 2016.”Methodology: This study consisted of 60 patients admitted. Allpatients were divided into two equal groups. Thirty patients of kidney stones were included ingroup A, who were treated by ESWL without double-j-ureteric stent

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Pandit, Rakesh Kumar, Uma Shankar Gupta, Subash Thapa Magar, and Vinay Kumar Jha. "Outcome of ureteric stone treatment with tamsulocin." Janaki Medical College Journal of Medical Science 6, no. 2 (2018): 29–36. http://dx.doi.org/10.3126/jmcjms.v6i02.22058.

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Background and Objectives: Though medical expulsive therapy for ureteric stones is increasingly used these days, some recent randomized controlled trials have questioned its benefit. This study evaluates the result of treatment of ureteric stones with tamsulosin. Materials and Methods: This prospective study involved ultrasonographically confirmed cases of uncomplicated unilateral ureteric stones. All patients received tamsulocin 0.4 mg daily for 2 to 6 weeks. The primary end point was stone expulsion. The secondary endpoints were the use of analgesics and adverse events.  Results:

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Mulk, Nauman ul, Khizer Zaman, Muhammad Tayyib, Abdul Haseeb, Raza Muhammad, and Muhammad Saad Hamid. "COMPARISON OF STONE FREE RATE BETWEEN EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY AND URETEROSCOPIC LASERTRIPSY IN THE MANAGEMENT OF PROXIMAL URETERAL STONES." Insights-Journal of Health and Rehabilitation 3, no. 2 (Health & Rehab) (2025): 851–56. https://doi.org/10.71000/s8gg4y36.

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Background: Proximal ureteric stones are a common urological condition, affecting up to 12% of the population. While smaller stones may pass spontaneously, larger stones often require active intervention to prevent complications such as obstruction and renal impairment. Treatment options have evolved from invasive surgeries to less invasive modalities like extracorporeal shockwave lithotripsy (ESWL) and ureteroscopic lasertripsy (URS laser). Selecting the optimal modality is critical for maximizing stone clearance and minimizing complications. Objective: To compare the stone-free rates and cli

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Pogula, Vedamurthy Reddy, Sandeep Reddy, Ershad Hussain Galeti, and Mustaq Rasool. "Stenting versus non-stenting before extracorporeal shock wave lithotripsy for proximal ureteric stones: A prospective interventional study." Asian Journal of Medical Sciences 13, no. 3 (2022): 118–24. http://dx.doi.org/10.3126/ajms.v13i3.38918.

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Background: Extracorporeal shock wave lithotripsy (ESWL) has become the first-line treatment for stones in the upper urinary tract measuring <2cm. It is the minor invasive treatment for calculi of the upper urinary tract. Aims and Objectives: This study aims to identify the effect of the presence and absence of a ureteric stent on the outcome of ESWL in patients with proximal ureteric stones. Materials and Methods: This was a prospective cohort study done on 300 patients and wasdivided into two equal groups of 150 each. Group A patients were selected for ESWL with DJ stent, and Group B pati

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Kelkar, Vidyadhar P. "Study of clinical indication, difficulties and complications of DJ stenting in urological procedure at a tertiary hospital." MedPulse International Journal of Surgery 19, no. 2 (2021): 53–57. http://dx.doi.org/10.26611/1061926.

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Background: Urolithiasis is one of the major causes of morbidity in our society as our country is located near to equatorial distribution of stone disease Indwelling ureteral stents provide free drainage from the kidney to the bladder, reduce or eliminate urinary leakage and provide ureteral stenting. The present study was designed to observe indications, difficulties and complications of indwelling double J ureteral stenting. Material and Methods: Present study was single-center, prospective, observational study, conducted in patients undergoing DJ stenting URS/ESWL (stone size > 2cm), wil

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N, Imdad Ali, Paresh Sankhe, Ravishankar T.H.S., and Jayaprakasha Gangadharaiah. "A Prospective Comparative Study to Evaluate the Effect of Alpha Blocker on Ureteric Orifice for Ease of Ureteroscopy in Patients of Ureteric Calculus and BPH." Journal of Evidence Based Medicine and Healthcare 7, no. 49 (2020): 2888–91. http://dx.doi.org/10.18410/jebmh/2020/591.

