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Journal articles on the topic 'Medical Expulsive Therapy'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Wood, KyleD, Ilya Gorbachinsky, and Jorge Gutierrez. "Medical expulsive therapy." Indian Journal of Urology 30, no. 1 (2014): 60. http://dx.doi.org/10.4103/0970-1591.124209.

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Sterrett, Samuel P., and Stephen Y. Nakada. "Medical Expulsive Therapy." Seminars in Nephrology 28, no. 2 (2008): 192–99. http://dx.doi.org/10.1016/j.semnephrol.2008.01.002.

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3

Sterrett, Samuel P., and Stephen Y. Nakada. "Medical expulsive therapy." Current Opinion in Urology 18, no. 2 (2008): 210–13. http://dx.doi.org/10.1097/mou.0b013e3282f51935.

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Karamık, Kaan, Mehmet Kısaarslan, Hakan Anıl, and Nihat Ateş. "Efficacy of tamsulosin versus silodosin as medical expulsive therapy on stone expulsion in patients with distal ureteral stone: A retrospective single center study." Yeni Üroloji Dergisi 18, no. 1 (2023): 1–7. http://dx.doi.org/10.33719/yud.2023;18-1-1118339.

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Objective: This study aimed to compare the efficacy of tamsulosin and silodosin as medical expulsive therapy in patients with symptomatic uncomplicated distal ureteric stones. Material and Methods: The data of adult patients who had distal ureteric stones in size between 4 and 10 mm and were treated with medical expulsive therapy between June 2019 and January 2022 were retrospectively documented. Patients were divided into two groups. Patients in Group 1 received silodosin 4 mg, and Group 2 received tamsulosin 0.4 mg. Therapy was given for a maximum of 3 weeks. Stone expulsion rate, time to st

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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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Degaonkar, Anil S., Pundlik T. Jamdade, Nikhil S. Bhamare, Prashant A. Shirure, Manjuprasad M. S., and Onkar C. Swami. "Medical expulsion therapy in the management of ureteric calculi: a comparative real-life experience." International Surgery Journal 4, no. 7 (2017): 2311. http://dx.doi.org/10.18203/2349-2902.isj20172788.

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Background: One of the conservative management of ureteric caculi is by medical expulsive therapy by targeting common causes of obstruction such as edema, ureteral spasm and infection which will favour expulsion of calculi. The objective of this study was to assess comparative efficacy and safety of medical expulsive therapy of ureteric calculi.Methods: This was a randomized, prospective, open label, comparative study. Subjects satisfying inclusion and exclusion criteria were randomized into 4 groups tamsulosin, nifedipine, progesterone and control. Medical expulsion of calculi of 6mm to 15 mm

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S Mittal, Gyanendra, Shalabh Gupta, Rajiv Verma, Alok Agarwal, and Priyanka Jadaun. "Medical expulsive therapy in ureteric calculi: A prospective study." IP Journal of Surgery and Allied Sciences 3, no. 4 (2022): 96–100. http://dx.doi.org/10.18231/j.jsas.2021.022.

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Ureteric calculus with a colicky pain is a common issue faced by surgeons and urologists in the ER and OPD with a major universal health and financial strain on the health care system. Different studies have shown promising outcomes for ureteric calculus with medical expulsive therapy (MET) in relation to the expulsion rate and mean duration of expulsion, decrease hospital stay and less requirements of analgesics. The aim of this study is to compare the efficacy and safety of Tamsulosin alone or in combination of Deflazacort in medical expulsive therapy of ureteric calculus of less than 10 mm

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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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Dauw, Casey A., and John M. Hollingsworth. "Medical expulsive therapy: PRO position." International Journal of Surgery 36 (December 2016): 655–56. http://dx.doi.org/10.1016/j.ijsu.2016.11.005.

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Wenzel, M., A. Neisius, A. Miernik, and J. Salem. "„Medical expulsive therapy“ bei Harnleitersteinen." Der Urologe 57, no. 7 (2018): 852–54. http://dx.doi.org/10.1007/s00120-018-0702-7.

