Document Detail


The comparison and efficacy of 3 different alpha1-adrenergic blockers for distal ureteral stones.
MedLine Citation:
PMID:  15879806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: alpha1-Adrenergic blockers have recently been shown to increase the rate of spontaneous passage of distal ureteral stones. We compared efficacy of 3 different alpha1-adrenergic blockers for this purpose. MATERIALS AND METHODS: A total of 114 patients between 18 and 65 years old who had lower ureteral stones were included in the study. Patients were randomly divided into 4 groups. Group 1 consisted of 28 patients and acted as the control group. Group 2 comprised 29 patients who received tamsulosin, group 3 was 28 patients receiving terazosin and group 4 was 29 patients receiving doxazosin. These agents were given for up to a month and hydration was also recommended simultaneously. Every week patients were controlled with x-rays of the kidneys, ureters, bladder and urinary ultrasonography. Meanwhile the number of pain episodes, analgesic dosage and the number of days for spontaneous passage of the calculi through the ureter were also recorded. RESULTS: There were no differences between the groups with respect to age, weight, height, sex and stone size. The calculi passed through the ureter spontaneously in 15 patients in group 1 (53.57%), in 23 patients in group 2 (79.31%), in 22 patients in group 3 (78.57%), and in 22 patients in group 4 (75.86%). In groups 2 to 4 the number of pain episodes, expulsion time and analgesic dosage were found to be lower compared with those in group 1. CONCLUSIONS: alpha1-Adrenergic blockers increase the frequency of spontaneous passage of the distal ureteral calculi. All 3 agents tested were equally efficacious.
Authors:
Erdal Yilmaz; Ertan Batislam; Mehmed Murad Basar; Devrim Tuglu; Mehmet Ferhat; Halil Basar
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of urology     Volume:  173     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-09     Completed Date:  2005-06-03     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2010-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, University of Kirikkale, Faculty of Medicine, Kirikkale, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic alpha-Antagonists
Adult
Doxazosin / therapeutic use*
Female
Humans
Male
Middle Aged
Pain Measurement
Prazosin / analogs & derivatives*,  therapeutic use*
Receptors, Adrenergic, alpha-1 / antagonists & inhibitors*
Sulfonamides / therapeutic use*
Treatment Outcome
Ureteral Calculi / drug therapy*
Chemical
Reg. No./Substance:
0/Adrenergic alpha-Antagonists; 0/Receptors, Adrenergic, alpha-1; 0/Sulfonamides; 106133-20-4/tamsulosin; 19216-56-9/Prazosin; 63590-64-7/Terazosin; 74191-85-8/Doxazosin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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