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BACKGROUND The selective alpha-blockers are widely used in the clinical treatment for ureteral stones as MET (Medical Expulsive Therapy). American Urological Association and European Association of Urology, strongly recommend that patients with ureteral stones be alpha-blockers to promote stone passage. Due to the physiological effect of alpha-blockers on the ureter, researchers hypothesized that the use of alphablockers before ureteroscopy may help during the Ureteroscopic procedures, making it easier and safer. One critical step in doing ureteroscopy is directing scope into vesicoureteral ju

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Suresh, Arun, Narendranath Sanji, Naveen Hebbal Nagarajappa, Shashikala Gowdara Hanumanthareddy, and Pallavi Mahadeva Kamath. "A comparative study of efficacy and safety of tamsulosin with nifedipine versus tamsulosin alone as medical expulsive therapy for lower ureteric stones." International Journal of Basic & Clinical Pharmacology 8, no. 10 (2019): 2278. http://dx.doi.org/10.18203/2319-2003.ijbcp20194271.

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Background: Lower ureteric stones (LUS) comprises of 70% of ureteric stones. Spontaneous passage depends on stone size and location in ureter. Impacted calculi initiate smooth muscles contractions causing ureteric spasms. α-1 blockers like tamsulosin and calcium channel blocker like nifedipine relaxes ureteric smooth muscle, facilitating spontaneous expulsion. Pain and discomfort associated with urolithiasis, hospitalization and surgical cost can be minimized by medical expulsive therapy. Many studies had compared efficacy of tamsulosin with nifedipine, only few have explored the combination.

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Sharma, Ira, Atal Sood, Kulbhushan Sharma, Sushma Sawaraj, and Nitin Patiyal. "Comparison of safety and efficacy of silodosin versus mirabegron in medical expulsive therapy for lower ureteric stone: a prospective, open label and randomized controlled trial." International Journal of Basic & Clinical Pharmacology 14, no. 1 (2024): 62–68. https://doi.org/10.18203/2319-2003.ijbcp20243837.

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Background: Urolithiasis the most common condition affecting genitourinary tract and affect 5 to 10% of population worldwide. Almost all ureteric stones are symptomatic, and patients need to receive immediate evaluation and pain relief treatment. Passage of stone is facilitated by medical expulsive therapy (MET). Overall, 71-98% for stones in the distal ureter that are 5 mm or smaller passes with MET while 29-98% for stones in the proximal ureter that are 5 mm or smaller passes with MET. Silodosin (alpha-1 adrenergic receptor antagonist) and mirabegron (β-3 agonist) were compared for stone exp

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Gautam, Mahesh, Aziz Ullah, and Manish Raj Pathak. "Low Dose Computed Tomography in Diagnosis of Ureteric Calculus in Obese Patients." Journal of Nobel Medical College 9, no. 1 (2020): 27–31. http://dx.doi.org/10.3126/jonmc.v9i1.29464.

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Background: Standard dose computed tomography is standard imaging modality in diagnosis of urolithiasis. The introduction of low dose techniques results in decrease radiation dose without significant change in image quality. However, the image quality of low dose computed tomography is affected by skin fold thickness and subcutaneous abdominal adipose tissue. The aim of this study to evaluate stone location, size, and density using low dose computed tomography compared with standard dose computed tomography in obese population. Material and Methods: This non-randomized non-inferiority tr

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Spahović, H., A. Efendić, S. Željo, and E. Efendić. "S308: Lower ureteric stones and ureterorenoscopy." European Urology Supplements 13, no. 7 (2014): e1614. http://dx.doi.org/10.1016/s1569-9056(14)61816-9.

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Hussain, Khalid, Attiq-ur-Rehman Khan, Rao Nouman Ali, Maria Tariq, Salman Shahid, and Muhammad Khalid Butt. "Incidence of Stone Retropulsion in Ureteroscopic Pneumatic Lithotripsy for lower ureteric stones by using stone cone." Professional Medical Journal 26, no. 12 (2019): 2169–72. http://dx.doi.org/10.29309/tpmj/2019.26.12.3693.