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11

Jamil, Muhammad Nasir, Muhammad Shahzad, Hamza Ashraf, and Ehsan Ul Islam. "Medical Therapy to Facilitate Urinary Stone Passage." Pakistan Journal of Medical and Health Sciences 17, no. 4 (2023): 6–11. http://dx.doi.org/10.53350/pjmhs20231746.

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Background: Urinary stones are now a worldwide problem due to a rise in occurrence over the past few decades. All racial and cultural groups have experienced this. Complex metabolic and environmental risk factors are both involved in the pathogenetic pathways of stone production. This disease affects roughly 12% of the world's population. Its recurrence rate is about 70% in men and 47% in women. Urinary stones have significantly increased in prevalence over the past 20 years, becoming a global disease. Aim: This review covers literature on the medical therapy of urolithiasis to facilitate urin

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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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Atan, Ali, and Altug Tuncel. "Medical expulsive therapy for ureteral stones." Türk Üroloji Dergisi/Turkish Journal of Urology 36, no. 3 (2010): 302–8. http://dx.doi.org/10.5152/tud.2010.034.

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14

Liu, May, and Sean O. Henderson. "Myth: Nephrolithiasis and medical expulsive therapy." CJEM 9, no. 06 (2007): 463–65. http://dx.doi.org/10.1017/s1481803500015529.

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ABSTRACTThere is a medical myth that ureteral stones larger than 5 mm will not pass spontaneously and require urological intervention for removal. Recent findings indicate that medical expulsive therapy can facilitate spontaneous passage for stones up to 10 mm. For the management of ureteral stones, we recommend administering tamsulosin and a corticosteroid (deflazacort or prednisone) along with the standard therapy of analgesics, antibiotics and hydration.

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Parikh, Chirag, Vipul Gurjar, and Sneh Shah. "Tamsulosin versus tadalafil as medical expulsive therapy of distal ureteric stones: a comparative study." International Surgery Journal 6, no. 3 (2019): 982. http://dx.doi.org/10.18203/2349-2902.isj20190835.

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Background: The management of patients with ureteral calculi has changed dramatically in the current era, with the conservative approach being the primary focus, its main benefit being minimum patient morbidity. The use of the expectant approach for distal ureteric stones can be extended with the use of adjuvant medical expulsive therapy (MET), which is able to reduce symptoms and facilitate stone expulsion. The present study was thus conducted to determine single best monotherapy for medical expulsive therapy of distal ureteric stones by comparing Tadalaﬁl and Tamsulosin.Methods: A hospital b

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Rangaiah, Rohit G., Ananth J. Kamath, and Ashok Kumar Saini. "Role of medical expulsive therapy in lower ureteral calculus." International Surgery Journal 5, no. 10 (2018): 3234. http://dx.doi.org/10.18203/2349-2902.isj20183879.

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Background: Urolithiasis is a chronic disease with a significant burden on the healthcare system. The aim of this study was to evaluate the role of medical expulsive therapy (tamsulosin alone or in combination with deflazacort) in the treatment of lower ureteric calculi.Methods: This was a prospective, randomized, controlled trial conducted at a tertiary care centre between November 2015 and October 2017. Patients aged more than 18 years solitary ureteral calculus 5-10 mm in size, located at distal ureter were randomized (1:1:1) to receive tamsulosin 0.4 mg once-daily (OD), deflazacort 6 mg tw

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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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Tzortzis, Vassilios, Charalampos Mamoulakis, Jorge Rioja, Stavros Gravas, Martin C. Michel, and Jean J. M. C. H. de la Rosette. "Medical Expulsive Therapy for Distal Ureteral Stones." Drugs 69, no. 6 (2009): 677–92. http://dx.doi.org/10.2165/00003495-200969060-00003.

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19

Solakhan, Mehmet, Omer Bayrak, and Ersan Bulut. "Efficacy of mirabegron in medical expulsive therapy." Urolithiasis 47, no. 3 (2018): 303–7. http://dx.doi.org/10.1007/s00240-018-1075-5.

