Upper Tract Ureterolithiasis
Conditions
Keywords
expulsion therapy, tamsulosin, ureterolithiasis, stents
Brief summary
The purpose of this study is to see whether patients undergoing ESWL, for upper tract urinary stones between 1.5-2.0cm, may be treated by expulsion therapy(Tamsulosin) instead of inserting ureteral stents .
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients above 18 yrs of age. * Single urolithiasis up to 2 cm. * Kidney/ureters that haven't undergone previous ESWL or stent insertion. * Normal renal function (creatinine below 100mmo1/1). * Sterile urine culture. * Normal CBC, blood electrolytes and coagulation studies. * Radioopaque stones.
Exclusion criteria
* More than one stone per kidney unit. * Patients receiving steroids, NSAIDS, calcium channel blockers or alpha blockers on a regular basis. * Anatomical anomalies or uromechanical obstruction. * Single kidney. * Cystinuria. * Soldiers or pregnant women. * Patients under 18 year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| stone status at 3 month . | — |
| stone free | — |
Countries
Israel