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Objectives: To measure the incidence of stone Retropulsion and its complication in ureteroscopic pneumatic lithotripsy for lower ureteric stones by using stone cone. Study Design: Observational cross sectional study. Setting: Gujranwala Medical College, Gujranwala. Period: January 2017 to December 2018. Material & Methods: Consecutive simple random sampling technique was used. Total 120 patients were treated with URS pneumatic lithotripsy for single ureteric stone were enrolled in study. The diagnosis was established by plain spiral CT scan in all patients. The incidence of stone Retropuls

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Patil, Basavesh S., Siddanagouda B. Patil, Santosh R. Patil, Vinay S. Kundargi, and Manoj K. Vaidya. "EXPLORING EFFICACY OF INFANT FEEDING TUBE AS A LOW COST ALTERNATIVE TO STENTING IN LOWER URETERIC STONE MANAGEMENT." Eastern Ukrainian Medical Journal 13, no. 1 (2025): 323–32. https://doi.org/10.21272/eumj.2025;13(1):323-332.

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Introduction. Routine DJ stenting following URSL (Ureteroscopic Lithotripsy) is associated with irritative voiding symptoms, pain, UTI and requires additional hospital visit for stent removal. Externally draining ureteric catheters and stents with strings for easy self-removal have been used to overcome these drawbacks, but a cost effective and practical solution is yet to be found. Aim of this study is to evaluate the efficacy of placing an infant feeding tube (IFT) in lower ureter for 24 hours following URSL for lower ureteric stones in overcoming the stent related morbidity and avoiding a s

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Piya, Bimochan, and Abhishek Bhattarai. "Efficacy of Tamsulosin and Alfuzosin in Management of Distal Ureteral Stones." Med Phoenix 6, no. 1 (2021): 10–13. http://dx.doi.org/10.3126/medphoenix.v6i1.36352.

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Introduction: Urinary tract calculi are the most frequent condition in urology clinics worldwide. The overall prevalence is about 5 % and lower urinary tract stones account for 70% among them. Medical expulsive therapy has been used to treat distal ureteric stone as it reduces symptoms and facilitates stone expulsion. The aim of this study is to evaluate and compare the efficacy of tamsulosin and alfuzosin as medical therapy in ureteric stones. Materials and Methods: A total of 87 patients with distal ureteral stones of size ≤10 mm were randomly divided into 3 groups. Group A patients (n

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Sanjay, Kumar Gupta, Mishra Gaurav, Ahmad Ahsan, Kumar Tiwari Rajesh, Upadhyaya Rohit, and Kumar Vijoy. "Efficacy of Extracorporeal Shock Wave Lithotripsy in the Management of Lower Ureteric Stones ≤ 2 Cm." International Journal of Current Pharmaceutical Review and Research 15, no. 12 (2023): 620–25. https://doi.org/10.5281/zenodo.11526808.

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AbstractBackground: To evaluate the efficacy of extracorporeal shock wave lithotripsy (ESWL) in patients with lowerureteric stones by analyzing the clearance rate.Materials and Methods: This prospective observational study was conducted in patients with lower uretericstones. Patients were divided into two groups according to stone size (mm); group A (up to 10 mm) and group B(11- 20 mm). Dornier Compact Delta II (Dornier MedTech Systems) was the ESWL lithotripter used to fragmentureteric stones.Results: A total of 41 patients (mean [SD] age: 33.7 [12.16] years) were included in the study. The a

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Sahoo, Amulya Ratna, Akshaya Kumar Hati, Chintamani Nayak, and Chaturbhuja Nayak. "Treatment of Urinary Stones with Constitutional Homoeopathic Medicines—Two Evidence-Based Case Reports." Homœopathic Links 32, no. 01 (2019): 036–42. http://dx.doi.org/10.1055/s-0039-1687847.