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&NA;. "Medical expulsive therapy effective for urinary calculi." Inpharma Weekly &NA;, no. 1558 (2006): 13. http://dx.doi.org/10.2165/00128413-200615580-00031.

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21

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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22

Ziaeefar, Pardis, Abbas Basiri, Moein Zangiabadian, et al. "Medical Expulsive Therapy for Pediatric Ureteral Stones: A Meta-Analysis of Randomized Clinical Trials." Journal of Clinical Medicine 12, no. 4 (2023): 1410. http://dx.doi.org/10.3390/jcm12041410.

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To evaluate the efficacy and safety of medical expulsive therapy (MET) for ureteral stones in pediatric patients, Cochrane, PubMed, Web of Science, Scopus, and the reference list of retrieved studies were searched up to September 2022 to identify RCTs on the efficacy of MET. The protocol was prospectively registered at PROSPERO (CRD42022339093). Articles were reviewed, data were extracted by two reviewers, and the differences were resolved by the third reviewer. The risk of bias was assessed using the RoB2. The outcomes, including the stone expulsion rate (SER), stone expulsion time (SET), epi

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23

Karamık, Kaan, Hakan Anıl, and Ekrem İslamoğlu. "PREDICTIVE FACTORS AFFECTING THE SUCCESS OF MEDICAL EXPULSIVE THERAPY IN PATIENTS WITH DISTAL URETERAL STONE." Kocatepe Tıp Dergisi 25, no. 4 (2024): 443–47. http://dx.doi.org/10.18229/kocatepetip.1390134.

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OBJECTIVE: In this study, we aimed to investigate the factors affecting spontaneous stone passing in patients who received medical expulsive therapy due to distal ureteral stones. MATERIAL AND METHODS: From September 2022 to October 2023, a total of 148 patients with distal ureteral stones sized 4-10 mm were included. Patients received silodosin 4 mg as medical expulsive therapy and were followed up for a maximum of four weeks. The patient- and stone-related variables affecting spontaneous stone passage were evaluated. RESULTS: The mean age of the participants was 42.92±12.78 years. The stone

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Sentürk, Aykut Buğra, Cemil Aydin, Musa Ekici, Muhammet Yaytokgil, Ali Akkoc, and Mehmet Murat Baykam. "Comparison of three most frequently used alpha blocker agents in medical expulsive therapy for distal ureteral calculi, result of a retrospective observational study." Archivio Italiano di Urologia e Andrologia 90, no. 1 (2018): 25. http://dx.doi.org/10.4081/aiua.2018.1.25.

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Purpose: In this study, we compared the effects of three agents frequently used in daily life for medical expulsive therapy. Materials and methods: A total of 143 patients meeting the criteria were included in the study. Patients were divided into three homogeneous drug groups which were tamsulosin group (n:48), alfuzosin group (n:47) and silodosin group (n:48). The time of stone expulsion, analgesic needs, side effects of the medicine and endoscopic intervention needs of the patients were recorded. Results: The rate of stone expulsion was 70.8% (n:34) in tamsulosin group, 70.2% (n:33) in alfu

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O, Ramesh, Shobha Rani B, and Ravi Prabhu G. "MEDICAL EXPULSIVE THERAPY OF URETERIC CALCULI - OUR EXPERIENCE." Journal of Evidence Based Medicine and Healthcare 2, no. 40 (2015): 6612–18. http://dx.doi.org/10.18410/jebmh/2015/902.

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&NA;. "Expulsive medical therapy feasible for lower ureteral calculi." Inpharma Weekly &NA;, no. 1457 (2004): 12. http://dx.doi.org/10.2165/00128413-200414570-00024.

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Bayne, Christopher E., Diana Cardona-Grau, and Michael H. Hsieh. "Featuring: Use of medical expulsive therapy in children." Journal of Pediatric Urology 13, no. 4 (2017): 418–19. http://dx.doi.org/10.1016/j.jpurol.2017.09.004.