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Introduction Urolithiasis is a very common disease. Stones in any part of the urinary tract can produce symptoms and complication, but because the lower part of the ureter is the narrowest part of the urinary tract, stones get lodged easily producing pain and haematuria commonly. If we keep in mind the limitation and complication of the surgical procedure, homoeopathy can provide a real solution for such conditions. There are several ways of homeopathic prescription, such as based on keynotes, general symptoms, constitution, miasm, etc. Two cases of ureteric calculi are presented here, who wer

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Kamoona, Karrar, Fadhid Abdul Jabbar, Hussein Abdul Kadhim, and Sahar A. Majeed. "A Prospective Clinical and Ultrasounic Assessment of Urinary Litholytic Activity of Cynodon Dactylon Aqueous Extract." Kufa Journal for Nursing Sciences 4, no. 1 (2014): 40–44. http://dx.doi.org/10.36321/kjns.vi20141.2449.

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Background: Urolithiasis is one of the common health problems which endanger renal function due to ureteral obstruction and hydro nephrosis. Objective: to assess activity of C. dactylon in dissolving urinary stone in comparison with stander drugs. Methodology: As atrial of augmenting litholytic activity of the commonly used drugs a 20 male patients were divided into two equal groups one is control and taking amoxicillin, bicarbonate and diclofenac the second one is test group taking extract of Cynodon dactylon in addition to these agents. All patients monitored with clinical and ultrasonic fin

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Imperatore, Vittorio, Ferdinando Fusco, Massimiliano Creta, et al. "Medical expulsive therapy for distal ureteric stones: tamsulosin versus silodosin." Archivio Italiano di Urologia e Andrologia 86, no. 2 (2014): 103. http://dx.doi.org/10.4081/aiua.2014.2.103.

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Objectives: To compare the efficacy and safety of tamsulosin and silodosin in the context of medical expulsive therapy (MET) of distal ureteric stones. Patients and methods: Observational data were collected retrospectively from patients who received silodosin (N = 50) or tamsulosin (N = 50) as MET from January 2012 to January 2013. Inclusion criteria were: patients aged ≥ 18 years with a single, unilateral, symptomatic, radiopaque ureteric stone of 10 mm or smaller in the largest dimension located between the lower border of the sacroiliac joint and the vesico-ureteric junction. Stone expulsi

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Robbani, ABM Golam, PK Biswas, SM Rakibul Alam, KM Abu Jalal, and MA Momen. "Ureteroscopy and Intracorporeal Lithotripsy for Ureteric Stones: Stenting or not – A Prospective Randomized Study." TAJ: Journal of Teachers Association 23, no. 1 (2010): 38–40. http://dx.doi.org/10.3329/taj.v23i1.41132.

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With the advancement of endourology, ureteric stones are mostly managed by intracorporeal lithotripsy via ureteroscopes, or by extracorporeal lithotripsy. Placement of ureteric stent is almost a routine after ureteric stone lithotripsy. Though stenting is necessary to prevent some post-operative complications, especially in difficult and complicated lithotripsy, it is associated with some morbidity as well. This study was carried out to compare the complications of the patients with or without stenting after uncomplicated ureteroscopic removal of ureteric stones. 50 patients with ureteric ston

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Al Jabban, Haidar Hazim Mohammed, Raed Hmood Afiet, and Ihab Saad Khewkah. "Mini percutaneous nephrolithotomy treat the large upper ureteric stones." Romanian Journal of Medical Practice 19, no. 1 (2024): 38–42. http://dx.doi.org/10.37897/rjmp.2024.1.7.

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Background. The incidence of kidney stones has been raised all over the world. Nephrolithiasis is the most common cause of illnesses in western countries and has been rising in its incidence in developing countries. PCNL describe the management of large renal calculi when measuring >20 mm and even for smaller ones of lower pole with excellent stone-free rate reach to 98%. Aim. To evaluate the mini-percutaneous nephrolithotomy (mini-PCNL) safety used to cure upper ureteral and renal stones with assessing the complication and procedure outcome in Iraqi patients. Method. This is a prospective

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