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Portis, Andrew J., Emma L. Lundquist, Jennifer L. Portis, et al. "Unsuccessful Medical Expulsive Therapy: A Cost to Waiting?" Urology 87 (January 2016): 25–32. http://dx.doi.org/10.1016/j.urology.2015.07.048.

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Preminger, Glenn M., John Roger Bell, and Stephen Y. Nakada. "Medical Expulsive Therapy is Useful for Urinary Calculi." Journal of Urology 195, no. 3 (2016): 554–56. http://dx.doi.org/10.1016/j.juro.2015.12.066.

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30

Fedrigon, Donald Charles, Rajat Jain, and Sri Sivalingam. "Current use of medical expulsive therapy among endourologists." Canadian Urological Association Journal 12, no. 9 (2018): E384–90. http://dx.doi.org/10.5489/cuaj.4978.

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Introduction: We aimed to characterize current practice patterns among endourologists on medical expulsive therapy (MET) for treatment of ureteral calculi.Methods: An online survey was administered to Endourological Society members. Respondents’ MET usage, index case management, and awareness of recent guidelines and literature were compared based on international status, practice setting, interval since training, and endourological fellowship training.Results: Of the 237 complete responses, 65% were international, 61% were academic, 66% had >10 years in practice, and 71% were endourology f

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Sadasivam, Balakrishnan, Santenna Chenchula, and Avik Ray. "Systematic Review of Efficacy and Safety of Silodosin in Medical Expulsive Therapy for the Management of Ureteral Stones – Based on Indian Evidences." Biomedical and Pharmacology Journal 14, no. 02 (2021): 733–38. http://dx.doi.org/10.13005/bpj/2176.

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Introduction: Urolithiasis is quite a common disorder affecting around two million people in India every year. Minimally invasive therapies are effective treatment measures in most of the cases. However, a watchful waiting approach with pharmacotherapy promotes the expulsion of stones in a shorter time. We hereby review the efficacy and safety of silodosin, a selective α-1A adrenoceptor antagonist, in medical expulsive therapy for the management of urolithiasis based on the evidences in Indian population. Methods: Medical Subject Headings (MeSH) keywords which were used to systematically searc

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Cai, Dawei, Guangzhu Wei, Peishan Wu, et al. "The Efficacy of Mirabegron in Medical Expulsive Therapy for Ureteral Stones: A Systematic Review and Meta-Analysis." International Journal of Clinical Practice 2022 (March 24, 2022): 1–7. http://dx.doi.org/10.1155/2022/2293182.

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Background. This study aimed to assess the efficacy of mirabegron (50 mg daily) as a medical expulsive therapy for ureteral stones in adults. Materials and Methods. We searched PubMed, Embase, Cochrane Library, and Web of Science from inception to July 2021 to collect the clinical trials. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies by using the Cochrane risk of bias tool. Review Manager 5.3 software was used for the meta-analysis. Results. A total of four studies were included, involving 398 patients: 197 patients in mirabe

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Hariharasudhan, Sekar, Deepak Ragoori, Sriram Krishnamoorthy, Sunil Shroff, and Rajamanickam M.G. "Medical Expulsive Therapy in Acute Colic are We Justified?" Open Urology & Nephrology Journal 7, no. 1 (2014): 60–63. http://dx.doi.org/10.2174/1874303x01407010060.

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Medical expulsive therapy (MET) is one of the most common conservative modality of treatment offered by general practitioners for ureteric colic and calculi. In many occasions, such treatment may have beneficial effect, but might be counter-productive, if offered inappropriately. We report a case of unilateral pelvi-ureteric junction obstruction with a large, redundant, extra renal pelvis that was misinterpreted in ultrasonography as hydroureteronephrosis. The dilatation was assumed to be due to ureteric calculus and hence treated with MET, that resulted in forniceal rupture and urinoma. The a

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Shah, Yogendra, Pukur Thekdi, and K. Patel. "Medical expulsive therapy for the management of ureteric calculi." International Journal of Research in Medical Sciences 1, no. 3 (2013): 267. http://dx.doi.org/10.5455/2320-6012.ijrms20130821.

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Williams, Kevin, and Ananda Dhanasekaran. "Medical expulsive therapy for ureteric calculi – yes or no?" Journal of Clinical Urology 11, no. 5 (2017): 345–49. http://dx.doi.org/10.1177/2051415817733644.

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In recent years, there has been a potential paradigm shift in the conservative management of ureteric calculi away from the routine use of medical expulsive therapy (MET). A large body of evidence exists to hopefully answer this common clinical question. Multiple meta-analyses have been performed in the last decade to evaluate the existing evidence. Most, if not all have demonstrated benefit of administering MET for patients with ureteric calculi. In more recent years, the publication of several good quality, randomised controlled studies has cast doubt over the routine use of MET in these pat

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Conway, John C., and Benjamin W. Friedman. "Medical Expulsive Therapy (Alpha Blockers) for Urologic Stone Disease." Academic Emergency Medicine 27, no. 9 (2020): 923–24. http://dx.doi.org/10.1111/acem.13935.

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Van Asseldonk, Brandon, and Dean S. Elterman. "Medical Expulsive Therapy for Ureteric Colic: New Hard Evidence." Urology 86, no. 4 (2015): 649–50. http://dx.doi.org/10.1016/j.urology.2015.06.030.

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MCNAMARA, DAMIAN. "Medical Expulsive Therapy Does the Job for Small Stones." Internal Medicine News 41, no. 17 (2008): 21. http://dx.doi.org/10.1016/s1097-8690(08)70969-7.

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Itano, Nancy, Elisabeth Ferlic, Rafael Nunez-Nateras, and Mitchell R. Humphreys. "Medical Expulsive Therapy in a Tertiary Care Emergency Department." Urology 79, no. 6 (2012): 1242–46. http://dx.doi.org/10.1016/j.urology.2011.12.033.

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Goka, Selasie Q., and Lawrence Copelovitch. "Medical Expulsive Therapy for Urinary Stone Disease in Children." Indian Pediatrics 57, no. 10 (2020): 940–43. http://dx.doi.org/10.1007/s13312-020-1999-z.

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Amer, Tarik, Gareth Jones, and Omar Aboumarzouk. "Medical Expulsive Therapy: Is It Time to SUSPEND Judgement?" Drugs 77, no. 8 (2017): 809–12. http://dx.doi.org/10.1007/s40265-017-0721-5.

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Dahm, Philipp, and John M. Hollingsworth. "Medical Expulsive Therapy for Ureteral Stones—Stone Age Medicine." JAMA Internal Medicine 178, no. 8 (2018): 1058. http://dx.doi.org/10.1001/jamainternmed.2018.2265.

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Rahman, Md Mostafiger, Fatema Tui Johura, Mohammad Ibrahim Ali, Md Sazzad Hossain, and Md Kamrul Islam. "Effect of Tamsulosin on Treatment of Lower Ureteric Calculi." Bangladesh Journal of Urology 22, no. 2 (2020): 155–59. http://dx.doi.org/10.3329/bju.v22i2.50104.

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Introduction: Medical expulsive therapy (MET) is one of the treatment modality for ureteric calculi. Recent studies have reported excellent results with MET for lower ureteral calculi. The aim of study to evaluate the effect of tamsulosin on treatment of lower ureteric calculi. Materials and Methods: A prospective study was conducted at outpatient department of Urology, Prime Medical College Hospital, Rangpur, Bangladesh during February 2018 to February 2019. A total of 100 patients with lower ureteric calculi included in this study. Cases were selected by inclusion and exclusion criteri

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Hollingsworth, John M., J. Stuart Wolf, Gary J. Faerber, William W. Roberts, Rodney L. Dunn, and Brent K. Hollenbeck. "Understanding the Barriers to the Dissemination of Medical Expulsive Therapy." Journal of Urology 184, no. 6 (2010): 2368–72. http://dx.doi.org/10.1016/j.juro.2010.08.013.

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Hollingsworth, John M., Edward C. Norton, Samuel R. Kaufman, R. Matt Smith, J. Stuart Wolf, and Brent K. Hollenbeck. "Early surgical intervention versus medical expulsive therapy for renal colic." Journal of the American College of Surgeons 215, no. 3 (2012): S142. http://dx.doi.org/10.1016/j.jamcollsurg.2012.06.364.

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Türk, Christian, Thomas Knoll, Christian Seitz, Andreas Skolarikos, Chris Chapple, and Sam McClinton. "Medical Expulsive Therapy for Ureterolithiasis: The EAU Recommendations in 2016." European Urology 71, no. 4 (2017): 504–7. http://dx.doi.org/10.1016/j.eururo.2016.07.024.

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47

Molina, Wilson R., and Salvatore P. Catarinicchia. "Medical Expulsive Therapy for Ureteral Stones: is it Still Worthwhile?" Annals of Emergency Medicine 73, no. 3 (2019): 313–14. http://dx.doi.org/10.1016/j.annemergmed.2018.07.003.

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48

Rahman, Farhan Haidar Fazlur, Kevin Leonardo, Radhyaksa Ardaya, Widi Atmoko, and Dyandra Parikesit. "Efficacy and safety comparison between silodosin and tamsulosin as medical expulsive therapy for distal ureteral stones." Medical Journal of Indonesia 32, no. 4 (2024): 238–45. http://dx.doi.org/10.13181/mji.oa.247180.

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BACKGROUND Ureteral stones are a common urological condition causing significant discomfort and morbidity. Medical expulsive therapy (MET) is a noninvasive approach to facilitate the passage of stones. This study aimed to compare the efficacy and safety of silodosin and tamsulosin as MET in patients with distal ureteral stones (DUS). METHODS We searched CINAHL, Cochrane Library, PubMed, and ScienceDirect for randomized controlled trials (RCTs) on the administration of silodosin and tamsulosin for DUS. The primary outcomes analyzed were stone expulsion rates and expulsion times, measured

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Modi, Jenish, Vipul Lad, and Parag Godhani. "Efficacy of Low-Dose Deflazacort with Tamsulosin in the Medical Expulsive Therapy of Distal Ureterolithiasis: A Randomized Controlled Trial." National Journal of Medical Research 14, no. 04 (2024): 103–8. http://dx.doi.org/10.55489/njmr.140420241011.

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Abstract:

Introduction: Distal ureterolithiasis, characterized by stones in the lower ureter, poses significant challenges in clinical management. Medical expulsive therapy (MET) using Tamsulosin is a common non-invasive treatment, but its efficacy can be limited, especially for stones larger than 5 mm. Deflazacort, a corticosteroid with anti-inflammatory properties, may enhance the effectiveness of Tamsulosin by reducing ureteral inflammation and facilitating stone passage. Methods: This prospective, randomized controlled trial enrolled 80 patients with distal ureteral stones <8 mm. Participants wer

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Ivashchenko, D. M., M. O. Dudchenko, M. I. Kravtsiv, and M. P. Shevchyk. "EVALUATING THE EFFECTIVENESS OF PRIMARY ANALGESIC AND SUBSEQUENT COMBINED MET–THERAPY IN RENAL COLIC THERAPY." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 20, no. 3 (2020): 110–14. http://dx.doi.org/10.31718/2077-1096.20.3.110.

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Renal colic is an acute pathological symptom complex, which, despite all the achievements of medicine, demonstrates constant occurrence rate of about 12% in the human population. This condition is characterized by a pronounced sudden pain attack, which causes significant suffering to the patient. Therefore, the search for effective and safe methods of analgesia and the search for ways to correct urinary obstruction as a cause of pain are of great clinical importance. The aim of the study was to assess the effectiveness of analgesic and combined lithoeradicative therapy to improve the managemen

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